Lebensqualität vor und nach Septum- und Rhinoplastik

Abstract

Subjective assessment of quality of life (QOL) as an important aspect of outcomes research has received increasing importance during the past decades. QOL is measured with standardized questionnaires which had been tested with regard to reliability, validity, and sensitivity. Surgical procedures of the nasal septum (septoplasty) and the external nose (rhinoplasty) are frequently performed. Since many years subjectively assessed results of these operations have been reported in the literature. Nevertheless, validated QOL instruments were applied only for one decade. Beforehand, measurements were performed using retrospective assessment of contentment or visual analogue scales. Prospective application of validated disease-specific and general measuring instruments has to be demanded for future studies.Most of the septoplasty patients as well as most of the rhinoplasty patients evaluate the operation being successful. Nevertheless, a relevant number of patients is not satisfied with the result of surgery. In this context, QOL instruments have the potential to identify further factors influencing the outcome. Especially in rhinoplasty patients, special attention has to be drawn on potential psychosocial effects of the operation.

Surgical Closure of Nasoseptal Defects: Postoperative Patient Satisfaction

“…Some general assessment instruments are the ‘Short Form 36 Health Survey’, the ‘Short Form 12 Health Survey’, the ‘European Quality of Life 5 Dimensions’ as well as the ‘Glasgow Benefit Inventory’. In addition, there are also special assessments for sinonasal complaints, among them the ‘Nasal Symptom Questionnaire’, the ‘Rhino-Sinusitis Disability Index’, the ‘General Nasal Patient Inventory’, the ‘Rhinosinusitis Quality of Life Survey’ and the ‘Sino-Nasal Outcome Test 20’ [19,20,21,22,23,24,25]. …”

Kommentar der Schriftleitung

“…B. Dickdarmkarzinomen, bereits erfolgreich etabliert sind. Neben 2 " Originalarbeiten " wird in dieser Ausgabe auch paradigmatisch ein Thema aus der Gesundheits-ö konomie vorgestellt: Wie ist die Septorhinoplastik bei funktionellen Problemen [6,7] im DRGSystem abgebildet?…”