Rhinoplasty: An Outcome Research

A bicentric, prospective cohort study was performed to assess the outcome of rhinoplasties from the patient's perspective. Fifty-eight patients scheduled for rhinoplasty from two different hospitals (public and private) were examined before and after surgery using the Rhinoplasty Outcomes Evaluation, a specific validated assessment scale. For statistical analysis, paired Student's t test and the Mann-Whitney test were applied. Student's t test was used to compare preoperative and postoperative scores. The scores of both the cosmetic and the posttraumatic patients were significantly improved by rhinoplasty (p < 0.0001). There was no significant difference when the authors compared the improvement scores of subgroups ranged by age, sex, primary versus secondary rhinoplasty, time between first consultation and surgery, posttraumatic versus non-posttraumatic patients, and functional versus nonfunctional indications. Whatever the type of initial demand (posttraumatic, cosmetic, or functional), rhinoplasty significantly increased Rhinoplasty Outcomes Evaluation scores. The study design did not allow the authors to determine subgroups of patients more able to obtain an important improvement score.