老年人功能性鼻整形术：对外观、心理幸福感及生活质量的影响

文献信息

中文摘要

背景： 功能性鼻整形术通常用于改善鼻中隔偏曲和鼻瓣功能障碍患者的鼻腔气流。然而，其对老年患者外观、心理幸福感及生活质量的更广泛影响尚未得到充分研究。本研究评估了接受功能性鼻整形术的老年患者术后在外观、心理生活质量（QOL）及呼吸方面的改善。
方法： 这项回顾性观察性研究纳入了接受功能性鼻整形术的65岁及以上患者。由于无法获得术前评估，患者填写了一份术后回顾性改善评分问卷。外观改善（4个条目）和心理/生活质量改善（8个条目）采用5点Likert量表评分，呼吸舒适度采用0-10视觉模拟量表评估。进行了描述性统计和可视化分析，包括箱线图、直方图和散点图。
结果： 共30例患者纳入分析。外观和心理/生活质量评分均显示术后改善程度持续处于较高水平。评分分布集中在中等至较高范围，散点分析显示外观满意度与心理/生活质量结局之间存在正相关。呼吸VAS评分也表明主观鼻腔气流有所改善。
结论： 老年患者的功能性鼻整形术似乎能提供超越气道矫正的多维度获益。外观和心理/生活质量的改善提示自信心、情绪稳定性和日常功能得到增强。这些发现支持更广泛的手术成功概念，即包括功能、心理和人文方面的幸福感，并提示功能性鼻整形术可能有助于老年患者的心理幸福感和自我认知。
证据等级IV： 本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整说明，请参阅目录或在线作者须知 www.springer.com/00266 。

英文摘要

BACKGROUND: Functional rhinoplasty is commonly performed to improve nasal airflow in patients with septal deviation and nasal valve dysfunction. However, its broader effects on appearance, psychological well-being, and quality of life in elderly patients have not been well studied. This study evaluated postoperative improvements in appearance, psychological quality of life (QOL), and breathing in elderly patients undergoing functional rhinoplasty.
METHODS: This retrospective observational study included patients aged 65 years or older who underwent functional rhinoplasty. Because preoperative assessments were not available, patients completed a postoperative retrospective improvement-score questionnaire. Appearance improvement (4 items) and psychological/QOL improvement (8 items) were rated using 5-point Likert scales, and breathing comfort was assessed using a 0-10 visual analog scale. Descriptive statistics and visual analyses, including boxplots, histograms, and scatter plots, were performed.
RESULTS: Thirty patients were included in the analysis. Both appearance and psychological/QOL scores demonstrated consistently high levels of postoperative improvement. Score distributions were concentrated in the moderate-to-high range, and scatter analysis showed a positive association between appearance satisfaction and psychological/QOL outcomes. Breathing VAS scores also indicated improvement in subjective nasal airflow.
CONCLUSIONS: Functional rhinoplasty in elderly patients appears to provide multidimensional benefits beyond airway correction. Improvements in appearance and psychological/QOL suggest enhanced confidence, emotional stability, and daily functioning. These findings support a broader concept of surgical success that includes functional, psychological, and humanistic aspects of well-being and suggest that functional rhinoplasty may contribute to psychological well-being and self-perception in elderly patients.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .