Adapting quality assurance principles to open structure rhinoplasty Ahmed Elguindy

Abstract

Background Rhinoplasty is a pursuit for perfection, and every esthetic surgeon strives for excellence. Aim The aim of the study was to evaluate the methodology and outcomes of open structure rhinoplasty after adapting quality assurance (QA) principles during planning, surgery, and follow-up. Participants and methods QA principles were adapted to a prospective cohort study conducted in a tertiary care center on 72 patients undergoing open structure rhinoplasty, starting with a surgeon recognizant of the nasal esthetic and functional standards (quality defining). Patient's esthetic and functional variants were analyzed and deformities were identified (quality measuring). Patient's objectives were checked against surgery limitations to realize expectations. Quality improvement required effective selection of techniques and efficient sequencing of steps. The results were checked against patient's expectations and satisfaction, and against conformance to the esthetic and functional standards. Results In all, 90.6% of the surgeries met patient's expectations, whereas 92.2% fulfilled patient's satisfaction. 85.9% of patients conformed to esthetic measures and 93.7% to functional parameters. Conclusion Adapting QA principles to open rhinoplasty allowed standardization of methodology and better assessment of operation outcomes in a precise and accurate manner. It enhances education through a progressive procedure, starting with defining norms, analyzing variants, identifying deformities, realizing demands, recognizing limitations, virtualizing possible result, reaching agreement, selecting technique, sequencing steps, performing a safe surgery, and ending with achieving preset goals effectively and efficiently with better patient's quality of life.