Evaluation of Aesthetic and Functional Outcomes After Open Rhinoplasty: A Quasi-experimental Study by the Aid of ROE and RHINO Questionnaires

Abianeh, Shahriar Haddady; Bajestani, Sohrab Moradi; Rahmati, Javad; Shahrbaf, Mohammad Amin; Meybodi, Abolfazl Fatehi

doi:10.1007/s00266-020-01905-w

Cited by 14 publications

(8 citation statements)

References 29 publications

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“…The improvement of nasal appearance achieved by rhinoplasty found by our study has also been demonstrated by other studies. [10][11][12][13][14] Nasal breathing sensation and PNIF value were also significantly improved by rhinoplasty. This improvement was verified in patients with NAO and in patients with an esthetic-only motivation for rhinoplasty (Table 2).…”

Section: Discussionmentioning

confidence: 84%

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Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Xavier

Azeredo‐Lopes

Menger

et al. 2022

Ann Otol Rhinol Laryngol

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Rhinoplasty makes use of a combination of surgical techniques selected to address the specific requirements of each individual nose. Several different surgical techniques may be used for addressing each section of the nose, with possible different functional effects. Objective: The purpose of this investigation is to compare the functional effect of the different surgical techniques used for addressing each section of the nose. Methods: Prospective study of 57 consecutive rhinoplasty patients. Patients were evaluated with peak nasal inspiratory flow (PNIF), Nasal Obstruction Symptom Evaluation (NOSE), and Visual Analog Scale (VAS) for nasal obstruction before and 1 year after rhinoplasty. Additionally, esthetic evaluation of the nose was obtained with Rhinoplasty Outcomes Evaluation (ROE). According to the surgical technique used to address each portion of the nose, groups of patients were created and the functional improvement of these groups was compared. Results: Using the TukeyHSD multiple pairwise-comparison test, the estimated difference of the increase of PNIF between using spreader grafts and using spreader flaps was 94.9 (95% CI 24.3, 165.5, P = .004) between spreader grafts and neither grafts or flaps was 79.2 (95% CI 5.8, 152.6, P = .03), between spreader grafts and bilateral spreader flaps plus a unilateral spreader graft was 90.2 (95% CI 22.1, 158.2, P = .005). In all other portions of the nose, no significant difference was found in the functional improvement between different surgical techniques. Conclusions: Spreader grafts increase PNIF more significantly than other surgical techniques used for dorsal mid-vault reconstruction. Spreader grafts should be preferred over other techniques whenever an improvement of nasal airflow is required. No significant differences were found between the functional effect of alternative techniques used in other sections of the nose. Additional cohort studies will be necessary to further confirm data from this investigation.

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Section: Discussionmentioning

confidence: 84%

“…The improvement of nasal appearance achieved by rhinoplasty found by our study has also been demonstrated by other studies. 10-14…”

Section: Discussionmentioning

confidence: 99%

Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Xavier

Azeredo‐Lopes

Menger

et al. 2022

Ann Otol Rhinol Laryngol

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“…Rhinoplasty is the most frequent procedure performed in the field of facial cosmetic surgery [11]. It improves a patient's respiration and voice, as well as their selfconfidence [12]. However, for the rhinosurgeon, the nasal anatomy, with its threedimensional forces and complicated interplays between aesthetic and functional features, is extremely difficult [13].…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction among Different Age Groups Who Underwent Aesthetic and Functional Rhinoplasty in Sulaymaniyah

,¹,

Hawrami²,

Amin³

2022

djm

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Background: Cosmetic surgery is performed to improve an individual’s satisfaction with their appearance and to improve their psychological health by improving self-confidence. Our study aimed to evaluate patient satisfaction regarding nose appearance and function. Objective: To evaluate the satisfaction of patients who underwent rhinoplasty by using the Rhinoplasty outcomes evaluation (ROE) questionnaire and to determine the impact of patient age on the outcomes. Patients and Methods: A prospective study of 90 patients who underwent open rhinoplasty procedures, including other nasal procedures like septoplasty or turbinoplasty, in both private and public Sulaimani Surgical Teaching Hospitals (department of oral maxillofacial surgery) from October 2020 to March 2022. The Rhinoplasty Outcomes Evaluation (ROE) questionnaire was used for esthetic and functional assessment. Results before and after surgery were compared. Results: In this study, ninety patients participated by completing the questionnaires and the follow-up period six months postoperatively. The main reasons for rhinoplasty in our patients were: esthetic 50% (n=45), functional 8.9 % (n=8), and a combination of both esthetic and functional in 41.1% (n=37) of patients. There was a significant overall increase in patient satisfaction with functional and esthetic outcomes post-surgery (p < 0.01), and there was no significant difference among different age groups postoperatively (p > 0.01) based on ROE. Conclusion: There was a significant overall increase in patients’ satisfaction with functional and aesthetic outcomes post-surgery. There was no significant difference in satisfaction among different age groups.

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“…[3], [4], or through facial analyses in a quantitative fashion [5], [6]. There are studies that aimed to evaluate rhinoplasty outcomes utilizing questionnaires for subjective evaluation and facial measurements for objective evaluation [1], [7], [8], [9], [10], [11]. However, there was poor correlation and inconsistencies between subjective and objective evaluations, and it was not possible to utilize objective (quantitative) scores to predict the success of outcomes [12].…”

Section: Rhinoplasty Outcomes Have Generally Been Assessed With Semi-...mentioning

confidence: 99%

Utilization of Machine Learning for the Objective Assessment of Rhinoplasty Outcomes

et al. 2023

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Machine Learning started to provide solutions to various challenges in many fields, including medicine. The objective assessment of rhinoplasty results has been a challenge since the assessment of beauty is subjective in nature. This study explores if Machine Learning can be used to accomplish the complex task of objective evaluating the outcome evaluation and automated scoring for rhinoplasty. We introduce a methodology to map the aesthetics of visual appearance to the quantified measurements of presurgery, planned outcome, and post-surgery using machine learning. To develop the methodology, we generated synthetic 3D models utilizing artificial intelligence tools and applied various nasal deformities to simulate the pre-surgery, planned outcome, and post-surgery scans of rhinoplasty patients. The simulated outcomes were scored by reviewing the 3D visuals and corresponding measurements to prepare the training data for machine learning models. AutoGluon AutoML framework is used to generate the best-performing machine learning model. We successfully developed machine learning models with accuracy between 82% to 88% depending on the scoring method. We also identified the measurements that are highly influential in determining the scores. This is the first study that correlates the visual appearance and quantitative facial measurements of simulated rhinoplasty outcomes. The results suggest that an AI-based objective rhinoplasty outcome scoring tool is possible when machine learning algorithms are trained using consensus scores along with patients' pre-surgery, planned, and post-surgery measurements. This study introduces a methodology regarding how to map the aesthetics of visual appearance to the quantified measurements of pre-surgery, planned outcome, and post-surgery using machine learning.

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Evaluation of Aesthetic and Functional Outcomes After Open Rhinoplasty: A Quasi-experimental Study by the Aid of ROE and RHINO Questionnaires

Cited by 14 publications

References 29 publications

Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Patient Satisfaction among Different Age Groups Who Underwent Aesthetic and Functional Rhinoplasty in Sulaymaniyah

Utilization of Machine Learning for the Objective Assessment of Rhinoplasty Outcomes

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