The evaluation of the effects of open and closed rhinoplasty on the psychosocial stress level and quality of life of rhinoplasty patients

The evaluation of the effects of open and closed rhinoplasty on the psychosocial stress level and quality of life of rhinoplasty patients:

Publication date: Available online 18 April 2019

Source: Journal of Plastic, Reconstructive & Aesthetic Surgery

Author(s): Sinem Gökçe Kütük, Osman Kürşat Arıkan

Abstract

Aim

To investigate patient-reported functional and aesthetic outcomes and psycho-social distress levels in rhinoplasty patients with respect to technique, type and indications of surgery

Methods

A total of 90 patients (mean(SD) age: 27.4(6.5) years, 64.4% were females) undergoing rhinoplasty surgery were included prospectively. Data on Nasal Symptom Obstruction Evaluation (NOSE) scale for the functional outcome, the Rhinoplasty Outcome Evaluation (ROE) scale for the aesthetic outcome, and the Derriford Appearance Scale (DAS-24) for psychosocial outcomes were recorded preoperatively and in postoperative 1^st, 3^rd and 6^th months.

Results

No significant difference was noted in ROE or NOSE scores with respect to technique (open vs. closed), type (primary vs. secondary) and indication (functional vs. cosmetic) of rhinoplasty during study visits. Open vs. closed surgery, secondary vs. primary rhinoplasty and cosmetic vs. functional indication for rhinoplasty were associated with significantly higher DAS-24 scores at the preoperative visit (p<0.001 for each) and postoperative 1^st (p<0.001 for each) and 3^rd month (p<0.001, p<0.001 and p<0.01, respectively) visits. NOSE, ROE and DAS-24 scores significantly decreased from preoperative to postoperative period and from 1^st month to 3^rd and 6^th months of postoperative follow up in all patients, regardless of the rhinoplasty subgroup (p<0.001 for each).

Conclusion

In conclusion, our findings revealed favorable postoperative functional and aesthetic outcome and improved psycho-social distress in rhinoplasty patients with significantly improved NOSE, ROE and DAS-24 scores after rhinoplasty during the entire 6-month follow up, regardless of the technique (open vs. closed), type (primary vs. revision) and indication (cosmetic vs. functional) of rhinoplasty. Closed rhinoplasty may be a more preferable method due to less psycho-social distress.