Document Detail


Consensus in rhinoplasty.
MedLine Citation:
PMID:  21305932     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Reading textbooks or manuals about rhinoplasty techniques, the novice may be disconcerted by the multitude of different surgical manoeuvres, all intended to achieve the same result: a cosmetically appealing and functional nose. This article describes a survey of 30 rhinoplasticians that investigated, using a questionnaire with 51 items, current opinion and practice in rhinoplasty with the aim of identifying areas of consensus or disagreement. Only 16 questions in 51 (31%) identified a strong consensus, mainly in the areas of informed consent, lateral osteotomies, and the accuracy and predictability of some graft procedures (columellar strut, spreader graft). There was also a consensus about the rejection of some unusual procedures (electric-powered rasping of the dorsum, allopathic implants). However, no consensus was found in many domains, such as tip or columella management, resection of the dome, dome sutures, alar batten grafts, dorsal graft, nasal packing, pre-operative functional investigations, morphing, alar base reduction or the management of septal perforation. Our survey found a dramatic lack of agreement about rhinoplastic procedures, which remain highly dependent on the skill and experience of surgeons who favour the techniques with which they have achieved good results in the past. It also identifies a case for adopting, as in other fields of medicine, guidelines based upon consensual expert opinion and the evaluation of outcomes with appropriate and validated instruments.
Authors:
J J Daele; E Leruth; Y Goffart
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  B-ENT     Volume:  6 Suppl 15     ISSN:  1781-782X     ISO Abbreviation:  B-ENT     Publication Date:  2010  
Date Detail:
Created Date:  2011-02-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247842     Medline TA:  B-ENT     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  109-13     Citation Subset:  IM    
Affiliation:
ENT-HNS Department, CHR Citadelle, Liège. jacques.daele@chrcitadelle.be
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