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Year : 2018  |  Volume : 20  |  Issue : 1  |  Page : 1-12

Long-term cosmetic and functional outcomes of rhinoplasty: A cross sectional study of patients’ satisfaction

1 House-officer, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
2 Consultant Otolaryngiologist and Facial Plastic Surgeon, King Abdulaziz University, Jeddah, Saudi Arabia
3 Resident Department of Otorhinolaryngology-Head & Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia

Correspondence Address:
Sara Howldar
Faculty of Medicine, King Abdulaziz University, Jeddah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.273913

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Objective: To assess patients’ satisfaction about cosmetic and functional outcomes of uncomplicated rhinoplasty and the consequent psychological impact Materials and Methods: A cross-sectional study was carried in adult patients (≥20 years), who underwent primary, functional/cosmetic rhinoplastic surgery at Al Mashfa hospital, Jeddah, before January 2015 (1 year of postoperative follow-up). Patients were contacted for an anonymous telephonic interview using a validated [1], semi-structured questionnaire investigating 7 postoperative satisfaction parameters. Results: Two hundred patients who underwent functional (13.5%), cosmetic (20.5%) or both functional and cosmetic (66.0%) rhinoplasty were included. Satisfaction analysis showed 48.0% satisfied rate. Female and divorced participants had lower satisfaction compared to their counterparts; and divorced women had lowest satisfaction score 28.33/100. Pre- to post-rhinoplasty assessments showed remarkable improvement in nose function (mean±SD=53.72±27.10 to 95.71±8.86; p<0.001), appearance (41.70±26.29 to 95.49±9.18; p<0.001) and patient’s mood (51.34±29.83 to 95.84±11.47; p<0.001), respectively. Change in mood was correlated with both change in function (r=0.412; OR [95%CI]=1.61 [1.39; 1.86]; p<0.001) and appearance (r=0.748; OR [95%CI]=2.30 [2.07; 2.55]; [p<0.001). Conclusion: Patients who underwent primary uncomplicated rhinoplasty have fair satisfaction about functional long-term outcomes but remain relatively dissatisfied esthetically; especially female, divorced and unemployed patients. The functional and cosmetic improvements have positive impact on the patient’s psychological wellbeing.

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