Quality of Life (QoL) and Outcome After Preservation Rhinoplasty (PR) Using the Rhinoplasty Outcome Evaluation (ROE) Questionnaire–A Prospective Observational Single-Centre Study

A Systematic Analysis of the Nasal Septum in Crooked Noses and Suggested Treatment Algorithm According to Preservation Rhinoplasty (PR) Principles

“…The possibility of obtaining a totally smooth nasal contour after the correction of a hump, leaving this area intact, was championed by Saban [4,10,11] and Cakir [39] and has garnered the enthusiasm of many surgeons around the world. This goes in line with recent publications, where it has been shown that a high patient satisfaction can be achieved after PR as evaluated by the Rhinoplasty Outcomes Evaluation Questionnaire (= ROE) [40][41][42][43]. Nevertheless, hybridization between preservation and structural rhinoplasty can be performed including septal extracorporeal reconstruction or the swinging door technique together with dorsum PR (''hybrid operation'') [4,7].…”

“…Our article has limitations: There is a lack of objective measurements such as rhinomanometry and validated subjective patient reported outcome measures. Nevertheless, it has just recently been reported that a high patient satisfaction after PR can be achieved, as evaluated by the ROE, which goes in line with aesthetics and function [41][42][43]. Lastly, further studies are needed by using also the septal extracorporeal reconstruction technique, even endonasally together with dorsum PR [4].…”

State of the Evidence for Preservation Rhinoplasty: A Systematic Review

“…In total, 53% (37) studies reported standardized outcome measures. 47% (33) and 57% (40) of references included complication and revision rates, respectively.…”

“…1,2,8,10,11,[14][15][16][17]20,33,35,37,39,[45][46][47][48] Overall, the DPR techniques are reported to have a complication rate ranging from 0 to 25.80% with the majority of reported complications being minor. 1,9,10,12,13,[16][17][18][23][24][25][26][27]30,34,35,37,39,40,44,46 Reported postoperative dorsal hump recurrence rates ranged from 0 to 36.9% with the most dorsal hump recurrence occurring following the classical septum pyramidal adjustment and repositioning (SPAR) approach in complex rhinoplasty cases. 1,2,7,13,[15][16][17][18][20]…”

“…However, none of these studies directly compare preservation rhinoplasty techniques to conventional resection. 3,7,12,[21][22][23][24][25][26][27][28][40][41][42] The remaining references include subjective or photographic evaluation of cosmetic and/or functional outcomes as well as analysis of complication rate, postoperative dorsal hump recurrence, and revision rates. 1,2,8,10,11,[14][15][16][17]20,33,35,37,39,[45][46][47][48] Overall, the DPR techniques are reported to have a complication rate ranging from 0 to 25.80% with the majority of reported complications being minor.…”