The nose between ethics and aesthetics: Sushruta's legacy

Sorta-Bilajac, Iva; Muzur, Amir

doi:10.1016/j.otohns.2007.07.029

Cited by 17 publications

(9 citation statements)

References 2 publications

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“…It has a long history dating back to the days of Sushruta, considered the father of rhinoplasty. 1 The first physically documented evidence comes from the Edwin Smith Papyrus. 2…”

Section: Introductionmentioning

confidence: 99%

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

et al. 2020

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ObjectivesThe primary goal of rhinoplasty is patient satisfaction and improved quality of life. The present study was conducted to assess patient satisfaction with face and nose appearance, and quality of life after rhinoplasty.MethodsPatients presenting for rhinoplasty completed the FACE-Q survey. This is a new instrument that measures patient-reported outcomes in those undergoing aesthetic procedures. The FACE-Q scales include satisfaction with facial appearance overall, satisfaction with the nose, psychological well-being, psychosocial distress and social function.ResultsSixty-five patients completed the FACE-Q at pre-operative and at post-operative follow-up visits. Post-operative scores increased significantly in terms of: satisfaction with facial appearance (p < 0.0001, t = 15.639, degrees of freedom = 64); social function (p < 0.0001, t = 12.208, degrees of freedom = 64); psychosocial distress (p < 0.0001, t = 13.864, degrees of freedom = 64); psychological function (p < 0.0001, t = 12.681, degrees of freedom = 64); and satisfaction with nose (p < 0.0001, t = 16.421, degrees of freedom = 64). Most patients reported more than 79 per cent satisfaction with the post-operative outcome.ConclusionThe FACE-Q is an adequate instrument for determining successful aesthetic surgery based on patient satisfaction.

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“…It has a long history dating back to the days of Sushruta, considered the father of rhinoplasty. 1 The first physically documented evidence comes from the Edwin Smith Papyrus. 2…”

Section: Introductionmentioning

confidence: 99%

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

et al. 2020

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“…Like a modern textbook of surgery, the Sushruta Samhita has been divided into 6 sections, namely, Sutrasthanam (fundamental principles), Nidanasthanam (pathology and etiology), Sarirasthanam (anatomy and embryology), Chikistasthanam (therapeutics), Kalpasthanam (toxicology), and Uttaratantra (supplementary text). Not only emergency drainage of abscesses but also advanced elective operations such as rhinoplasty [20], cataract extraction [15], cesarean delivery [17,21], craniotomy [21], vesicolithotomy [12,14], urethral stricturoplasty [22], and laparotomy [21] had been done successfully. Sushruta described at least 125 yantras (surgical instruments) including 28 types of dilators, catheters, and syringes [23].…”

Section: Background Information On Ayurvedic Surgerymentioning

confidence: 99%

Knowledge of ancient Hindu surgeons on Hirschsprung disease: evidence from Sushruta Samhita of circa 1200-600 bc

Raveenthiran

2011

Journal of Pediatric Surgery

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“…It was initially developed by Sushruta Samhita in ancient Greece and India. 1 According to the American Society of Plastic Surgeons, 207,284 rhinoplasties were performed in 2019, and it is among the five most commonly performed esthetic procedures worldwide. 2 Rhinoplasty is an extremely challenging procedure in terms of satisfactory postoperative outcomes that requires accurate facial analysis and detailed preoperative planning as the final result influences the overall facial appearance, 3 nasal function, and quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…Rhinoplasty is the oldest esthetic surgical procedure performed in history. It was initially developed by Sushruta Samhita in ancient Greece and India 1 . According to the American Society of Plastic Surgeons, 207,284 rhinoplasties were performed in 2019, and it is among the five most commonly performed esthetic procedures worldwide 2…”

Section: Introductionmentioning

confidence: 99%

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

et al. 2021

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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 À45 (interquartile range [IIQ] À20 to À60) (P < .001) in the high satisfaction group and À10 (IIQ À10 to À30) 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.

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The nose between ethics and aesthetics: Sushruta's legacy

Abstract: The nose, once symbol of morality expressed through physical integrity, today becomes an important factor of human beauty. Rhinoplastic surgery is, both then and now, deeply pervaded with both ethics and aesthetics.

Cited by 17 publications

References 2 publications

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

Knowledge of ancient Hindu surgeons on Hirschsprung disease: evidence from Sushruta Samhita of circa 1200-600 bc

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

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