Patient Assessment of Psychosocial Dysfunction following Nasal Reconstruction

Pepper, Jon Paul; Asaria, Jamil; Kim, Jennifer C.; Baker, Shan R.; Moyer, Jeffrey S.

doi:10.1097/prs.0b013e31823aeb0a

Cited by 18 publications

(18 citation statements)

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“…However, patient's perspective and satisfaction are the most important determinants of success or failure of a rhinoplasty procedure [2]. Besides, surgeon needs to assess or quantify the level of psychosocial distress patients experience following rhinoplasty [3].…”

Section: Introductionmentioning

confidence: 99%

The effect of rhinoplasty on psychosocial distress level and quality of life

Günel

Ömürlü

2014

Eur Arch Otorhinolaryngol

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The aim of this study was to evaluate psychosocial distress and improvement in quality of life (QoL) of patients undergoing rhinoplasty and compare the level of distress associated with the types of rhinoplasty. A total of 79 patients who underwent external rhinoplasty were enrolled in the study. The patients were grouped due to primary, secondary, functional and cosmetic rhinoplasty. The patients were evaluated four times: preoperative evaluation, 4th, 12th, and 24th weeks postoperatively and completed questionnaires including the rhinoplasty outcome evaluation (ROE) scale, nasal obstruction symptom evaluation (NOSE) scale, and Derriford Appearance Scale 24 every four visit. The revision cases and patients with cosmetic indication have more emotional distress than others at the preoperative and early postoperative period (p < 0.005). However, the distress level equalize and return baseline values beyond 12 weeks. The ROE and NOSE scores of all patients were very significantly improved by the rhinoplasty (p < 0.001). To our knowledge, this is the first study to evaluate changes in distress of patients undergoing rhinoplasty using DAS-24 scale. The psychosocial distress has a significant impact on quality of life and, therefore, it is an important factor to assess the success of surgery. In addition, regardless of initial demand and type of surgery, rhinoplasty provides improvement in nasal obstruction, and a positive impact on QoL in most of the patients undergoing rhinoplasty.

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Section: Introductionmentioning

confidence: 99%

The effect of rhinoplasty on psychosocial distress level and quality of life

Günel

Ömürlü

2014

Eur Arch Otorhinolaryngol

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“…http://links.lww.com/PRSGO/B641) results from the greater emphasis on the appearance of the nose, which is a fundamental unit for the aesthetic harmony of the face. 18 . These other modules measure different functions from other structures, such as swallowing, salivation, smile, and speech.…”

Section: Discussionmentioning

confidence: 99%

Application of FACE-Q and NOSE in Nasal Reconstruction with Paramedian Frontal Flap after Skin Cancer Resection

Pagotto

Tutihashi

RIBEIRO

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Introduction: Nonmelanoma skin cancer (NMSC) is responsible for high morbidity and mortality, resulting in a high cost to the health system. The nose is the leading region affected by this type of tumor and may need reconstruction by tissue transfer. The paramedian forehead flap (PFF) is one of the main options used, and the factors that influence the result should be studied. The FACE-Q questionnaire allows the assessment of appearance, quality of life, and side effects related to the procedure, whereas the Nasal Obstruction Symptom Evaluation questionnaire enables the nose function evaluation. Methods: This study evaluates nasal reconstruction with a PFF after resection of NMSC with the FACE-Q questionnaire and Nasal Obstruction Symptom Evaluation. Spearman Rank correlation coefficient tests between the questionnaire results and patients' characteristics were performed. Results: The questionnaires were completely answered by 49 patients who underwent this reconstruction between 2011 and 2019 in a cancer center. The patients’ evaluations demonstrate high satisfaction with appearance, quality of life, side effects, and function. Completing reconstruction under 6 months was associated with a higher quality of life among patients ( P = 0.002). Reconstruction of lining or scaffold, moment of flap division, complications, and number of operations did not show an association. Conclusion: This study suggests that the PFF is a reliable option for nasal reconstruction. Identifying the total reconstruction time as an impact factor on patients’ quality of life should be considered when planning treatment.

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“…Our mean follow-up was 6 months, well beyond the recently reported 12-week window of shortterm psychosocial dysfunction associated with nasal reconstruction. 8 Surgeon bias is recognized as a potential confounder. This series of patients did not include any active smokers, although they were not intentionally omitted.…”

Section: Commentmentioning

confidence: 99%

Full-Thickness Skin Graft Overlying a Separately Harvested Auricular Cartilage Graft for Nasal Alar Reconstruction

Zopf

Iams

Kim

et al. 2013

JAMA Facial Plast Surg

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To evaluate the aesthetic and functional outcomes of a full-thickness skin graft and a separately harvested auricular cartilage graft for nasal alar defects created by Mohs micrographic surgery.Design: Twenty patients with deep Mohs micrographic surgery defects of the nasal ala who underwent reconstruction with a full-thickness skin graft and an auricular cartilage graft were prospectively studied at a single tertiary care institution between 2010 and 2011 in a nonrandomized, nonblinded study. An ordinal 5-point Likert scale evaluation of overall outcomes was performed by 4 independent surgeon raters. Results:The mean outcome for use of the fullthickness skin and auricular cartilage graft construct was a score of 2.3 on a scale of 1 through 5, with 1 being excellent and 5 being poor. The mean duration of follow-up was 6 months, with a range of 5 weeks to 23 months. There were no clinically meaningful losses of constructs in the patients studied. Conclusion:A full-thickness skin graft and a separately harvested auricular cartilage graft are valuable and reliable tools for reconstructing deep nasal alar defects that require support to prevent alar retraction or collapse, particularly when a single-stage procedure is preferred or necessary because of medical comorbidities.

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Patient Assessment of Psychosocial Dysfunction following Nasal Reconstruction

Abstract: Therapeutic, II.

Cited by 18 publications

References 0 publications

The effect of rhinoplasty on psychosocial distress level and quality of life

The effect of rhinoplasty on psychosocial distress level and quality of life

Application of FACE-Q and NOSE in Nasal Reconstruction with Paramedian Frontal Flap after Skin Cancer Resection

Full-Thickness Skin Graft Overlying a Separately Harvested Auricular Cartilage Graft for Nasal Alar Reconstruction

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