Top

Published in:

01-04-2021 | Rhinoplasty | Original Article

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

Authors: Shahriar Haddady Abianeh, Sohrab Moradi Bajestani, Javad Rahmati, Mohammad Amin Shahrbaf, Abolfazl Fatehi Meybodi

Published in: Aesthetic Plastic Surgery | Issue 2/2021

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

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.

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

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):135–142PubMedPubMedCentral

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

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):60–64PubMedPubMedCentral

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):21–24CrossRef

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

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):603–611CrossRef

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

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):1057–1062CrossRef

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):350–355CrossRef

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):469–482CrossRef

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):1635–1647CrossRef

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):1347–1354CrossRef

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):1807–1811CrossRef

15.

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

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):e611CrossRef

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):2569–2573CrossRef

18.

Khansa I, Khansa L, Pearson GD (2016) Patient satisfaction after rhinoplasty: a social media analysis. Aesthet Surg J 36(1):N1–N5CrossRef

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

20.

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

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):230–236CrossRef

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–e113CrossRef

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):83–87CrossRef

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):93PubMedPubMedCentral

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):37–42CrossRef

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):461–469CrossRef

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):3087–3094CrossRef

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):75–80CrossRef

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):1025–1030CrossRef

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–e923CrossRef

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):953–958CrossRef

32.

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

33.

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

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):e5283PubMedPubMedCentral

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):552–557CrossRef

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):420–424CrossRef

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 2018:1–7CrossRef

Title: Evaluation of Aesthetic and Functional Outcomes After Open Rhinoplasty: A Quasi-experimental Study by the Aid of ROE and RHINO Questionnaires
Authors: Shahriar Haddady Abianeh
Sohrab Moradi Bajestani
Javad Rahmati
Mohammad Amin Shahrbaf
Abolfazl Fatehi Meybodi
Publication date: 01-04-2021
Publisher: Springer US
Keywords: Rhinoplasty
Rhinoplasty
Rhinoplasty
Published in: Aesthetic Plastic Surgery / Issue 2/2021
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-020-01905-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background and Aims

Materials and Methods

Results

Conclusion

Level of Evidence IV

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and Aims

Materials and Methods

Results

Conclusion

Level of Evidence IV

Please log in to get access to this content

Other articles of this Issue 2/2021

Revisionary Surgery Following Primary Augmentation Mammoplasty in Muscle Splitting Biplane Pocket: An Appraisal of 93 Revisionary Surgeries

Genital Beautification and Rejuvenation with Combined Use of Surgical and Non-surgical Methods

External Quilting: New Technique to Avoid Haematoma in Gynaecomastia Surgery

Volume Retention After Facial Fat Grafting and Relevant Factors: A Systematic Review and Meta-analysis

Deskinning in Inverted-T Mastopexy and Augmentation Mastopexy: A Retrospective Cohort Study

A Review of Hand Feminization and Masculinization Techniques in Gender Affirming Therapy