STUDY THE CLINICAL CHARACTERISTICS AND RHINOMANOMETRY OF PATIENTS WITH POST-TRAUMATIC CROOKED NOSE

Anh Tuấn Nguyễn1, , Trần Quang Minh Lê1, Quang Vinh Vũ2
1 Bệnh viện Tai Mũi Họng Thành phố Hồ Chí Minh
2 Học viện Quân y

Main Article Content

Abstract

Object: To describe the clinical characteristics and rhinomanometry of patients with post-traumatic crooked Nose.


Subjects and research methods: Cross-sectional description, prospective on 40 patients with crooked Nose sequelae due to trauma operated on at Ear, Nose and Throat Hospital Ho Chi Minh City during the period from 12/2020 to 12/2023.


Results: The average age of the study group was 33.7 ± 9.89 years. The main cause of crooked Nose is traffic accidents, accounting for 62.5%. The majority of patients hospitalized for cosmetic reasons of crooked Nose (52.5%). Patients admitted to the hospital 3-6 months after injury are the most common with 16 patients, accounting for 40%. Most patients had nasal congestion before surgery, accounting for 87.5%. The average NOSE score before surgery was 34.01±23.99. The average bilateral total nasal pressure was 0.43 ± 0.16 Pa/cm3/sec and the average bilateral nasal air flow was 394.98 ± 132.13 cm3/sec.


Conclusion: The main cause of crooked nose is traffic accidents, most patients are hospitalized for cosmetic reasons of crooked nose, patients admitted to the hospital 3-6 months after injury are the most common and most patients have nasal congestion before surgery. The average NOSE score before surgery was 34.01±23.99. The average bilateral total nasal pressure was 0.43 ± 0.16 Pa/cm3/sec and the average bilateral nasal airflow was 394.98 ± 132.13 cm3/sec.


Keywords: Rhinomanometry, Clinical characteristics, Crooked Nose.

Article Details

References

1. Foda HM. The role of septal surgery in the management of the deviated nose. Plast Reconstr Surg. 2005; 115(2):406-15.
2. Nguyễn Thị Thanh Thuý. Chỉnh hình van mũi qua đường mổ hở điều trị nghẹt mũi. Luận án Tiến sĩ y học, Đại học Y Dược Thành phố Hồ Chí Minh. 2015.
3. Stewart MG, Witsell DL, Smith TL, et al. Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngology - Head and Neck Surgery. 2004; 130:157-163.
4. Bùi Mai Anh, Vũ Trung Trực, Nguyễn Hồng Hà. Tạo hình mũi sau chấn thương bằng sụn sườn khối kết hợp bơm sụn sườn tự thân (diced cartilage). Tạp chí Chấn thương Chỉnh hình Việt Nam, Số đặc biệt. 2014:295-298.
5. Hwang K, You SH, Kim SG, et al. Analysis of nasal bone fractures; a six-year study of 503 patients. J Craniofac Surg. 2006; 17(2):261-4.
6. Cheng LH, Lee JC, et al. Twisted nose: A new simple classification and surgical algorithm in Asians. Eur Arch Otorhinolaryngol. 2012; 269(2):551-6.
7. Quản Thành Nam và CS. Kết quả phẫu thuật nội soi chỉnh hình vách ngăn mũi qua thang điểm NOSE và VAS. Tạp chí Y Dược Lâm sàng 108. 2023; 6(18).
8. Thái Hoàng Hạnh Nhung. Khảo sát đặc điểm khí áp mũi ở bệnh nhân được phẫu thuật vẹo vách ngăn mũi có kèm thu nhỏ cuốn mũi dưới. Luận văn Bác sỹ nội trú, Trường Đại học Y khoa Phạm Ngọc Thạch. 2017.
9. J Merkle, L Kohlhas, G Zadoyan, R Mösges, M Hellmich. Rhinomanometric reference intervals for normal total nasal airflow resistance. Rhinology Journal. 2014; 52(4):292-299.
10. Stepnick D, Guyuron B. Surgical treatment of the crooked nose. Clin Plast Surg. 2010; 37(2):313-25.
11. Ngô Văn Công, Lê Huy Hoàng. Ứng dụng sụn sườn nhuyễn tự thân trong chỉnh hình mũi chấn thương. Tạp chí Y học Việt Nam. 2023; 526(1B): 351-354.