Prospective Evaluation of Aesthetic and Functional Outcomes following Video-Assisted Rhino-Septoplasty

Background Conservative techniques have been developed in the field of rhinoplasty, focusing on limited tissue resection while emphasizing the reshaping of nasal structural elements.ObjectivesWe aimed to prospectively evaluate aesthetic and functional outcomes following Video-Assisted Rhino-Septoplasty (VARS) using validated tools. Methods Patients' self-reported outcomes were assessed before and 6 months after surgery. Aesthetic evaluations used FACE-Q Rhinoplasty modules (FQRM) Satisfaction with Nose and Nostrils. Functional evaluations were performed with NOSE scores. T-tests were used to determine the significance of the change in scores before and after surgery. p value < 0.05 was considered statistically significant. Results Fifty patients were included (sex ratio = 0.16, mean age = 30 y.o., 78% primary cases). All patients had associated septoplasties, and 32 had inferior turbinate reductions. Mean FQRM Nose scores were 28.1 16.3 before vs. 83.4 17.2/100 after surgery. Mean FQRM Nostrils scores were 61.5 +/- 28.6 before vs. 85 +/- 21/100 after surgery. Mean NOSE scores were 49.5 +/- 36.3 before vs. 14.8 +/- 16.6/100 after surgery. All p <0.001. We found no correlation between FQRM Nose and NOSE scores after surgery (rho = -0.1553, IC95% (-0.41;0.12), p = 0.28). Conclusion Our study showed that VARS is an effective technique, yielding high patient satisfaction in both aesthetic and functional outcomes.