Aesthetic outcome after nasal reconstruction: patient versus panel perception

被引:33
作者
Moolenburgh, Sanne E. [2 ]
Mureau, Marc A. M. [2 ]
Hofer, Stefan O. P. [1 ,2 ]
机构
[1] Univ Toronto, Div Plast Surg, Univ Hlth Network, Toronto, ON M5G 2C4, Canada
[2] Erasmus Univ, Med Ctr, Dept Plast & Reconstruct Surg, NL-3000 CA Rotterdam, Netherlands
关键词
Nasal reconstruction; Skin cancer; Patient perception; Panel perception; Aesthetic outcome;
D O I
10.1016/j.bjps.2007.09.018
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Nasal reconstruction after extensive ablative therapy poses a reconstructive challenge. The aim of this study was to assess subjective aesthetic outcome after nasal reconstruction scored by patients and a panel. In addition, inter-rater variability as well as important parameters of good aesthetic outcome were analysed. Methods: A total of 39 consecutive patients treated between November 2001 and May 2005 for (sub) total nasal defects were included. All patients were photographed in a standardised setting. Subjective aesthetic outcome (eight different nasal characteristics on a five-point Likert scale) was assessed by reconstructed patients individually as well. as an independent professional panel consisting of five plastic surgeons. Results: Thirty-three patients (87%) participated in the follow-up study. Questionnaire results demonstrated statistically significant lower panel satisfaction scores (3.5 +/- 0.9) with total nasal appearance than patients (4.2 +/- 1.3; P=0.03). There was a high agreement among panel members as judged by a low inter-rater variability. No relationship between severity of nasal defects and aesthetic outcome was found by patients or professionals. Conclusion: Patient subjective aesthetic outcome was significantly higher than that of a professional panel. Severity of nasal deformity was not an indicator for patient satisfaction. (C) 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1459 / 1464
页数:6
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