Assessment of surgical outcomes of septorhinoplasty patients: a clinical study
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20170612Keywords:
ROE, Septorhinoplasty, SatisfactionAbstract
Background: Septorhinoplasty is commonly done procedure in ENT basic setup. It is done to relieve nasal obstruction and also to give better cosmetic appearance. There is dictum in nasal anatomy, 'as goes septum, goes nasal tip. It is clearly known that septum deviations change the cosmetic appearance of persons. Present study had done to access pre and post-operative satisfaction of patients with use of rhinoplasty outcome questionnaire (ROE).
Methods: This is prospective study of 40 patients who have under gone septorhinoplasty procedure in medical college hospitals. Assessment done in regards to patients satisfaction before and after surgery. Rhinoplasty outcomes evaluation (ROE) questionnaire was applied to all the patients and evaluation of the satisfaction pre op and post operatively was assessed in the interview by third surgeon to avoid bias. The results were statistically analyzed.
Results: In present study preoperative satisfaction level was below 50 in 92.5% patients. 87.5% postoperative patients had excellent and good results. Average preoperative satisfaction in patients were 7.15 (29.8%) and average postoperative satisfaction in patients were 16.83 (70%). Preoperative satisfaction in male patients was 7.73 (32.2%) and postoperative satisfaction in male patient was 18.23 (84.3%). Preoperative satisfaction in female patients was 6.44 (26.8%) and postoperative satisfaction in female patient was 15.11 (63%). In present study minimal preoperative satisfaction value was 5 (20.80%) and maximum postoperative satisfaction value was 22 (91.66%).
Conclusions: Patient satisfaction is aim of septorhinoplasty. Hence an attempt is made to assess and understand patient expectations to achieve realistic goals in septorhinoplasty.
References
Alsarraf R, Larrabee WF, Anderson S, Murakami CS, Johnson CMJ. Measuring Cosmetic Facial Plastic Surgery Outcomes. A Pilot Study. Arch Facial Plast Surg. 2001;3:198-201.
Meningaud JP, LantieriL, Bertrand JC. Rhinoplasty: An Outcome Research. PlastReconstr Surg. 2008;121:251-7.
Sarwer DB. The obsessive cosmetic surgery patient: A consideration of body image dissatisfaction and body dysmorphic disorder. Plast Surg Nurs. 1997;17:193.
Groenman NH, Sauer HC. Personality characteristics of the cosmetically insatiable patient. Psychother Psychosom. 1983;40:241.
Knorr NJ, Edgerton MT, Hoopes JE. The insatiable cosmetic surgery patient. Plast Reconstr Surg. 1967;40:285.
Weinberger M, Oddone EZ, Samsa GP, Landsman PB. Are health-related quality-of-life measures affected by the mode of administra-tion? J Clin Epidemiol. 1996;49(2):135-40.
Alsarraf R. Outcomes Research in Facial Plastic Surgery: A Review and New Directions. Aesthetic Plast Surg. 2000;24:192-5.
Arima LM, Velasco LC, Tiago RSL. Crooked nose: outcome evaluations in rhinoplasty. Braz J Otorhinolaryngol. 2011;77(4):510-5.
Izu SC, Kosugi EM, Brandão KV, Lopes AS, Garcia LBS, Suguri VM, et al. Normal values for the Rhinoplasty Outcome Evaluation (ROE) questionnaire. Braz J Otorhinolaryngol. 2012;78(4):76-9.
Erdem T, Ozturan O. Objective measurement of the deviated nose and a review of surgical techniques for correction. Rhinol. 2008;46:56-61.
Ferraro GA, Rossano F, D'Andrea F. Self-Perception and Self-Esteem of Patients Seeking Cosmetic Surgery. Aesth Plast Surg. 2005;29:184-9.
Biggs TC, Fraser LR, Ward MJ, Sunkaraneni VS, Harries PG, Salib RJ. Patient reported outcome measures in septorhinoplasty surgery. Ann R Coll Surg Engl. 2015;97(1):63–5.
Cingi C, Songu M, Bal C. Outcomes research in rhinoplasty: body image and quality of life. Am J Rhinol Allergy. 2011;25:263–7.
Arima LM, Velasco LC, Tiago RS. Influence of age on rhinoplasty outcomes evaluation: a preliminary study. Aesthetic Plast Surg. 2012;36:248–53.
Hellings PW, Nolst Trenité GJ. Long-term patient satisfaction after revision rhinoplasty. Laryngoscope. 2007;117:985–9.
Baykal B, Erdim I, Kayhan FT, Oghan F. Comparative analysis of nasal deformities according to patient satisfaction. J Oral Maxillofac Surg. 2014;72:603.
Saleh AM, Younes A, Friedman O. Cosmetics and function: quality-of-life changes after rhinoplasty surgery. Laryngoscope. 2012;122:254–9.
Deepalakshmi T, Gururaj T, Sushant K, Devan PP, Rukma B. Online J Otolaryngol. 2015;5(4):96-102.
Goin MK, Rees TD. A prospective study of patients’ psychological reactions to rhinoplasty. Ann Plast Surg. 1991;27:210.
Izu SC, Kosugi EM, Lopes AS, Brandao KV, Sousal LB, Suguri VM, et al. Validation of rhinoplasty outcome questionarrie adaptaded to Brazilian-Portuguese. Qual Life Res. 2014;23(3):953-8.
