Use of Computer Imaging in Rhinoplasty: A Survey of the Practices of Facial Plastic Surgeons

Singh, Pushpa; Pearlman, Steven J.

doi:10.1007/s00266-017-0858-3

Cited by 10 publications

(8 citation statements)

References 21 publications

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“…Despite the fact that computer imaging has been a concrete vehicle of communication during the rhinoplasty consult for the last 30 years now, 7 its use has long been a topic of debate among facial plastic surgeons. 29 Our work is expected to move us toward achieving better patient selection and therefore satisfaction in the future, as long as morphing is endorsed in a much larger scale by rhinoplasty surgeons across the globe.…”

Section: Discussionmentioning

confidence: 99%

“…In a large survey of 1,200 facial plastic surgeons in the United States, it was found that 63% of them were using computer imaging for their rhinoplasty consultations. 29 However, morphing is less common in practice in other parts of the globe. Despite the fact that computer imaging has been a concrete vehicle of communication during the rhinoplasty consult for the last 30 years now, 7 its use has long been a topic of debate among facial plastic surgeons.…”

Section: Discussionmentioning

confidence: 99%

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Morphing as a Selection Tool in the Rhinoplasty Consult: A Cross-Sectional Study

et al. 2020

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Despite the recognized value of morphing in the literature, this preoperative tool has never been studied in the context of selection process in rhinoplasty. The main purpose of this article is to identify the use of morphing as a filter for unsuitable patients, the attrition rate from the initial consultation to surgery, and whether patients' appreciation on morphing influence their decision-making process. Three-hundred thirty-four consecutive patients, seeking rhinoplasty, underwent two-dimensional computer imaging and completed a 14-question survey about their opinion on morphing. Based on the presence or absence of patient/physician consensus on the expected outcomes during simulation, patients were divided into accepted or rejected candidates for surgery. Accepted candidates were scheduled for rhinoplasty and subdivided into those who underwent surgery, those who postponed their surgery (static), and those who cancelled their procedure. Their responses to the survey were compared between different patients' categories. Forty-four patients (13.2%) were rejected for rhinoplasty since consensus was not achieved during morphing. From 290 accepted patients, 178 underwent their operation (53.3%), 74 patients (22.1%) postponed their rhinoplasty, and 38 (11.4%) cancelled their surgery. Fifty-seven percent of rejected patients and 42% of the static group were not satisfied with the proposed results of morphing, in contrast with 16% of the operated group. Sixty-four percent of rejected patients, and 47% of the static group were not reassured after morphing, compared with 26% of the operated group. Presence or absence of consensus during morphing can guide the surgeon regarding a given patients' suitability for surgery. Patient satisfaction and reassurance with the morphed images can be a good predictor of patients who will proceed to surgery, calling attention to the value of morphing as a selection tool for surgeons and patients alike.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Morphing as a Selection Tool in the Rhinoplasty Consult: A Cross-Sectional Study

et al. 2020

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“…17 Computer imaging is becoming an increasingly popular tool for preoperative evaluation and surgical planning in rhinoplasty, serving a similar function to the rhinoplasty worksheet. 18 With the advent of 3D imaging, this technology has advanced to be able to provide precise facial measurements preoperatively and simulate postoperative results. 19 These images can facilitate communication and set expectations for patients, possibly increasing their postoperative satisfaction.…”

Section: Surgical Planningmentioning

confidence: 99%

Revision Rhinoplasty: With Introduction of a Novel Preoperative Assessment Classification System

2021

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Revision rhinoplasty presents several complex surgical challenges. Proper patient selection for revision rhinoplasty, along with thorough preoperative examination and surgical planning, is key to achieving ideal outcomes. Along with achieving a high level of understanding of primary rhinoplasty techniques, surgeons performing revision rhinoplasty must understand and diagnose deformities created by the primary surgery. A systematic approach to diagnosing rhinoplasty deformities assists in forming a suitable surgical plan. A classification system based on nasal analysis, described here, may be used to differentiate the degree of difficulty of the surgery as well as assist in surgical planning. Surgeons have a multitude of options available in their armamentarium for addressing common nasal deformities encountered during revisional surgery, and a stepwise surgical approach may facilitate the creation of an optimal aesthetic and functional result.

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“…These are beyond the scope of this study but include more detailed and specific preoperative assessment and improved photography with three-dimensional imaging and modeling. [170][171][172][173] The recognition of the changing psychology of rhinoplasty patients, and the importance of properly selecting patients, is being emphasized to achieve an improved quality of life outcome in contradistinction to merely a surgical result. Perioperative care has improved dramatically, with diminished anesthetic risks, pain, dressings, and recovery time being the norm.…”

Section: Nonsurgical Advances In Perioperative Management Of Rhinoplamentioning

confidence: 99%

Once Upon a Rhinoplasty: The History of the “Queen” of Facial Plastic Surgery

Adamson

Gantous

2019

Facial plast Surg

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The history of rhinoplasty is absolutely fascinating. It is replete with mysterious practices, intrigue, and imaginative thoughts. If necessity is the mother of invention, then sex, crimes, and punishment lay a legitimate claim to being the mother of rhinoplasty. The history of rhinoplasty is a global saga spanning the millennia. Practitioners of the art and science have included those demonstrating the most admirable traits espoused in the Hippocratic Oath, as well as those to whom the word “charlatan” might more aptly be applied. The truth of a story is illustrated in its telling, and we have attempted to be true historians. We recognize that observers and narrators, now well past (sic), have determined many of today's truths, and therefore their stories become our truths whether they were so or not. We have attempted to reference many who have contributed to the advance of this amazing surgical procedure, recognizing that we may have included some who have demonstrated marginal merit to be so. Assuredly, we have also unintentionally omitted some whom we should have included. From them we ask forbearance. Let the story begin, “Once upon a time…”

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Use of Computer Imaging in Rhinoplasty: A Survey of the Practices of Facial Plastic Surgeons

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 10 publications

References 21 publications

Morphing as a Selection Tool in the Rhinoplasty Consult: A Cross-Sectional Study

Morphing as a Selection Tool in the Rhinoplasty Consult: A Cross-Sectional Study

Revision Rhinoplasty: With Introduction of a Novel Preoperative Assessment Classification System

Once Upon a Rhinoplasty: The History of the “Queen” of Facial Plastic Surgery

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