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Crooked nose: outcome evaluations in rhinoplasty
Authors:Lisandra Megumi Arima  Leandro Castro Velasco  Romualdo Suzano Louzeiro Tiago
Institution:3. PhD in Sciences - Graduate Program in Otorhinolaryngology and Head and Neck Surgery - Federal University of São Paulo. Post doctorate from the Federal University of São Paulo. Attending ENT at the HSPM
Abstract:A crooked nose is the result of deformities that might involve the bony nasal pyramid, the upper and lower lateral cartilages, and nasal septum, causing complaints of aesthetic and/or functional nature.PurposeTo evaluate how satisfied are those patients who underwent rhinoplasty to correct crooked nose, through the questionnaire Rhinoplasty Outcomes Evaluation (ROE).Material and methodA longitudinal study with retrospective analysis of preoperative satisfaction and prospective analysis of postoperative satisfaction of patients who underwent rhinoplasty. ROE questionnaire was applied twice in the same visit aiming at measuring patient satisfaction in both pre and postoperative periods. Nineteen patients who underwent rhinoplasty answered the ROE.ResultsFor all patients who underwent rhinoplasty, the average preoperative satisfaction score was of 24.6±11.3, while the average postoperative score was of 76.1±19.5 (p<0.0001). Average differences between pre and postoperative satisfaction scores in patients younger than 30 years of age were lower than those reported by ≥30-year-old patients (p=0.05).ConclusionFrom the Rhinoplasty Outcomes Evaluation questionnaire, it is possible to demonstrate the impact that rhinoplasty to correct a crooked nose determines the quality of life of patients. Approximately 90% of patients undergoing rhinoplasty believed they achieved a good or excellent postoperative result.
Keywords:outcome assessment (health care)  patient satisfaction  quality of life  rhinoplasty
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