Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty
Objectives/Hypothesis To analyze different variables that influence postrhinoplasty quality of life outcomes to ascertain the determinants of postoperative satisfaction. Study Design Prospective, observational study. Methods This was a prospective, observational study where patients were divided int...
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| Published in: | The Laryngoscope Vol. 132; no. 8; pp. 1569 - 1575 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Hoboken, USA
John Wiley & Sons, Inc
01-08-2022
Wiley Subscription Services, Inc |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Objectives/Hypothesis
To analyze different variables that influence postrhinoplasty quality of life outcomes to ascertain the determinants of postoperative satisfaction.
Study Design
Prospective, observational study.
Methods
This was a prospective, observational study where patients were divided into two groups based on the postoperative Rhinoplasty Outcome Evaluation (ROE) score: high satisfaction group, when postoperative ROE scores were >50, and low satisfaction group, when postoperative ROE scores were ≤50. Patients' general characteristics, Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE‐p) score, the Body Dysmorphic Disorder Examination, nasal angles, and measures from the esthetic facial analysis of postoperative photographs were compared between the groups.
Results
Seventy‐eight patients were included: 19 in the low satisfaction group and 58 in the high satisfaction group. The median reduction in the NOSE‐p score was −45 (interquartile range [IIQ] −20 to −60) (P < .001) in the high satisfaction group and −10 (IIQ −10 to −30) in the low satisfaction group (P = .053). The high satisfaction group had a significantly higher reduction in NOSE‐p scores. There was no significant difference between the groups in terms of the analyzed facial parameters, although a significant difference was found when comparing them with the ones established in the literature as a pattern. Previous rhinoplasty, preoperative crooked nose, and higher NOSE‐p scores were significantly associated with lower ROE scores (P < .05) in the robust Poisson regression model.
Conclusion
Functional results play an important role in satisfaction after rhinoplasty. Neoclassical canons were not fulfilled even in a group of patients with a high postoperative satisfaction evaluation.
Level of Evidence
3 Laryngoscope, 132:1569–1575, 2022 |
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| Bibliography: | This work was funded by the Hospital de Clınicas de Porto Alegre and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. The authors have no other funding, financial relationships, or conflicts of interest to disclose. Editor's Note: This Manuscript was accepted for publication on October 13, 2021. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
| ISSN: | 0023-852X 1531-4995 |
| DOI: | 10.1002/lary.29923 |