Document Detail

Functional and aesthetic concerns of patients seeking revision rhinoplasty.
MedLine Citation:
PMID:  20855769     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To assess the subjective aesthetic and functional concerns of patients seeking revision rhinoplasty and to compare them with objective deformities found on evaluation by the surgeon.
METHODS: This prospective study used a questionnaire to systematically target the aesthetic and functional concerns of 104 consecutive patients seeking revision rhinoplasty. Analysis of the subjective data revealed the frequency of each concern, which was then compared with objective deformities found on evaluation by the surgeon.
RESULTS: The most common patient and surgeon aesthetic concerns were (1) tip asymmetry, (2) crooked middle third of the nose, and (3) upper third irregularity. A mean of 79% of patient concerns were also reported by the surgeon. Of the 64 patients describing subjective nasal obstruction, 60 (94%) had objective physical findings related to obstruction. The 3 most troublesome patient concerns were (1) tip asymmetry, (2) difficulty breathing or nasal blockage, and (3) crooked middle third of the nose.
CONCLUSIONS: Tip asymmetry was the most common deformity noted. Symptomatic nasal obstruction was the second most frequent reason for seeking revision rhinoplasty. Differences in patient and surgeon findings were largely due to differences in assessment skills and should be addressed by thorough explanation of nasal aesthetics.
Kathy Yu; Alyn Kim; Steven J Pearlman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of facial plastic surgery     Volume:  12     ISSN:  1538-3660     ISO Abbreviation:  Arch Facial Plast Surg     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-21     Completed Date:  2011-01-21     Revised Date:  2012-09-24    
Medline Journal Info:
Nlm Unique ID:  100883500     Medline TA:  Arch Facial Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291-7     Citation Subset:  IM    
Department of Otolaryngology/Head and Neck Surgery, Columbia College, New York, NY 10065, USA.
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MeSH Terms
Attitude of Health Personnel
Middle Aged
Nasal Obstruction / diagnosis,  psychology*,  surgery*
Nose / abnormalities*
Nose Deformities, Acquired / diagnosis,  psychology*,  surgery*
Patient Participation
Patient Satisfaction*
Physician-Patient Relations
Postoperative Complications / diagnosis,  psychology*,  surgery*
Prospective Studies
Reoperation / psychology
Rhinoplasty / psychology*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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