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Charles East, Commentary on: Functional/Aesthetic Measures of Patient Satisfaction After Rhinoplasty: A Review, Aesthetic Surgery Journal, Volume 39, Issue 10, October 2019, Pages 1063–1064, https://doi.org/10.1093/asj/sjz130
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Extract
Most people undergoing rhinoplasty surgery desire an improvement in their appearance. Conversely, if function is adversely affected by surgery, then the outcome is usually less satisfactory, although the degree of tolerance of a compromised airway may vary. Patients may present with a functional problem as a means of justifying correction to undergo a rhinoplasty, but rhinoplasty alone may not deal with all the functional issues related to the nose. Clearly, structural problems compromising the function of the nasal valve or the presence of nasal sidewall insufficiency are best treated surgically. Bearing in mind, particularly in the Western world, between 1 in 3 and 1 in 4 people suffer allergies, the prevalence of rhinitis and its associated symptoms are also extremely common and this is not helped by an operation.
In an age when we are increasingly examined and asked to provide evidence of the efficacy of what we undertake, it behooves all clinicians to have at least some degree of monitoring of their outcomes, ideally with a procedure-specific tool. But which one? At present, most of us are exposed to the unfiltered and unstructured comments that appear on the web, and to some extent these are a form of patient-reported outcome, albeit with no uniformity.
