Evaluation of the aesthetic and functional effectiveness of primary closed rhinoseptoplasty: A study of 189 cases - 05/03/25
, Olivier Mathieu a, Clémence Mure b, Jean-Baptiste Belloc bHighlights |
• | The study assesses aesthetic and functional outcomes of closed rhinoseptoplasty (RSP). |
• | 189 closed RSP cases were evaluated with follow-ups at 2, 6, and 12 months. |
• | Significant improvements were observed in both ROE and NOSE scores postoperatively. |
• | The study highlights the importance of aesthetic and functional aspects in planning. |
Abstract |
Background |
With the increasing demand for rhinoplasty procedures, evaluating outcomes becomes crucial for improving surgical procedures. Nevertheless, there is a limited number of extensive studies exclusively dedicated to closed rhinoseptoplasty (RSP), emphasizing the evaluation of both aesthetic and functional dimensions. This study aims to assess the aesthetic and functional effectiveness of exclusively closed primary RSP procedures and to identify subgroups at risk of less favorable outcomes, providing valuable insights for preoperative planning. The study incorporates the widely used Nasal Obstruction Symptoms Evaluation (NOSE) and Rhinoplasty Outcome Evaluation (ROE) scores, making it the most comprehensive research to date in terms of sample size and subgroup analysis for closed approaches.
Methods |
A total of 189 closed RSPs performed between January 2019 and June 2023 were prospectively evaluated. Follow-ups at 2, 6, and 12 months enabled a comprehensive understanding of the postoperative evolution. Statistical analyses included non-parametric the non-parametric Wilcoxon signed-rank test, Mann Whitney test, Kruskal-Wallis test, and Spearman coefficient, with a significance level of p < 0.05.
Results |
The study reveals significant improvements in both aesthetic (ROE) and functional (NOSE) scores postoperatively, emphasizing the positive impact of closed RSP. Subgroup analyses unveiled factors influencing functional and aesthetic outcomes, contributing to a refined understanding of closed RSP.
Conclusions |
This study not only reaffirms the effectiveness of closed RSP but also offers valuable insights into various factors influencing outcomes. The findings underscore the importance of considering both aesthetic and functional aspects in rhinoplasty planning, contributing to the evolving landscape of surgical practices.
Le texte complet de cet article est disponible en PDF.Keywords : Rhinoseptoplasty, Nasal Obstruction Symptoms Evaluation (NOSE), Rhinoplasty Outcome Evaluation (ROE), Patient-Related Outcome Measurement (PROM), Closed rhinoseptoplasty, Aesthetic
Abbreviations : RSP, CR, NOSE, ROE, PROM, NC
Plan
Vol 126 - N° 5
Article 102301- octobre 2025 Retour au numéro
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