Columellar Scar Perception in Open Rhinoplasty. Interplay of Scar Awareness, Body Cathexis and Patient Satisfaction

Background: Aesthetic surgeries are performed to improve individual’s satisfaction with their appearance and also to improve their psychological health by improving self-confidence and self-esteem. Our study aimed to ascertain patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire before and after rhinoplasty surgery.Methods: The prospective study was conducted at Department of Plastic and Reconstructive surgery, SMS hospital Jaipur India from October 2018 to February 2020. The rhinoplasty outcome evaluation ROE questionnaire was used to study patient’s satisfaction. Patients underwent open rhinoplasty, closed rhinoplasty, primary rhinoplasty, revision rhinoplasty and additional nasal surgery such as septoplasty as per required. Data were collected from 70 patients before and 6 month after surgery. Results before and after surgery were compared.Results: 70 out of 83 patients completed questionnaires. Most common age group is from 16 to 45 year. Most common reason for rhinoplasty in our study is aesthetic (58.5%), both aesthetic and functional (28.5%), functional (12.8%). Preoperative and postoperative ROE score shows significant improvement after 6 month in functional and aesthetic aspect. Mean preoperative score of all patients were 33.6 and the mean postoperative score were 80.4. Difference in improvement of scores was not significant when groups were divided on the basis of sex, age, concomitant nasal procedure, primary or revision surgery, open or closed rhinoplasty.Conclusions: Rhinoplasty surgery significantly improved patient quality of life regarding nose function and appearance. ROE questionnaire proves reliable equipment for estimating patient satisfaction.

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Comparison between Percutaneous Lateral Osteotomy and Endonasal Lateral Osteotomy in Primary Rhinoplasty

Tabari Biomedical Student Research Journal ◽

10.18502/tbsrj.v2i2.3756 ◽

2020 ◽

Author(s):

Hiwa Asaad Abdulkareem ◽

Haval Ahmed Hama

Keyword(s):

Patient Satisfaction ◽

Nasal Obstruction ◽

Open Rhinoplasty ◽

Periorbital Edema ◽

Psychological Assessments ◽

Primary Rhinoplasty ◽

Lateral Osteotomy ◽

Aesthetic Results ◽

And Gender ◽

Skin Scar

Introduction: Open rhinoplasty is a popular method to correct nasal deformities, which is commonly carried out by percutaneous or endonasal techniques. Despite their advantages, these two techniques can also be associated with some disadvantages. The present study was carried out in order to examine the functional and aesthetic outcomes of percutaneous and endonasal osteotomies. Material and Methods: The present comparative study was carried out on 50 patients who underwent percutaneous osteotomy (25 cases) and endonasal osteotomy (25 cases) from August 2018 to September 2019. Before and three days, eight days, and three months after the surgeries, the required data were collected through medical and psychological assessments. Results: According to the results, the mean age of the patients was 28.7±6.5 years, and most of them were females with a female-to-male ratio of 4:1. It was also concluded that percutaneous and endonasal lateral osteotomies were not significantly different in terms of the postsurgical pain felt by the patients, epistaxis, skin scars 21 days and three months after the rhinoplasty, nasal obstruction, closing the open roof deformity, state of correction, patient satisfaction, age, and gender (p>0.05). However, they were significantly different regarding periorbital edema, periorbital ecchymosis, and skin scars during the first eight days after the surgery (p<0.05). Conclusion: Both percutaneous and endonasal lateral osteotomies were found to be useful methods to carry out rhinoplasty because both led to acceptable functional and aesthetic results regarding decreased pain, epistaxis, periorbital edema and ecchymosis, skin scar, nasal obstruction, closing the open roof deformity, and nasal deviation correction and increased patient satisfaction.

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The Association Between Facial Proportions and Patient Satisfaction After Rhinoplasty: A Prospective Study

Plastic Surgery ◽

10.1177/2292550319826097 ◽

2019 ◽

Vol 27 (2) ◽

pp. 167-172

Author(s):

Ramin Zojaji ◽

Ehsan Sobhani ◽

Mojdeh Keshavarzmanesh ◽

Parastoo Dehghan ◽

Mojtaba Meshkat

Keyword(s):

Patient Satisfaction ◽

Cross Sectional Study ◽

Outcome Evaluation ◽

Open Rhinoplasty ◽

Cross Sectional ◽

Alar Base ◽

Facial Beauty ◽

Cosmetic Rhinoplasty ◽

Facial Proportions ◽

A Prospective Study

Hypothesis: Rhinoplasty is one of the most common aesthetic surgeries. The aim of the study was to evaluate facial proportions and patient satisfaction with the appearance of their nose after rhinoplasty compared to preoperatively. Methods: This cross-sectional study was conducted at Islamic Azad University, Mashhad Branch. Eighty-two candidates with indications for primary cosmetic rhinoplasty were selected. Facial proportions and patient satisfaction with their nasal appearance were evaluated before and 6 months after rhinoplasty. Patient satisfaction was assessed using the Rhinoplasty Outcome Evaluation questionnaire. Results: Eighty-two patients referred for cosmetic rhinoplasty (13.4% men and 86.6% women) with a mean age of 28.5 (6.4) years underwent open rhinoplasty and were evaluated. Facial proportions, including nasofrontal, nasolabial, and nasomental ratios increased significantly, while the nasofacial ratio, nasal tip projection, columellar show, alar base, and nasal length reduced significantly after rhinoplasty ( P < .05). Furthermore, patient satisfaction with the appearance of their nose increased significantly after surgery ( P < .001). Conclusion: All of the facial proportions changed significantly following rhinoplasty. Although patient satisfaction with nose appearance increases significantly after the operation, there is no significant association between patient satisfaction and facial proportions. As beauty is a subjective, relative and qualitative issue, facial proportions may not be a proper tool to determine facial beauty and predict the satisfaction rate following rhinoplasty.

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A comparison of patient satisfaction among current and former dental school patients

Journal of Dental Education ◽

10.1002/j.0022-0337.2000.64.6.tb03359.x ◽

2000 ◽

Vol 64 (6) ◽

pp. 409-415 ◽

Cited By ~ 16

Author(s):

JM Butters ◽

DO Willis

Keyword(s):

Patient Satisfaction ◽

Dental School

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Improving Communication Skills in Health Care

Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations ◽

10.1044/cds20.3.109 ◽

2013 ◽

Vol 20 (3) ◽

pp. 109-117

Author(s):

Lynda Katz Wilner ◽

Marjorie Feinstein-Whittaker

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Communication Skills ◽

Health Care Professionals ◽

Skills Training ◽

International Medical Graduate ◽

Medical Graduate ◽

Health Care Environment ◽

Medical Interpreters ◽

Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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