Department of Otolaryngology-Head and Neck Surgery, University of California Irvine Medical Center, Orange, California.
Facial Plast Surg Aesthet Med. 2020 Jan/Feb;22(1):50-56. doi: 10.1089/fpsam.2019.29007.won.
Informed consent in rhinoplasty is a challenging process due to the technically demanding surgery with a wide array of potential complications. To underscore the significance of informed consent in rhinoplasty, its complications, and identify gaps in the consent process. Dual search and comparison. First a review of the literature for rhinoplasty articles was carried out between January 2000 and November 2017 with at least 100 patients to identify complications and their incidences. Then a comprehensive online search for rhinoplasty consent forms was carried out to identify consent form topics and their incidences. Consent form topics and complication rates from the literature review were reported and directly compared. A total of 117 articles were included, with 36 different complications reported. Twenty-four consent forms were evaluated, yielding 80 different topics. Common complications within the literature included skin problems such as acne (18.3%), numbness (16.7%), hospital revisit (6.5%), primary source revision rate (5.3%), and dissatisfaction (5.0%). The most commonly covered consent topics included infection (100%), bleeding (95.8%), and scarring (95.8%). Unsatisfactory results and need for revision were only covered in 83.3% and 75.0% of consent forms, respectively, despite both being in the top 5 complications cited in the literature. Rhinoplasty consent forms generally cover a wide range of topics, with varying incidences of complications cited within the literature. Certain complications such as dissatisfaction and revision surgery should be included in every consent process. These data help provide a contextual framework as well as valuable information in preoperative counseling for patients and physicians regarding rhinoplasty and its potential complications NA.
鼻整形术的知情同意是一个具有挑战性的过程，因为手术技术要求高，且存在多种潜在并发症。强调鼻整形术知情同意的重要性、其并发症，并确定同意过程中的差距。双重搜索和比较。首先，对 2000 年 1 月至 2017 年 11 月期间至少有 100 例患者的鼻整形术文献进行了综述，以确定并发症及其发生率。然后，对鼻整形术同意书进行了全面的在线搜索，以确定同意书的主题及其发生率。报告了文献综述中的同意书主题和并发症发生率，并进行了直接比较。共纳入 117 篇文章，报道了 36 种不同的并发症。评估了 24 份同意书，得出 80 个不同的主题。文献中常见的并发症包括皮肤问题，如痤疮（18.3%）、麻木（16.7%）、医院复诊（6.5%）、主要来源修正率（5.3%）和不满意（5.0%）。最常涵盖的同意书主题包括感染（100%）、出血（95.8%）和瘢痕形成（95.8%）。尽管在文献中被列为前 5 种并发症之一，但不满意结果和需要修正仅在 83.3%和 75.0%的同意书中被涵盖。鼻整形术同意书通常涵盖广泛的主题，文献中报道的并发症发生率各不相同。某些并发症，如不满意和修正手术，应包含在每个同意过程中。这些数据有助于为患者和医生提供关于鼻整形术及其潜在并发症的术前咨询提供一个上下文框架和有价值的信息。NA。
