Using Nasal Self-Esteem to Predict Revision in Cosmetic Rhinoplasty.

Abstract:

BACKGROUND:It would be useful if existing tools or outcomes measures could predict which patients are at greater risk of revision surgery following rhinoplasty. OBJECTIVE:We aim to determine if a single question assessing nasal self-esteem could be used to predict which patients are at greatest risk of revision surgery following rhinoplasty. METHODS:Retrospective chart review of 148 patients who underwent cosmetic rhinoplasty. Results of pre- and postoperative Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) questionnaires, and rates of revision or patient-initiated revision discussions (RD) were collected. Patients were stratified based on answers to SCHNOS Question five (SQ5), "Decreased mood and self-esteem due to my nose." RESULTS:Of the 148 patients included in the analysis, 72.9% were women, and the mean age was 30.9 (15-59, SD 10.3) years. Those patients who selected 4 or 5 on SQ5 had an overall revision rate of 16.7% and 18.8%, respectively, and a RD rate of 27.8% and 31.25%, respectively. Those patients who selected 0 through 3 on SQ5 had an overall revision rate of 0%, and an overall RD rate of 10.4%. Only SQ5 was predictive of revision and RD on logistic regression analysis (p = 0.0484 and p = 0.0257) after Bonferroni correction. CONCLUSION:SQ5 appears to offer a useful adjunct to guide surgical management of the cosmetic rhinoplasty patient. Those patients who reported worse nasal self-esteem and associated mood preoperatively were more likely to request and undergo revision.

journal_name

Aesthet Surg J

authors

Okland TS,Patel P,Liu GS,Most SP

doi

10.1093/asj/sjaa252

subject

Has Abstract

pub_date

2020-08-28 00:00:00

eissn

1090-820X

issn

1527-330X

pii

5898505

pub_type

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