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Facial Plast Surg 2023; 39(02): 164-172
DOI: 10.1055/a-1932-8563
Original Research

Generic Health-Related Quality-of-Life Changes after Rhinoplasty: A Prospective Study with Long-Term Results

Rui Xavier 
1   Department of Otolaryngology, Hospital Luz Arrabida, Porto, Portugal
,
Sofia Azeredo-Lopes 
2   CHRC, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade Nova de Lisboa, Lisboa, Portugal
3   Department of Statistics and Operational Research, Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal
,
Dirk-Jan Menger
4   University of Utrecht, Utrecht, The Netherlands
,
Henrique Cyrne de Carvalho
5   Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
,
Jorge Spratley
6   Faculdade de Medicina da Universidade do Porto, Centro Hospitalar e Universitário S. João and Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS), Porto, Portugal
› Author Affiliations Funding None
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Abstract

Objectives Our objective was to investigate changes in specific generic health-related quality-of-life (HRQoL) domains achieved by rhinoplasty, to investigate whether modifications of somatic-, psychologic-, and social-related HRQoL domains are different in patients with functional or aesthetic motivation for rhinoplasty, and to investigate if HRQoL changes are related to a functional or an aesthetic nasal improvement.

Study Design This was a prospective study with 1 year of follow-up.

Methods Fifty-four consecutive Caucasian patients submitted to rhinoplasty were evaluated with 36-item Short Form Health Survey (SF-36) and EuroQuality-of-Life 5 Domain (EQ-5D) questionnaires. To correlate changes in generic HRQoL with functional and aesthetic modifications achieved by rhinoplasty, evaluation of patients also included assessment of Peak Nasal Inspiratory Flow and Nasal Obstruction Symptom Evaluation, Visual Analogue Scale for nasal airway obstruction (NAO), and Rhinoplasty Outcome Evaluation scores.

Modifications in each generic HRQoL health-domain were analyzed to investigate the possible relation with motivation for surgery and with functional or aesthetic improvement.

Results There was a significant improvement in EQ-5D (p < 0.001), EQ-5D VAS (p = 0.002) and in the SF-36 domains of general health (p < 0.001), energy (p < 0.001), physical functioning (p < 0.001), physical limitation (p = 0.005), pain (p = 0.003), and well-being (p = 0.018). Improvement was significant in groups of patients with NAO or in whom a septoplasty was performed and was associated with patient-reported functional improvement. There was a significant improvement in health change (p < 0.001), verified in all groups of patients.

Conclusions This prospective study with long-term results demonstrates that rhinoplasty significantly improves most domains of generic HRQoL. This improvement is associated with patient-reported functional improvement. Emotional limitation and social functioning are not significantly changed by rhinoplasty.

Level of Evidence: IV.

Keywords

rhinoplasty - outcomes - HRQoL - EQ-5D - SF-36

Note

All procedures performed were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Ethics Committee of Hospital Luz Arrabida.


For this study, a signed informed consent was obtained from every patient.




Publication History

Accepted Manuscript online:
29 August 2022

Article published online:
09 December 2022

© 2022. Thieme. All rights reserved.

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