SEPTORHINOPLASTY PATIENTS, ARE THEY SATISFIED?

Ahmed M Al-Abbasi A

doi:10.33762/bsurg.2018.160110

Abstract

SEPTORHINOPLASTY PATIENTS, ARE THEY SATISFIED? Ahmed M Al-Abbasi MB,ChB, FICMS, FRCS, Professor of Otorhinolaryngology, Dean, College of Medicine, Basrah University, Basrah, IRAQ. Abstract Patient satisfaction after septorhinoplasty (SR) is very important topic, few studies took this issue in consideration and up to my knowledge, no study has been performed in our country in this regard. The aim is to evaluate patient satisfaction following septorhinoplasty performed in the Department of Otolaryngology in Basrah General Hospital, Iraq. This retrospective study included 210 patients underwent SR in the period between 2008 and 2013. All surgeries were carried out by same surgeon (author). Patients were asked to fill an outcome assessment questionnaire form at any time after 9-12 months postoperatively, either by themselves or by the assistance of the ENT resident doctors. This form is specific for postoperative satisfaction evaluation. Most of the patients were females (126, 60%) and 84(40%) were males. It is found that 90(43.8%) and 80(38%) patients were completely and very satisfied with appearance of their noses respectively. In regard to nasal breathing, 112(53%) patients were very satisfied. Family and friends satisfaction with appearance of patient's noses was complete in 89(42.3%) patients and very satisfied in 87(41.4%) patients. The majority of the studied patients (204 out of 210), stated that new appearance of their noses never limits their social and professional activity. Fifty-nine (28%) patients were not confident that their nasal appearance is best possible. Seventy-three (34.7%) patients stated that second surgery to change nasal appearance was not needed, also 138(65.7%) need no further operation to change or improve nasal breathing. In conclusion, SR performed in Basrah General Hospital resulted in a good level of patients' satisfaction

Highlights

The motive to request a beautiful improvement of the nose often remains doubtful in rhinoplasty candidates, some psychological characteristics may be expected, as most individuals with nasal deformities pay little attention to these features, recognize them as a stigma, or consider a surgical correction[1]
Nasal breathing satisfaction: Figure 2 shows that 112(53%) patients were very satisfied regarding nasal breathing, 46(21.9%) were completely satisfied, while 23(10.9%) were unsatisfied, poor satisfaction was found in 18(8.5%) patients
Confidence that nasal appearance is best possible: Fifty-nine (28%) patients were not confident that the appearance of their noses were best possible, 11.9% of the operated upon patients were completely confident

Summary

Introduction

The motive to request a beautiful improvement of the nose often remains doubtful in rhinoplasty candidates, some psychological characteristics may be expected, as most individuals with nasal deformities pay little attention to these features, recognize them as a stigma, or consider a surgical correction[1]. Dissatisfaction with physical appearance in aesthetic surgery candidates was most evident in individuals who demand rhinoplasty[3,4]. Both surgeon and patient expects improved postoperative look for better patient’s quality of life by boosting selfconfidence, reducing social anxiety & obsessive-compulsive traits, and diminishing hostility & paranoid ideation[5,6,7,8,9,10,11]. Achieving the patient’s aesthetic expectations was the most important factor in determining postoperative satisfaction after a combined functional and aesthetic rhinoplasty[12,13]. The aim of the present study is to evaluate patient’s satisfaction after septorhinoplasty

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Methods

Results

Conclusion