PRS:鼻中隔成形术可改善嗅觉

2021-03-16 MedSci原创 MedSci原创

功能性和美观性鼻腔手术可显著改善嗅觉,与鼻腔气流有直接关系,这表明直接增加鼻气流量的手术(即鼻中隔成形术)对嗅觉有直接影响。鉴于嗅觉功能对生活质量的重要性,鼻手术对嗅觉功能的影响可以作为鼻外科会诊中术

功能性和美观的鼻整形手术是美国最常见的整形手术。其中超过一半的整形手术是与鼻中隔成形术和/或鼻甲成形术结合进行的。

功能性鼻中隔成形术和鼻中隔成形术的主要适应症之一是鼻气道阻塞。尽管嗅觉功能受损很少成为整形外科文献中的主要焦点,但对于许多寻求外科治疗的患者来说,嗅觉功能受损是一个重要的激励因素。多项研究已经证明,嗅觉对于患者的生活质量和对鼻部手术的满意度具有重要意义。

本研究的目的是评估鼻中隔成形术、鼻中隔成形术和鼻成形术对术后嗅觉功能的影响,以及它们与鼻气流和生活质量的关系。

共纳入25项研究,对鼻部手术后嗅觉功能进行系统回顾和荟萃分析。该文章分析术前和术后嗅觉、鼻气流和生活质量和鼻部症状的具体情况。计算出每项研究的效应大小,并用于荟萃分析。由于研究在术后期间的不同时间点对患者进行评估,因此将每项研究报告的最新时间点用于荟萃分析。每项研究都计算了效应大小的95%置信区间。研究质量使用JADAD和非随机化研究工具的方法学指数进行评估。所有纳入的研究均为二级证据。

鼻手术后,患者的嗅觉(p<0.001)、鼻气流(p<0.001)和生活质量/鼻部症状(p<0.001)均有显著改善

患者常常在手术后立即感受到一过性的嗅觉下降,然后在手术后有所改善。

术前嗅觉功能障碍发生率较低,术后嗅觉功能障碍发生率也较低。

嗅觉的改善与鼻腔气流和生活质量的改善直接相关

功能性和美观性鼻腔手术可显著改善嗅觉,与鼻腔气流有直接关系,这表明直接增加鼻气流量的手术(即鼻中隔成形术)对嗅觉有直接影响。一些研究报告这些措施在术后即刻出现一过性恶化,随后在随后的时间点有所改善。

鉴于嗅觉功能对生活质量的重要性,鼻手术对嗅觉功能的影响可以作为鼻外科会诊中术前讨论的一部分。

原始文献:

Pfaff Miles J,Bertrand Anthony A,Lipman Kelsey J et al. The Effect of Functional Nasal Surgery on Olfactory Function.[J] .Plast Reconstr Surg, 2021, 147: 707-718.

DOI: 10.1097/PRS.0000000000007667

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    2021-08-10 1225a8fem70暂无昵称

    学习了

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    2021-08-29 kzlchina
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