Patient-Reported Outcome Measures in Open vs. Closed Septorhinoplasty – A propensity-score matching survey

Introduction:

Patient satisfaction after septorhinoplasty (SRP) is highly influenced by the cosmetic result of the surgical procedure. Prospective matching studies that directly evaluate aesthetic success after open and closed functional-aesthetic SRP are scarce. The objective of this prospective intervention study was to compare patient-reported outcome (PRO) regarding aesthetic perception following functional-aesthetic SRP.

Material and Methods:

Out of 161 patients operated by a single surgeon between October 2011 and March 2017 with a 3 – 6 and 12 months follow-up, propensity score matching computed 54 patients following open (group 1) and closed SRP (group 2), respectively.

Patients reported their subjective body image in relation to nasal appearance on an aesthetic visual analogue scale (VAS) and five Likert scale questions of using the Utrecht-questionnaire (UQ).

Results:

All collected parameters of the UQ improved significantly in both groups at the 3 – 6 and 12 month follow-up. Both surgical techniques allowed for aesthetic success of similar extent. The mean aesthetic sum score (5-= low burden -25 = high burden) improved significantly from 13.89 ± 3.78 to 8.46 ± 3.62 (p < 0.001). In addition, patients reported constantly high satisfaction 12 months after surgery (8.10 ± 3.76) revealed by significant improvement of all five Likert scale questions for all patients (p < 0.001). The mean VAS score (0 = very ugly-10 = very nice) increased significantly from 3.42 ± 1.06 to 7.99 ± 1.48 (p = 0.280 @ 12 months). Mean operation time was significantly longer using the open approach (165.9 ± 46.1 min vs. 135.8 ± 53.7 min closed approach (p = 0.002)).

Conclusions:

Both the open and closed SRP allowed for significant improvement in patient's aesthetic self-assessment of similar extent.

Publication History

Publication Date:
23 April 2019 (online)