SEPTORİNOPLASTİ YAPILAN HASTALARDA SPREADER GREFT KONULMASININ AMELİYATIN FONKSİYONEL VE ESTETİK SONUÇLARI ÜZERİNE ETKİSİ

Yıl 2023, , 64 - 69, 30.04.2023

Süheyla Kandemir , Ahmet Erim Pamuk

https://doi.org/10.24938/kutfd.1215009

Öz

Amaç: Spreader greft konularak ve konulmadan septorinoplasti ameliyatı yapılan hastalarda, ameliyatın fonksiyonel ve estetik sonuçlarının karşılaştırılması amaçlanmıştır.

Gereç ve Yöntemler: Çalışmada, 2018-2022 tarihleri arasında septorinoplasti ameliyatı yapılan 52 hasta retrospektif olarak incelendi. Hastalar spreader greft konulanlar (Grup 1, n=30) ve spreader greft konulmayanlar (Grup 2, n=22) olmak üzere iki gruba ayrıldı. Hastaların fonksiyonel ve estetik sonuçları ameliyat öncesi ve ameliyat sonrası burun tıkanıklığı semptom değerlendirme ölçeği (NOSE), sinonazal sonuç testi-22 (SNOT-22) ve yüz görünümünden memnuniyet (FACE-Q) ölçeği ile değerlendirildi.

Bulgular: Gruplar arasında yaş ve cinsiyet açısından anlamlı bir farklılık saptanmadı. Her iki grupta da ameliyat sonrası NOSE ve SNOT-22 skorları, ameliyat öncesi skorlara kıyasla, anlamlı düzeyde düşük idi (p<0.05). FACE-Q skoru ise ameliyat sonrası skorları ameliyat öncesi skorlara göre anlamlı derecede yüksek idi (p<0.05). Gruplar birbirleri ile karşılaştırıldığında, postoperatif NOSE ve SNOT-22 skorları spreader konulmayan grubun (grup 2) daha yüksekti. Postoperatif FACE-Q skoru ise spreader konulan grubun (grup 1) daha yüksekti.

Sonuç: Çalışmamızda, spreader greft konularak yapılan septorinoplasti ameliyatının hasta bazlı anket çalışmaları ile değerlendirildiğinde fonksiyonel ve estetik sonuçlarının spreader greft konulmadan yapılan ameliyata göre daha iyi olduğu sonucuna varıldı.

Anahtar Kelimeler

Burun, rinoplasti, spreader greft

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

The Effect of Spreader Graft Placement on the Functional and Aesthetic Results of the Surgery in Patients Undergoing Septorhinoplasty

Öz

Objective: It is aimed to compare the functional and aesthetic results of the surgery in patients who underwent septorhinoplasty with and without a spreader graft.

Material and Methods: In the study, 52 patients who underwent septorhinoplasty between 2018 and 2022 were retrospectively analyzed. The patients were divided into two groups: those with spreader grafts (Group 1, n=30) and those without spreader grafts (Group 2, n=22). The functional and aesthetic results of the patients were evaluated with the nasal obstruction symptom rating scale (NOSE), the sinonasal outcome test-22 (SNOT-22) and the facial appearance satisfaction (FACE-Q) scale before the surgery and postoperatively.

Results: There was no significant difference between the groups in terms of age and gender. Postoperative NOSE and SNOT-22 scores were significantly lower than preoperative scores in both groups (p<0.05). FACE-Q score, on the other hand, was significantly higher after surgery than preoperative scores (p<0.05). When the groups were compared with each other, postoperative NOSE and SNOT-22 scores were higher in the group without spreader (group 2). The postoperative FACE-Q score was higher in the spreader group (group 1).

Conclusion: In our study, it was concluded that the functional and aesthetic results of septorhinoplasty surgery performed with a spreader graft were better than the surgery performed without a spreader graft, when evaluated with patient-based questionnaire studies.

Anahtar Kelimeler

Nose, rhinoplasty, spreader graft

Proje Numarası

Yok

Kaynakça

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