| Functional and aesthetic concerns of patients seeking revision rhinoplasty. | |
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MedLine Citation:
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PMID: 20855769 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Kathy Yu; Alyn Kim; Steven J Pearlman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of facial plastic surgery Volume: 12 ISSN: 1538-3660 ISO Abbreviation: Arch Facial Plast Surg Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-09-21 Completed Date: 2011-01-21 Revised Date: 2012-09-24 |
Medline Journal Info:
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Nlm Unique ID: 100883500 Medline TA: Arch Facial Plast Surg Country: United States |
Other Details:
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Languages: eng Pagination: 291-7 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology/Head and Neck Surgery, Columbia College, New York, NY 10065, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Attitude of Health Personnel Esthetics* Female Humans Male Middle Aged Motivation 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 Questionnaires* Reoperation / psychology Rhinoplasty / psychology* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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