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Facial Plast Surg 2022; 38(03): 315-322
DOI: 10.1055/s-0042-1742453
Original Research

Assessment of Different Middle Vault Reconstruction Techniques in Rhinoplasty from Multiple Patient-Reported Outcome Measures

Fetih Furkan Şahin 
1   Department of Otorhinolaryngology, Buca Seyfi Demirsoy Training and Research Hospital, Izmir, Turkey
,
Fazıl Apaydın 
2   Department of Otorhinolaryngology, Ege University School of Medicine, Izmir, Turkey
,
Sercan Göde 
2   Department of Otorhinolaryngology, Ege University School of Medicine, Izmir, Turkey
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Abstract

It is important to assess the patient satisfaction with shape and function by patient-reported outcome measures (PROMs) following structural or dorsal preservation rhinoplasty (DPR) techniques on the middle nasal vault. To analyze the results of different middle vault rhinoplasty techniques with multiple PROMs and compare their differences according to the findings of PROMs. Four different techniques were performed for the middle vault: spreader graft, L-strut graft, DPR with high strip (DPRwHS), DPR with low strip. The outcomes were evaluated preoperatively, 2 and 12 months postoperatively with the following PROMs: Nasal Obstruction Symptom Evaluation (NOSE), Rhinoplasty Outcomes Evaluation, and Standardized Cosmesis and Health Nasal Outcomes Survey. This study included 129 patients. All techniques provided significant improvements in all PROMs (p < 0.001), except DPRwHS in NOSE. Between postoperative short- and longer-term, no significant differences were observed in DPR groups (p > 0.05), unlike structural techniques. In this comparative study of different middle nasal vault rhinoplasty techniques, we did not detect a difference in the improvement of the patient-reported outcomes of DPR techniques from as early as 2 months to 1 year postoperative.

Keywords

patient-reported outcome measures - rhinoplasty - middle nasal vault - dorsal preservation rhinoplasty - structural rhinoplasty


Publication History

Article published online:
14 February 2022

© 2022. Thieme. All rights reserved.

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