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首页> 外文期刊>Brazilian Journal of Otorhinolaryngology >Evaluation of pre- and post-pyriform plasty nasal airflow ☆
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Evaluation of pre- and post-pyriform plasty nasal airflow ☆

机译：评估前后梨形整形鼻气流☆

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Introduction: Nasal obstruction is a frequent complaint in otorhinolaryngology outpatient clinics, and nasal valve incompetence is the cause in most cases. Scientific publications describing surgical techniques on the upper and lower lateral cartilages to improve the nasal valve are also quite frequent. Relatively few authors currently describe surgical procedures in the piriform aperture for nasal valve augmentation. We describe the surgical technique called pyriform plasty and evaluate its effectiveness subjectively through the NOSE questionnaire and objectively through the rhinomanometry evaluation. Objective: To compare pre- and post-pyriform plasty nasal airflow variations using rhinomanometry and the NOSE questionnaire. Methods: Eight patients submitted to pyriform surgery were studied. These patients were screened in the otorhinolaryngology outpatient clinic among those who complained of nasal obstruction, and who had a positive response to Cottle maneuver. They answered the NOSE questionnaire and were submitted to preoperative rhinomanometry. After 90 days, they were reassessed through the NOSE questionnaire and the postoperative rhinomanometry. The results of these two parameters were compared pre- and postoperatively. Results: Regarding the subjective measure, the NOSE questionnaire, seven patients reported improvement, of which two reported marked improvement, and one patient reported an unchanged obstructive condition. Regarding the rhinomanometry assessment, of 96 comparative measurements between the preoperative and postoperative periods, we obtained 68 measurements with an increase in nasal airflow in the postoperative period, 26 negative results, and two cases that remained unaltered between the preoperative and postoperative periods. Conclusion: When analyzing the results obtained in this study, we can conclude that the piriform plasty surgical procedure resulted in nasal airflow improvement in most of the obtained measurements.
机译：简介：鼻阻塞是耳鼻喉科门诊的常见病，大多数情况下是鼻瓣功能不全的原因。描述上，下外侧软骨以改善鼻瓣的外科技术的科学出版物也很常见。目前，相对很少有作者描述在梨状小孔中进行鼻瓣扩张的外科手术。我们描述了称为梨状成形术的手术技术，并通过NOSE问卷主观地评估了其有效性，并通过鼻压力计评估客观地评估了其有效性。目的：使用鼻压力计和NOSE问卷比较梨形成形术前后鼻腔气流变化。方法：对8例进行梨状手术的患者进行了研究。这些患者在主诉鼻塞的患者中对耳鼻喉科门诊进行了筛查，并且对Cottle动作的反应良好。他们回答了NOSE问卷，并接受了术前鼻压测定。 90天后，通过NOSE问卷和术后鼻测压法对他们进行了重新评估。术前和术后比较这两个参数的结果。结果：关于主观测量，NOSE问卷中有7例报告了好转，其中2例显着好转，而1例报告了阻塞状态不变。关于鼻压力计评估，我们在术前和术后进行了96项比较测量，获得了68项测量，术后鼻腔流量增加，有26项阴性结果，还有2例在术前和术后之间保持不变。结论：在分析本研究中获得的结果时，我们可以得出结论：在大多数获得的测量结果中，梨状整形外科手术导致鼻腔气流改善。

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