Graduate Program in Surgery, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Department of Otolaryngology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Laryngoscope. 2022 Aug;132(8):1569-1575. doi: 10.1002/lary.29923. Epub 2021 Oct 30.
OBJECTIVES/HYPOTHESIS: To analyze different variables that influence postrhinoplasty quality of life outcomes to ascertain the determinants of postoperative satisfaction.
Prospective, observational study.
This was a prospective, observational study where patients were divided into two groups based on the postoperative Rhinoplasty Outcome Evaluation (ROE) score: high satisfaction group, when postoperative ROE scores were >50, and low satisfaction group, when postoperative ROE scores were ≤50. Patients' general characteristics, Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) score, the Body Dysmorphic Disorder Examination, nasal angles, and measures from the esthetic facial analysis of postoperative photographs were compared between the groups.
Seventy-eight patients were included: 19 in the low satisfaction group and 58 in the high satisfaction group. The median reduction in the NOSE-p score was -45 (interquartile range [IIQ] -20 to -60) (P < .001) in the high satisfaction group and -10 (IIQ -10 to -30) in the low satisfaction group (P = .053). The high satisfaction group had a significantly higher reduction in NOSE-p scores. There was no significant difference between the groups in terms of the analyzed facial parameters, although a significant difference was found when comparing them with the ones established in the literature as a pattern. Previous rhinoplasty, preoperative crooked nose, and higher NOSE-p scores were significantly associated with lower ROE scores (P < .05) in the robust Poisson regression model.
Functional results play an important role in satisfaction after rhinoplasty. Neoclassical canons were not fulfilled even in a group of patients with a high postoperative satisfaction evaluation.
3 Laryngoscope, 132:1569-1575, 2022.
目的/假设：分析影响鼻整形术后生活质量结果的不同变量，以确定术后满意度的决定因素。
前瞻性观察研究。
这是一项前瞻性观察研究，根据术后鼻整形术结果评估（ROE）评分将患者分为两组：高满意度组，术后 ROE 评分>50；低满意度组，术后 ROE 评分≤50。比较两组患者的一般特征、葡萄牙语版鼻阻塞症状评估（NOSE-p）评分、躯体变形障碍检查表、鼻角和术后照片的美学面部分析测量值。
共纳入 78 例患者：低满意度组 19 例，高满意度组 58 例。高满意度组的 NOSE-p 评分中位数降低-45（四分位距[IQR] -20 至-60）（P<0.001），低满意度组降低-10（IQR -10 至-30）（P=0.053）。高满意度组的 NOSE-p 评分降低更明显。两组分析的面部参数无显著差异，但与文献中作为模式的参数相比存在显著差异。在稳健泊松回归模型中，既往鼻整形术、术前歪鼻和较高的 NOSE-p 评分与 ROE 评分较低显著相关（P<0.05）。
功能结果在鼻整形术后满意度中起着重要作用。即使在一组术后满意度评价较高的患者中，也未满足新古典主义美学标准。
3 级喉镜，132:1569-1575，2022。
