Abstract
Introduction
Functional rhinoseptoplasty (FRS) is a surgical procedure with both functional and
aesthetic impacts, significantly affecting patients' quality of life. The influence
of nonsurgical factors on FRS outcomes remains a debated topic in the literature.
For instance, some authors deny the long-term impact of gender, age, inferior turbinectomy,
or active smoking on the results. The rhinoplasty outcome evaluation (ROE) questionnaire
is a useful tool for assessing patients' satisfaction once submitted to this surgery.
Objectives
To evaluate the subjective impact of nonsurgical factors on the long-term outcomes
of FRS.
Methods
The authors conducted a retrospective study of all patients who underwent FRS at a
tertiary hospital between 2019 and 2023. Patients with less than 1 year of postoperative
follow-up were excluded. The ROE questionnaire was used to quantify subjective surgical
satisfaction. Various variables were analyzed, including previous nasal pyramid trauma,
age, known hematologic pathology, psychiatric history, allergic rhinitis, smoking
habits, and inferior turbinectomy. Statistical calculations were performed using the
Kruskal–Wallis formula.
Results
The sample included 75 patients with an average age of 33.4 years, mostly female (51%;
n = 38). The average ROE score in the sample was 79.6%. Thirty-eight point seven percent
(n = 29) of the procedures were performed after nasal pyramid trauma, with these patients
reporting higher ROE scores than others (85.78% in the trauma group; 75.6% in the
nontrauma group; p-value = 0.01394). Even though no statistical correlation was demonstrated, ROE scores
were also higher in patients with allergic rhinitis (82.1% vs. 78.1% on the healthy
group), psychiatric disorders (85.8% vs. 75.6% on the healthy group), hematological
disorders (91.7% vs. 78.9% on the healthy group), nonsmokers (81.7% vs. 74.0% on smokers),
younger patients (81.7% vs. 76.8% on patients older than 33.4 years) and patients
that underwent inferior turbinectomy (81.0% vs. 75.9%).
Conclusion
This study established a correlation between the subjective degree of surgical satisfaction
and previous nasal trauma in patients undergoing FRS.
Keywords
functional rhinoseptoplasty - rhinoplasty outcome evaluation - rhinoseptoplasty
