鼻整形术后满意度与生活质量：使用FACE-Q和NOSE问卷比较创伤后与非创伤性病例的结果。

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中文摘要

背景： 功能性鼻整形术（fSRP）旨在改善鼻腔功能和患者满意度。
目的： 本研究使用经过验证的患者报告结局指标，比较有和无鼻外伤史的患者在fSRP术后的满意度、鼻腔功能和生活质量。
方法： 一项横断面队列研究纳入2020年至2024年间在一家三级转诊中心接受fSRP的71例患者（22例创伤后，49例非创伤性），完成面部评估与美容增强生活质量问卷（FACE-Q）、鼻阻塞症状评估量表（NOSE）和世界卫生组织生活质量-BREF问卷。患者按鼻外伤史分组，并进行多变量线性回归以评估影响满意度和鼻腔功能的因素。
结果： 有鼻外伤史的患者在FACE-Q子量表“对鼻子的满意度”（β = 12.12，P = .037）和“对鼻孔的满意度”（β = 17.01，P = .033）上报告的满意度显著高于非创伤患者。处于恋爱关系中的参与者在“对鼻子的满意度”和“对面部外观的满意度”子量表上得分更高（调整后β = 13.47，P = .005和调整后β = 11.80，P = .005）。吸烟者在NOSE量表上报告的鼻阻塞症状显著更高（β = 23.97，P = .002）。创伤组和非创伤组之间在功能结局（NOSE评分）方面未发现显著差异。
结论： 在该队列中，鼻外伤史和处于恋爱关系与fSRP术后更高的FACE-Q评分相关。既往有鼻外伤的个体对其鼻子和鼻孔的满意度更高，而处于恋爱关系中的个体对其鼻子和整体面部外观的满意度更高。
证据等级： 3（治疗性）

英文摘要

BACKGROUND: Functional septorhinoplasty (fSRP) aims to improve both nasal function and patient satisfaction.
OBJECTIVES: This study compared postoperative satisfaction, nasal function, and quality of life after fSRP between patients with and without a history of nasal trauma using validated patient-reported outcome measures.
METHODS: A cross-sectional cohort of 71 patients (22 posttraumatic, 49 nontraumatic) who underwent fSRP between 2020 and 2024 at a tertiary referral center completed the Facial Assessment and Cosmetic Enhancement Quality of Life Questionnaire (FACE-Q), Nasal Obstruction Symptom Evaluation scale (NOSE), and World Health Organization Quality of Life-BREF questionnaire. Patients were grouped by history of nasal trauma, and multivariate linear regression was performed to assess factors influencing satisfaction and nasal function.
RESULTS: Patients with a history of nasal trauma reported significantly higher satisfaction on FACE-Q subscales "satisfaction with nose" (β = 12.12, P = .037) and "satisfaction with nostrils" (β = 17.01, P = .033) compared with nontrauma patients. Participants in a relationship scored higher on the subscales "satisfaction with nose" and "satisfaction with facial appearance" (β adjusted = 13.47, P = .005 and β adjusted = 11.80, P = .005, respectively). Smokers reported significantly higher nasal obstruction symptoms (β = 23.97, P = .002) on the NOSE scale. No significant difference in functional outcomes (NOSE score) was found between trauma and nontrauma groups.
CONCLUSIONS: In this cohort, a history of nasal trauma and being in a relationship were associated with higher postoperative FACE-Q scores following fSRP. Individuals with previous nasal trauma reported greater satisfaction with their nose and nostrils, whereas those in a relationship demonstrated higher satisfaction with both their nose and overall facial appearance.
LEVEL OF EVIDENCE: 3 (Therapeutic)For image description, please refer to the figure legend and surrounding text.