Assessment of Aesthetic Results of 100 Patients Who Underwent Rhinoplasty—Rhinoplasty Outcome Evaluation

Kotzampasakis, Dimitrios; Mantalos, P.; Kotzampasakis, Stylianos; Danias, Nikolaos; Nikolopoulos, Thomas P.

doi:10.1097/gox.0000000000001404

Cited by 15 publications

(19 citation statements)

References 21 publications

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“…The mean (SD) preoperative SCHNOS-C score of 59 (21), were observed to decrease at postoperative follow-up intervals <2 months (16 [20], P < .05); 2 to 5 months (16 [19], P < .05); 5 to 8 months (18 [16]…”

Section: Cosmetic Subgroupmentioning

confidence: 95%

“…The mean (standard deviation [SD]) preoperative NOSE, SCHNOS-O, and SCHNOS-C score of 69 (19) [9], P < .05).…”

Section: Functional Subgroupmentioning

confidence: 99%

“…The natural history of these has also been previously established. 19,20 Few studies have been performed to evaluate the natural history of subjective outcomes after rhinoplasty. 13,14 To our knowledge, none have examined the temporal sequence of aesthetic outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty

et al. 2020

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Objectives/Hypothesis To explore the natural history of nasal obstruction and cosmesis following rhinoplasty by utilizing the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). Study Design Retrospective chart study. Methods This study was carried out at a tertiary referral center, preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE), SCHNOS‐Obstruction (SCHNOS‐O), and SCHNOS‐Cosmesis (SCHNOS‐C) scores in patients who underwent rhinoplasty for functional, cosmetic, or both reasons from June 2017 to May 2019 were reviewed and analyzed. Postoperative intervals were defined as <2 months, 2 to 5 months, 5 to 8 months, 8 to 12 months, and >12 months. Results A total of 302 patients (67% women), with a mean age (standard deviation [SD]) of 35 (13) years, who underwent rhinoplasty for functional (90, 30%), cosmetic (124, 41%), and combined functional and cosmetic (88, 29%) reasons, met inclusion criteria. The mean follow‐up period (SD, range) was 5 months (4.2 months, 13 days–1.8 years). Compared to the preoperative mean NOSE score, SCHNOS‐ O, and SCHNOS‐C scores, postoperative mean scores for the functional and combined subgroup were significantly lower (P < .05) across all five postoperative intervals. In the cosmetic subgroup, postoperative mean SCHNOS‐C scores were significantly lower (P < .05) across all postoperative intervals compared to the mean preoperative scores. Conclusions The natural history of the SCHNOS‐O and SCHNOS‐C score in patients who underwent rhinoplasty demonstrates 1) after functional rhinoplasty, an improvement in nasal breathing symptoms is attained as early as <2 months postoperatively; and 2) after cosmetic rhinoplasty, an improvement in nasal cosmesis is seen as early as <2 months postoperatively. These improvements in nasal breathing and cosmesis are sustained through a follow‐up interval >12 months. Level of Evidence 4 Laryngoscope, 131:E116–E123, 2021

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Section: Cosmetic Subgroupmentioning

confidence: 95%

“…The mean (standard deviation [SD]) preoperative NOSE, SCHNOS-O, and SCHNOS-C score of 69 (19) [9], P < .05).…”

Section: Functional Subgroupmentioning

confidence: 99%

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Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty

et al. 2020

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“…Rhinoplasty is one of the most challenging facial aesthetic treatments and the main and realistic objectives are the establishment of a harmony between nose and face, improvement in the patient's appearance and providing a functional nasal airway. 1,2 To obtain the best aesthetically and functionally outcome, an accurate facial analysis, a detailed surgical plan, and a clear communication about the aesthetic objectives should be done before surgery. 1,3 The appropriate surgery should be chosen not only based on the anatomical part to be reshaped but also according to what the patient expects about his/her appearance.…”

mentioning

confidence: 99%

Rhinoplasty—Do Patients and Surgeons See the Same? A Double-Blind Study with 100 Randomized Patients

Ferreira

Santos²,

Carmo

et al. 2018

Facial plast Surg

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One of the key points of a successful rhinoplasty is communication between the patient and surgeon. The surgeon needs to get a clear understanding of the patient's motivation for surgery and expectations of the procedure. This information is mandatory in formulating an optimal surgical plan and managing realistic expectations of the procedures. Ideally, surgeons and patients see, discuss, and quantify the same nasal defects. In reality, the subjective nature of perceiving aesthetics can cause variability of inter-rating nasal appearance. Therefore, one might question how well surgeons understand their patients. Do they see what patients see? The aim of this study is to assess the level of agreement on the evaluation of nasal appearance between patients, surgeons, and nonphysicians observers, and try to find predictive factors that cause high interobserver variability. This prospective, observational, and cross-sectional study was performed on a total of 100 randomized patients undergoing rhinoplasty. All patients were photographed before surgery and asked to rate the appearance of their nose on a 10 cm visual analogue scale (VAS) with 0 indicating very ugly and 10 indicating very nice. Subsequently, the photographs of each patient were, independently, rated by two panels: one constituted by two rhinoplasty surgeons and the other by four nonmedical raters. Both panels included European raters from the north (The Netherlands) and south (Portugal). Data regarding age, gender, skin type, and major nasal deformity were also collected. The authors found that there is no statistical agreement between the aesthetical evaluation of the nose between patients and surgeons or patients and nonmedical raters. Based exclusively on the VAS for subjective evaluation of nasal appearance, the authors' findings show that surgeons and patients do not "see the same" and generally, the score attributed by the surgeon is more favorable (almost 1 point higher) than the auto-assessment's score. This is important to realize when communicating about nasal appearance before rhinoplasty.

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“…Kuran et al and others evaluated the long-term effects of tip sutures and tip cartilage grafts, and suggested that cartilage grafts should be considered as cases in which dimensional changes are a priority. If minor dimensional changes with more rotational alterations are planned, tip-suture techniques that provide sculpting the nasal tip with a long-lasting satisfactory aesthetic outcome should be preferred 6,[17][18][19] .…”

Section: Discussionmentioning

confidence: 99%

Different techniques in tip rhinoplasty

ALSHEHARI¹,

POPESCU²,

Lascăr³

2018

Arch Balk Med Union

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Techniques différentes de la rhinoplastie de la pointe nasale Introduction: La rhinoplastie est considérée comme l'un des objectifs les plus provocateurs dans la chirurgie plastique et la rhinoplastie de la pointe nasale le plus controversé défi face au chirurgien qui la pratique. Il n'y a aucun procédé de routine utilisé et il existe beaucoup de méthodes de reconstruction qui rendent la pointe nasale plus attrayante. But: Le but de cette étude est l'évaluation des différentes techniques de correction afin d'améliorer les résultats dans la rhinoplastie de la pointe nasale. Méthodes: On a réalisé une étude prospective sur tous les patients avec des anomalies de la pointe nasale, soumis à une rhinoplastie fermée ou ouverte entre décembre 2015-aout 2016, à l'Hôpital de Bombay, de l'Inde. Les patients ont été divisés en deux groupes : le groupe A-ou les patients ont été traités par de divers types de sutures (12 cas) et le groupe B dont les patients ont été traités par des sutures et des greffes de la pointe nasale (18 cas). Résultats: L'étude a compris 30 patients, 24 (80%) femelles et 6 (20%) mâles. Douze patients (40%) aux pointes nasales bulbeuses, 7(23%) patients aux pointes ABSTRACT Background. Rhinoplasty is considered as one of the most challenging objectives in plastic surgery and tip rhinoplasty is arguably the greatest challenge for the surgeon performing rhinoplasty. No routine tip procedure is ever used and there are many ways to reconstruct and make nasal tips more attractive. Objective. The aim of this study was to evaluate the different correction techniques, in order to improve the outcomes in tip rhinoplasty. Methods. A prospective study was performed, including all patients with nasal tip deformities who underwent closed or open rhinoplasty between December 2015-August 2016 in Bombay Hospital, India. The patients were divided into two groups: group A-treated with various types of tip sutures (12 cases), and group B-treated with combined tip sutures and grafts (18 cases). Results. The study included 30 patients, 24 (80%) females and 6 (20%) males. 12 (40%) were patients with bulbous tips, 7 (23%) were patients with droopy tips, 5 (17%) were patients with boxy (broad) tips, 3 (10%) were patients with wide tips, and 3 (10%) were patients with bifid tips. A total of 27 (90%) cases involved primary rhinoplasties, and 3 (10%) cases involved revision. Patient's and doctor's satisfactions were recorded

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Assessment of Aesthetic Results of 100 Patients Who Underwent Rhinoplasty—Rhinoplasty Outcome Evaluation

Cited by 15 publications

References 21 publications

Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty

Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty

Rhinoplasty—Do Patients and Surgeons See the Same? A Double-Blind Study with 100 Randomized Patients

Different techniques in tip rhinoplasty

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