The Effect on Patient Satisfaction of the Postoperative Nasal Topographic, Demographic, and Functional Results of Open and Closed Septorhinoplasty Techniques

Abstract

Aim: To evaluate the contribution to patient satisfaction of the newly reshaped topographic anatomy of the nose, demographic, and functional results in the postoperative period of septorhinoplasty surgery. Method: A total of 370 patients applied with open and closed septorhinoplasty techniques for various reasons were grouped according to the postoperative Rhinoplasty Outcome Evaluation (ROE) Scale results; Group 1 (open rhinoplasty satisfied group, ROE !12 points, n:194), Group 2 (open rhinoplasty dissatisfied group, ROE <12 points, n:23), Group 3 (closed rhinoplasty satisfied group, ROE !12 points, n:137), Group 4 (closed rhinoplasty dissatisfied group, ROE <12 points, n:16). The groups were evaluated in respect of the effect on patient satisfaction of functional and demographic variables and satisfaction with the topographic outcome of the nose. Results: The effect of the topographic surgical results was evaluated on patient satisfaction. A correlation was determined between nasal topographic satisfaction and patient satisfaction (r:0.228, P ¼ 0.009). In the subgroup analyses, the only factor among the topographic factors which had an effect on satisfaction was the nasal tip (r:0.187, P ¼ 0.024). Although 30.7% (n:39) of patients dissatisfied with the surgery reported that they were not satisfied with the nasal base results, no correlation was determined between nasal base and satisfaction (r:0.091, P ¼ 0.463). The strongest correlations of patient satisfaction were determined to be with subjective (NOSE score [r:0.530, P < 0.001]) and objective (high nasal resistance levels [r:0.579, P < 0.001]) functional results. Conclusion:The 2 basic components of postoperative satisfaction with SRP surgery were shown to be functional healing and cosmetic outcomes. Of the surgical topographic results, nasal tip and nasal base were the parts determined to require the most attention.

Outcomes of Open Rhinoplasty for Unilateral Cleft Patients using Photogrammetric Analysis - An Evaluative Study

“…Many studies[ 21 22 23 ] concluded insignificant differences in Nasal Obstruction Symptom Evaluation (NOSE) score improvement, aesthetic outcomes and psychosocial distress levels with regard to rhinoplasty technique (open vs. closed). Kosins[ 24 ] in a study of 162 patients stated that open and closed approaches based on the tip and dorsal deformities have different indications: closed is preferred with thin skin, little dorsal modification, minimal tip deformities and over projected noses, whereas open is preferred where extensive dorsal modification is required, severe septal deviations, complex tip deformities and tip augmentation.…”

A Systematic Review and Meta-Analysis of Rhinoplasty Using the Rhinoplasty Outcome Evaluation Scale

“…A recent paper by Metin and Avcu evaluated the ROE scale in both open and closed septorhinoplasty performed on 370 patients and concluded that in open septorhinoplasty 194 patients reached an ROE ≥12 whereas only 23 with ROE <12 points (ratio 16:1),[ 11 ] while in closed septorhinoplasty 137 patients with ROE ≥12 and 16 with ROE <12 points (ratio 8:1), apparently suggesting that open surgery resulted in a higher outcome performance. [ 11 ] The conclusions held by the authors, using also the functional scale known as the Nasal Obstruction Symptom Evaluation (NOSE), assessed that the aesthetic component affecting the nasal topographic satisfaction was the nasal tip. However, they did not succeed in confirming the purported correlation between low satisfaction with surgical approach and aesthetic outcome in the few groups of patients with post-operative low ROE.…”

“…However, they did not succeed in confirming the purported correlation between low satisfaction with surgical approach and aesthetic outcome in the few groups of patients with post-operative low ROE. [ 11 ] Therefore, NOSE alone might not be particularly suitable to assess outpatients’ satisfaction, when undergoing rhinoplasty in ASCs.…”