A national survey of functional septorhinoplasty surgery performed in the United Kingdom: a clinician end-user questionnaire to assess current practice and help inform future practice
The aim of this national survey is to assess the current practice of functional septorhinoplasty (SRP) surgery in the UK and better inform future practice.
An ENT-UK approved questionnaire was sent out to all 135 consultant members of the British Society of Facial Plastic Surgery (BSFPS). Data was collected on numbers of functional SRPs performed on the NHS, use of outcome measures, psychology and photography support, antibiotic use, referral base and consenting practice.
The response rate was 38.5%, with 52 out of 135 completed. The median number of annual SRP cases per surgeon was 40. Most surgeons (95%) used clinical photography as an outcome measure. However, 27% of the respondents use a subjective outcome measurement and 3% of them use an objective outcome measurement. Only 34% had access to psychology support and 60% receive their referrals from primary care. All surgeons counsel patients for aesthetic change, 15% mention CSF leak and 38% mention olfactory disturbance. The key comment from our respondents was to relabel the rhinoplasty procedure as a functional SRP procedure with the aim to remove it from the Procedures of Limited Clinical Value (PoLCV) list.
The majority of our respondents perform a large proportion of the SRP surgeries in the UK with each of the respondents performing an average of 40 SRP surgeries per year. There is a need to recatergorise functional septorhinoplasty as a functional operation and recommend functional SRP surgery to be removed from the PoLCV list.
KeywordsRhinoplasty Nose deformities Acquired Nose Nasal septum Nasal obstruction Nasal surgical procedures Surveys Questionnaires
Compliance with ethical standards
Conflict of interest
The authors declare that we have no conflict of interests.
Human and animal rights statement
This article does not contain any studies with animals performed by any of the authors.
There was no patient identifiable information in our study.
- 1.Getting it right first time. In: https://gettingitrightfirsttime.co.uk/. Accessed 05 Sep 2019
- 2.Audit commission. Reducing spending on low clinical value treatments. In: https://webarchive.nationalarchives.gov.uk/20150423184111, http://archive.audit-commission.gov.uk/auditcommission/subwebs/publications/studies/studyPDF/3683.pdf. Accessed 21 Jul 2019
- 3.van Egmond MMHT, Rovers MM, Hannink G, Hendriks CTM, van Heerbeek N (2019) Septoplasty with/without concurrent turbinate surgery versus non-surgical management for nasal obstruction in adults with a deviated septum: a pragmatic, randomised controlled trial. Lancet 394:314–321 (Epub ahead of print) CrossRefGoogle Scholar
- 8.Takhar A, Stephens J, Randhawa P, Poirrier AL, Andrews P (2014) Rethinking sino-nasal outcome: validation of the sino-nasal outcome test-23 in septorhinoplasty. Rhinology 52(4):320–326Google Scholar
- 16.IMI National Guidelines. A guide to good practice: rhinoplasty and septorhinoplasty (2019). In: https://www.imi.org.uk/wpcontent/uploads/2019/03/2019_Mar_IMINatGuidelines_Rhinoplasty_V2x-1.pdf. Accessed 21 Jul 2019
- 24.Cunningham CT, Quan H, Hemmelgarn B, Noseworthy T, Beck CA, Dixon E et al (2015) Exploring physician specialist response rates to web-based surveys. BMC Med Res Methodol 9:15–32Google Scholar