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Evaluation of Aesthetic and Functional Outcomes After Open Rhinoplasty: A Quasi-experimental Study by the Aid of ROE and RHINO Questionnaires

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  • Rhinoplasty
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Abstract

Background and Aims

Rhinoplasty is one of the common plastic surgery procedures which has a high rate in Iran. There are several tools for assessing the outcomes and quality of life after this surgical procedure which rhinoplasty outcome evaluation (ROE) questionnaire and rhinoplasty health inventory and nasal outcomes are two of them. The aim of this study was to investigate the aesthetic and functional outcomes of rhinoplasty by the aid of ROE and RHINO scales in patients who presented to a referral center in Iran.

Materials and Methods

This prospective, quasi-experimental study was performed on patients who referred to the plastic surgery clinic of Imam Khomeini hospital complex during 2017 to 2019 and underwent open rhinoplasty. ROE and RHINO questionnaires were filled by patients before and 6 months after the surgery. Surgical outcomes and aesthetic satisfaction rate were evaluated in different age groups, genders and educational levels. The data were analyzed by version 21 of SPSS software.

Results

ROE score increased from 51.27 ± 10.54 to 79.6 ± 9.67 (P < 0.001). In addition, RHINO score increased from 64.13 ± 11.43 to 83.36 ± 11.03 (P < 0.001). The most common satisfaction factors among patients in this study were "nose feels more natural" in 62% of patients and "tip rotation is good" in 32% of patients. Furthermore, the most common causes of dissatisfaction in patients were "nose too wide" in 25% of patients and "tip bulbous" in 25% of patients.

Conclusion

ROE and RHINO scales are effective for assessing rhinoplasty outcomes. The satisfaction rate of rhinoplasty is high in Iran and is related to the natural shape of the nose in addition to the tip rotation.

Level of Evidence IV

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References

  1. Castle DJ, Honigman RJ, Phillips KA (2002) Does cosmetic surgery improve psychosocial wellbeing? Med J Aust 176(12):601–603

    Article  Google Scholar 

  2. Arabi Mianroodi A, Eslami M, Khanjani N (2012) Interest in rhinoplasty and awareness about its postoperative complications among female high school students. Iran J Otorhinolaryngol 24(68):135–142

    PubMed  PubMed Central  Google Scholar 

  3. Motamedi MHK, Ebrahimi A, Shams A, Nejadsarvari N (2016) Health and social problems of rhinoplasty in Iran. World J Plast Surg 5(1):75

    Google Scholar 

  4. Akbari Sari A, Babashahy S, Olyaeimanesh A, Rashidian A (2012) Estimating the frequency and rate of first 50 common types of invasive procedures in Iran healthcare system. Iran J Public Health 41(10):60–64

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Hosseinzadeh K, Hamadzadeh H, Atashgaran T, Montazeri N (2016) Self confidence, body image and social pressure in cosmetic rhinoplasty surgery candidates. Biotechnol Health Sci 3(3):21–24

    Article  Google Scholar 

  6. Niehaus R, Kovacs L, Machens H-G, Herschbach P, Papadopulos NA (2017) Quality of life—changes after rhinoplasty. Facial Plast Surg 33(05):530–536

    Article  CAS  Google Scholar 

  7. Yang F, Liu Y, Xiao H, Li Y, Cun H, Zhao Y (2018) Evaluation of preoperative and postoperative patient satisfaction and quality of life in patients undergoing rhinoplasty: a systematic review and meta-analysis. Plast Reconstr Surg 141(3):603–611

    Article  CAS  Google Scholar 

  8. Seyed Toutounchi J, Fakhari A, Kolahi F (2007) Correlation between psychological signs and postoperative satisfaction of rhinoplasty. Med J Tabriz Univ Med Sci 29(2):71–76

    Google Scholar 

  9. Xiao H, Zhao Y, Liu L, Xiao M, Qiu W, Liu Y (2019) Functional/aesthetic measures of patient satisfaction after rhinoplasty: a review. Aesthet Surg J 39(10):1057–1062

    Article  Google Scholar 

  10. Spiekermann C, Savvas E, Rudack C, Stenner M (2018) Development and validation of a brief four-component questionnaire to identify patient's motivation to undergo functional rhinoplasty. Facial Plast Surg 34(04):350–355

    Article  CAS  Google Scholar 

  11. Ching S, Thoma A, McCabe RE, Antony MM (2003) Measuring outcomes in aesthetic surgery: a comprehensive review of the literature. Plast Reconstr Surg 111(1):469–482

    Article  Google Scholar 

  12. Wähmann MS, Bulut OC, Bran GM, Veit JA, Riedel F (2018) Systematic review of quality-of-life measurement after aesthetic rhinoplasty. Aesthet Plast Surg 42(6):1635–1647

    Article  Google Scholar 

  13. Gökçe Kütük S, Arıkan OK (2019) Evaluation of the effects of open and closed rhinoplasty on the psychosocial stress level and quality of life of rhinoplasty patients. J Plast Reconstr Aesthet Surg JPRAS 72(8):1347–1354

    Article  Google Scholar 

  14. Barone M, Cogliandro A, Di Stefano N, Tambone V, Persichetti P (2017) A systematic review of patient-reported outcome measures after rhinoplasty. Eur Arch Oto-Rhino-Laryngol 274(4):1807–1811

    Article  CAS  Google Scholar 

  15. Alsarraf R (2000) Outcomes research in facial plastic surgery: a review and new directions. Aesthet Plast Surg 24(3):192–197

    Article  CAS  Google Scholar 

  16. Lee MK, Most SP (2016) A comprehensive quality-of-life instrument for aesthetic and functional rhinoplasty: the RHINO scale. Plast Reconstr Surg Glob Open 4(2):e611

    Article  Google Scholar 

  17. Bulut OC, Plinkert PK, Wallner F, Baumann I (2016) Quality of life in functional rhinoplasty: rhinoplasty outcomes evaluation German version (ROE-D). Eur Arch Oto-Rhino-Laryngol 273(9):2569–2573

    Article  Google Scholar 

  18. Khansa I, Khansa L, Pearson GD (2016) Patient satisfaction after rhinoplasty: a social media analysis. Aesthet Surg J 36(1):N1–N5

    Article  Google Scholar 

  19. Association WM (2001) World Medical Association Declaration of Helsinki Ethical principles for medical research involving human subjects. Bull World Health Organ 79(4):373

    Google Scholar 

  20. Apaydin F (2009) Rhinoplasty at the global crossroads. Arch Facial Plast Surg 11(6):421–423

    Article  Google Scholar 

  21. Guarro G, Brunelli F, Rasile B, Alfano C (2019) Effects and changes on voice after rhinoplasty: a long-term report. Plast Surg 27(3):230–236

    Article  Google Scholar 

  22. Foroughian M, Khazaeni K, Haghi MR, Jahangiri N, Mashhadi L, Bakhshaee M (2014) The potential effects of rhinoplasty on voice. Plast Reconstr Surg 133(2):109e–e113

    Article  CAS  Google Scholar 

  23. Zojaji R, Javanbakht M, Ghanadan A, Hosien H, Sadeghi H (2007) High prevalence of personality abnormalities in patients seeking rhinoplasty. Otolaryngol Head Neck Surg 137(1):83–87

    Article  Google Scholar 

  24. Manafi A, Hamedi ZS, Manafi A, Rajabiani A, Rajaee A, Manafi F (2015) Injectable cartilage shaving: an autologous and long lasting filler material for correction of minor contour deformities in rhinoplasty. World J Plast Surg 4(2):93

    PubMed  PubMed Central  Google Scholar 

  25. Moubayed SP, Ioannidis JP, Saltychev M, Most SP (2018) The 10-item standardized cosmesis and health nasal outcomes survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg 20(1):37–42

    Article  Google Scholar 

  26. East C, Badia L, Marsh D, Pusic A, Klassen AF (2017) Measuring patient-reported outcomes in rhinoplasty using the FACE-Q: a single site study. Facial Plast Surg 33(05):461–469

    Article  CAS  Google Scholar 

  27. Mozzanica F, Urbani E, Atac M, Scottà G, Luciano K, Bulgheroni C et al (2013) Reliability and validity of the Italian nose obstruction symptom evaluation (I-NOSE) scale. Eur Arch Oto-Rhino-Laryngol 270(12):3087–3094

    Article  Google Scholar 

  28. Bulut O, Wallner F, Hohenberger R, Plinkert PK, Baumann I (2017) Quality of life after primary septorhinoplasty in deviated-and non-deviated nose measured with ROE, FROI-17 and SF-36. Rhinology 55(1):75–80

    Article  CAS  Google Scholar 

  29. Radulesco T, Mancini J, Penicaud M, Dessi P, Michel J (2018) Assessing normal values for the FACE-Q rhinoplasty module: an observational study. Clin Otolaryngol 43(4):1025–1030

    Article  Google Scholar 

  30. Lohuis PJ, Hakim S, Duivesteijn W, Knobbe A, Tasman A-J (2013) Benefits of a short, practical questionnaire to measure subjective perception of nasal appearance after aesthetic rhinoplasty. Plast Reconstr Surg 132(6):913e–e923

    Article  CAS  Google Scholar 

  31. Izu SC, Kosugi EM, Lopes AS, Brandão KV, Sousa LBG, Suguri VM et al (2014) Validation of the rhinoplasty outcomes evaluation (ROE) questionnaire adapted to Brazilian Portuguese. Qual Life Res 23(3):953–958

    Article  Google Scholar 

  32. Çelik M, Altıntaş A (2019) The turkish version of the rhinoplasty outcomes evaluation questionnaire: validation and clinical application. Balk Med J 36(2):129

    Article  Google Scholar 

  33. Al Bazazz AA, Dawood MR, Khammas AH (2017) Subjective and objective assessment of rhinoplasty outcome. Iraqi Med J 63(1):17–28

    Google Scholar 

  34. Khan N, Rashid M, Khan I, Sarwar SUR, Rashid HU, Khurshid M et al (2019) Satisfaction in patients after rhinoplasty using the rhinoplasty outcome evaluation questionnaire. Cureus 11(7):e5283

    PubMed  PubMed Central  Google Scholar 

  35. Esteves SS, Gonçalves Ferreira M, Almeida JC, Abrunhosa J (2017) Evaluation of aesthetic and functional outcomes in rhinoplasty surgery: a prospective study. Braz J Otorhinolaryngol 83(5):552–557

    Article  Google Scholar 

  36. Baser E, Kocagöz GD, Çalim ÖF, Verim A, Yilmaz F, Özturan O (2016) Assessment of patient satisfaction with evaluation methods in open technique septorhinoplasty. J Craniofac Surg 27(2):420–424

    Article  Google Scholar 

  37. Rondón García LM, Ramírez Navarrro JM (2018) The impact of quality of life on the health of older people from a multidimensional perspective. J Aging Res 2018:1–7

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the Plastic and reconstructive surgery ward of Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran, for their support, cooperation and assistance throughout the period of study.

Funding

No funding was received for this study.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

    Shahriar Haddady Abianeh, Javad Rahmati & Abolfazl Fatehi Meybodi

  2. Department of Plastic and Reconstructive Surgery, Razi Hospital, Tehran University of Medical Sciences, Wahdat-e-Islami St., District 12, Tehran, Tehran Province, 1199663911, Iran

    Shahriar Haddady Abianeh, Sohrab Moradi Bajestani & Javad Rahmati

  3. Department of Plastic and Reconstructive Surgery, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran

    Sohrab Moradi Bajestani

  4. Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Mohammad Amin Shahrbaf

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  1. Shahriar Haddady Abianeh
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Corresponding author

Correspondence to Sohrab Moradi Bajestani.

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The authors declare no conflict of interest.

Ethical Approval

The current study was conducted after getting permission from the ethical committee of Tehran University of Medical Sciences with the registration no: IR.TUMS.IKHC.REC.1396.4072.

Informed Consent

An informed consent was obtained from all of the patients who involved in this study.

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Haddady Abianeh, S., Moradi Bajestani, S., Rahmati, J. et al. Evaluation of Aesthetic and Functional Outcomes After Open Rhinoplasty: A Quasi-experimental Study by the Aid of ROE and RHINO Questionnaires. Aesth Plast Surg 45, 663–669 (2021). https://doi.org/10.1007/s00266-020-01905-w

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  • DOI: https://doi.org/10.1007/s00266-020-01905-w

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