Abstract

It would be useful if existing tools or outcomes measures could predict which patients are at greater risk of revision surgery following rhinoplasty.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.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."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.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.

View details for DOI 10.1093/asj/sjaa252

View details for PubMedID 32856710