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Rhinoplasty: An Outcome Research

Meningaud, Jean-Paul M.D., Ph.D.; Lantieri, Laurent M.D.; Bertrand, Jacques-Charles M.D.

Plastic and Reconstructive Surgery: January 2008 - Volume 121 - Issue 1 - p 251-257
doi: 10.1097/01.prs.0000293866.57517.d4

Background: A bicentric, prospective cohort study was performed to assess the outcome of rhinoplasties from the patient’s perspective.

Methods: Fifty-eight patients scheduled for rhinoplasty from two different hospitals (public and private) were examined before and after surgery using the Rhinoplasty Outcomes Evaluation, a specific validated assessment scale. For statistical analysis, paired Student’s t test and the Mann-Whitney test were applied. Student’s t test was used to compare preoperative and postoperative scores.

Results: The scores of both the cosmetic and the posttraumatic patients were significantly improved by rhinoplasty (p < 0.0001). There was no significant difference when the authors compared the improvement scores of subgroups ranged by age, sex, primary versus secondary rhinoplasty, time between first consultation and surgery, posttraumatic versus non–posttraumatic patients, and functional versus nonfunctional indications.

Conclusions: Whatever the type of initial demand (posttraumatic, cosmetic, or functional), rhinoplasty significantly increased Rhinoplasty Outcomes Evaluation scores. The study design did not allow the authors to determine subgroups of patients more able to obtain an important improvement score.

Creteil and Paris, France

From the Université du Val de Marne; AP-HP, CHU Henri Mondor, Service de Chirurgie Plastique; Université Pierre et Marie Curie; and the Hôpital Pitié-Salpêtrière, Clinique de Stomatologie et Chirurgie Maxillo-Faciale.

Received for publication March 25, 2006; accepted July 18, 2006.

Disclosure: The authors had no conflicts of interest: consultancies, stock ownership, or other equity interests, patent licensing arrangements, and payments for conducting or publicizing a study described in the article, and so on.

Jean-Paul Meningaud, M.D., Ph.D., Service de Chirurgie Plastique, Reconstructrice, et Esthétique, CHU Henri Mondor, 51 ave du Maréchal de Lattre de Tassigny, 94010 Créteil, France,

©2008American Society of Plastic Surgeons