Department of ENT, Head and Neck Surgery, University College London Hospitals, NHS Trust, London, United Kingdom.
Bedfordshire Hospitals NHS Foundation Trust, Luton, United Kingdom.
Facial Plast Surg. 2024 Feb;40(1):31-35. doi: 10.1055/a-2034-8397. Epub 2023 Feb 14.
This collaborative European Academy of Plastic Surgery (EAFPS) study aimed to provide an overview of rhinoplasty practices, informing clinician and patient decision making. It is a multicenter cross-sectional study, reported as per Strengthening the Reporting of Observational Studies in Epidemiology guidelines. All EAFPS members were contacted via email, inviting them to participate. Members expressing an interest to participate were asked to anonymously complete a questionnaire, related to rhinoplasties that they performed as first/supervising surgeon over a period from January 1, 2019 to January 1, 2022. A descriptive analysis was performed. One hundred and fifteen surgeons submitted data on 41,259 rhinoplasties from 33 countries. Eighty percent of rhinoplasties were primary, and 20% were secondary. Thirty five percent of primary rhinoplasties were closed and 65% were open. Thirty one percent of primary rhinoplasties were for cosmetic indications, 11% functional and 58% were for both. Of the 8147 secondary rhinoplasties, 44% were closed and 56% were open. Thirty percent were for cosmetic indications, 11% functional, and 59% for both cosmetic and functional. Ninety-one percent of rhinoplasties were performed by ENT surgeons, 3% by plastic surgeons, 5% by maxillofacial surgeons, and 1% were dual (maxillofacial and ENT) trained. One-thousand seven-hundred thirty primary rhinoplasties underwent revision surgery (5%) and 102 secondary rhinoplasties underwent revision surgery (1%). The most commonly reported indications for revision surgery were dorsal asymmetry, nasal blockage, and dissatisfaction with nasal tip. Three percent of rhinoplasties underwent preoperative psychological assessment. To the authors knowledge, this is the largest published rhinoplasty dataset. This study provides an overview of rhinoplasty practices that can be used for benchmarking and to guide clinician and patient decision making. Psychological assessment of prerhinoplasty appears insufficient with higher levels recommended to minimize unsuccessful outcomes. This study showcases the power of collaborative research and may serve as a catalyst for future collaborative facial plastic surgery research.
这项由欧洲整形外科学会（EAFPS）合作开展的研究旨在概述隆鼻术的实践情况，为临床医生和患者的决策提供信息。这是一项多中心横断面研究，根据《加强观察性研究的报告流行病学指南》进行报告。通过电子邮件联系所有 EAFPS 成员，邀请他们参与。表示有兴趣参与的成员被要求匿名填写一份关于他们作为第一/监督外科医生在 2019 年 1 月 1 日至 2022 年 1 月 1 日期间进行的隆鼻术的问卷。进行了描述性分析。115 名外科医生提供了来自 33 个国家的 41259 例隆鼻术的数据。80%的隆鼻术是原发性的，20%是继发性的。35%的原发性隆鼻术是闭合的，65%是开放式的。31%的原发性隆鼻术是出于美容目的，11%是出于功能目的，58%是出于美容和功能两者的目的。在 8147 例继发性隆鼻术中，44%是闭合式的，56%是开放式的。30%是出于美容目的，11%是出于功能目的，59%是出于美容和功能两者的目的。91%的隆鼻术由耳鼻喉科医生进行，3%由整形外科医生进行，5%由颌面外科医生进行，1%是同时接受颌面外科和耳鼻喉科培训的医生。1730 例原发性隆鼻术接受了修复手术（5%），102 例继发性隆鼻术接受了修复手术（1%）。报告的最常见的修复手术指征是鼻背不对称、鼻塞和对鼻尖不满意。3%的隆鼻术接受了术前心理评估。据作者所知，这是已发表的最大的隆鼻术数据集。本研究概述了隆鼻术的实践情况，可用于基准测试，并为临床医生和患者的决策提供参考。术前对隆鼻术的心理评估似乎不足，建议提高评估水平，以尽量减少手术失败的结果。本研究展示了合作研究的力量，可能成为未来合作面部整形手术研究的催化剂。
