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Aesthetic Rhinoplasty and Nasal Obstruction: Presentation of Results of a 100-Patient Study by Using NOSE Inventory

Aesthetic Plastic Surgery volume 43, pages 428–436 (2019)Cite this article

Abstract

Objective

The current prospective study is evaluating the nasal symptoms of patients who underwent aesthetic rhinoplasty with the intranasal approach, in a long-term setting.

Setting

There is a large amount of the literature about the technique, the possible comorbidities, the aesthetic result, the patient’s psychosocial background, but it is very limited regarding the effect of the operation on nasal function and physiology and this is the setting that this study is focusing on.

Materials and Method

The validated NOSE questionnaire (Nasal Obstruction Symptoms Evaluation) was used in 100 patients operated on by surgeons in both the public and private sectors during the period of 2009 and 2016. The results were analyzed statistically by using SPSS.

Results

Classical aesthetic rhinoplasty, without functional interventions (septum or conchas reduction), was found to improve nasal obstruction symptoms postoperatively in various grades: 77% of patients improved, 10% were found unchanged, and 13% reported worsening of their symptoms. Statistical analysis revealed that, in general, the functional outcome is stable with a slight tendency to deteriorate in the following years after operation. Although both genders had improvement in their symptomatology postoperatively, females had a greater improvement than males. Smoking and allergic rhinitis did not appear to be important determinants of the outcome.

Conclusion

Classical aesthetic rhinoplasty appears to improve nasal obstruction symptoms, and this is stable through time. However, limitations apply.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Author information

Affiliations

  1. ENT Department, “Konstantopouleio” Gen Hospital, N.Ionia-Patision, Michalakopoulou 46, P.C. 11528, Athens, Greece

    D. Kotzampasakis & T. Delistathi

  2. Plastic Surgery Department, Private Hospital “Iatriko Psyhikou”, Athens, Greece

    S. Kotzampasakis

  3. Aesthetic Plastic Surgery Clinic, Metropolitan General Hospital Athens, Athens, Greece

    P. Mantalos

Authors
  1. D. Kotzampasakis
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  2. T. Delistathi
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  3. S. Kotzampasakis
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  4. P. Mantalos
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Contributions

DK, main author, was involved in literature review, and designed and performed the study. TD, co-author was involved in literature review. SK was involved in guidance and contribution with patients who underwent rhinoplasty. PM was involved in guidance and contribution with patients who underwent rhinoplasty.

Corresponding author

Correspondence to D. Kotzampasakis.

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Conflict of interest

There is no conflict of interest with other colleagues, researchers or other third party. The study did not have any commercial interests.

Ethical Approval

The study was approved by the ethical committee of University of Athens–Attikon University Hospital (protocol number 2443).

Informed Consent

There was a written consent form in Greek language.

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Appendix: NOSE Questionnaire

Appendix: NOSE Questionnaire

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Kotzampasakis, D., Delistathi, T., Kotzampasakis, S. et al. Aesthetic Rhinoplasty and Nasal Obstruction: Presentation of Results of a 100-Patient Study by Using NOSE Inventory. Aesth Plast Surg 43, 428–436 (2019). https://doi.org/10.1007/s00266-019-01316-6

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  • DOI: https://doi.org/10.1007/s00266-019-01316-6

Keywords

  • Rhinoplasty
  • Classical aesthetic rhinoplasty
  • Endonasal approach
  • NOSE
  • Functional outcome