Outcomes in open structure septorhinoplasty
S. D. Sharma, T. Jacques, T. Abed and D. Gatland
ENT Department, Southend Hospital, Southend-on-Sea, UK
Rhinoplasty; acquired nasal deformities; patient outcome assessment
263 - 266
Outcomes in open structure septorhinoplasty. Objectives: This study assessed the patient-related outcome measures and complications of post-open structure septorhinoplasty. It also investigated the factors associated with the need for revision surgery. Methods: We prospectively reviewed the case notes of patients who underwent septorhinoplasty performed by a single rhinologist at our institute between August 2011 and August 2013. Patient satisfaction was assessed using the Rhinoplasty Outcomes Evaluation (ROE) tool. Results: A total of 120 patients were included with a mean follow-up time of 28.2 months. Eight patients (6.7%) required revision nasal surgery. There was a significant increase in the mean post-operative ROE score of all patients who underwent surgery (19.5±9.41 vs. 68.4±23.7, p<0.001). The rate of revision surgery was significantly higher in patients withcomplexsurgeries(3/12vs.5/108,p=0.03).Therewerehigherratesofnasaltipdeformitysurgeryandaugmentation surgery in the revision surgery group compared to the primary surgery group: 8/17 vs. 20/103, p=0.03 for nasal tip and 10/17 vs. 27/103, p=0.01 for augmentation. Conclusions: Open structure septorhinoplasty significantly increased the ROE score. Our rate of revision surgery, 6.7%, was lower than the average rate of 10%-18% reported in the literature. The rate of revision surgery was higher in cases judged pre-operatively to be more complex.
Vol. 11, 2015, 4th trimester

Outcomes in open structure septorhinoplasty