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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Ozturk, Sinan (Deperatment of Surgery, Gulhane Military Medical Academy, Haydarpasa Training Hospital) Zor, Fatih (Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy) Ozturk, Serdar (Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy) Kartal, Ozgur (Deperatment of Allergy, Gulhane Military Medicine Academy) Alhan, Dogan (Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy) Isik, Selcuk (Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제4호
발행연도
2014.1
수록면
403 - 406 (4page)

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Background Perforations in the nasal septum (NSP) give rise not only to disintegration of the septum anatomy but also impairment in normal nasal physiology. The successes of these surgical techniques are usually equated to anatomical closure of the perforation. The goal of this study is to evaluate the subjective and objective results of our surgical technique for septal perforation surgery. Methods All NSPs in the six patients were closed by inferior turbinate flap. The Nasal Obstruction Symptom Evaluation (NOSE) instrument was used to evaluate the preoperative and postoperative subjective sensation of nasal obstruction. Measurement of preoperative and postoperative nasal airway resistance was performed using active anterior rhinomanometry which is an objective test. Wilcoxson signed rank test and Spearman correlation test were used to analyze correlation between NOSE scores and rhinomanometric measurements. Results The full closure of the septal perforations was noted in 100% of patients. The total NOSE score was 14 preoperatively and one postoperatively. The improvement in NOSE scores was statistically significant ($P{\leq}0.002$). The mean preoperative total resistance (ResT150) value was $0.13Pa/cm^3s^{-1}$, which is below the normal range ($0.16-0.31Pa/cm^3s^{-1}$), while the mean postoperative ResT150 value was $0.27Pa/cm^3s^{-1}$. The correlation between the improvement in NOSE scores and improvements in ResT150 values was statistically significant. Conclusions Surgical approaches should aim to solve both the anatomical and physiological problems of NSP. The application of subjective and objective tests in the postoperative period will help surgeons assess the applied techniques.
#Nasal #Perforation #Rhinomanometry #Surgery

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참고문헌 (21)

참고문헌 신청
Kridel RW / 2004 / Considerations in the etiology, treatment, and repair of septal perforations / Facial Plast Surg Clin North Am 12:435~450 google schola Leong SC / 2010 / A review of the implica-tions of computational fluid dynamic studies on nasal air-flow and physiology / Rhinology 48:139~145 google schola Pallanch JF / 1982 / Prosthetic closure of nasal septal perforations / Otolaryngol Head Neck Surg 90:448~452 google schola Kridel RW / 1999 / Septal perforation repair / Otolaryngol Clin North Am 32:695~724 google schola Stewart MG / 2004 / Outcomes after nasal septoplasty: results from the Nasal Obstruction Septo-plasty Effectiveness (NOSE) study / Otolaryngol Head Neck Surg 130:283~290 google schola

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