Subjective and Objective Assessment of Rhinoplasty Outcome
Rhinoplasty is a glamorous surgical procedure
Background: Rhinoplasty is a glamorous surgical procedure for achieving a well functioning and aesthetically nose appearance, since the majority of its outcome were largely defined by subjective assessment of patient satisfaction, recent works are attempting to correlate this assessment with more objective methods.
Objectives: To evaluate the outcome of open and closed rhinoplasty, through the measuring of the objective computerized facial indexes achievement together with the degree of subjective patientsâ€™ satisfaction.
Methods: A retrospective study of 200 patients enrolled for aesthetic rhinoplasty or septorhinpolasty, the evaluation of the results of the operations were measured and analysed by subjective method via Rhinoplasty Outcome Evaluation â€œROEâ€ questionnaire assessment, and the objective method by the application of the standard anthropometric measurement (nasal tip projection, nasolabial, nasofrontal, and nasofacial, and deviation angles), preoperatively and 6 months after the operation.
Results: The average score of â€œROEâ€™ for open rhinoplasty was (81.70%), and that for closed approach was (74.38%), and the average score of the anthropometrics facial indexes for open rhinoplasty was (76.25%), and for closed approach was (68.35%). The overall results of both modalities assessed by â€˜ROEâ€ were significant as the p value was 0.0001, and the total correction rateÂ of theÂ all anthropometricsâ€™ indexes separately looks almost comparable in both modalities, but for tip projection in open and closed approach was (80.95%), and (65.21%) and for C-shaped nasal deviation was (80%), and (57.14%), respectively.
Conclusions: The study revealed the outcome of rhinoplasty was statically significant, and the subjective patient's satisfaction and objective anthropometric facial indexes measurement in both surgical modalities were almost comparable, with the arithmetic mean (correction rate) was higher in those with open than those with closed approach especially in tip deformity and C-shaped crooked nose.
Keywords: Open rhinoplasty, Closed rhinoplasty, Nose.Iraqi Medical Journal Vol. 63, No. 1, January 2017; p.17-28.
Copyright (c) 2017 Iraqi Medical Journal
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