Outcomes in open structure septorhinoplasty

Objectives: This study assessed the patient-related outcome measures and complications of post-open structure septorhinoplasty. It also investigated the factors associated with the need for revision surgery. Methods: We prospectively reviewed the case notes of patients who underwent septorhinoplasty performed by a single rhinologist at our institute between August 2011 and August 2013. Patient satisfaction was assessed using the Rhinoplasty Outcomes Evaluation (ROE) tool. Results: A total of 120 patients were included with a mean follow-up time of 28.2 months. Eight patients (6.7%) required revision nasal surgery. There was a significant increase in the mean post-operative ROE score of all patients who underwent surgery (19.5 +/- 9.41 vs. 68.4 +/- 23.7,p<0.001). The rate of revision surgery was significantly higher in patients with complex surgeries (3/12 vs. 5/108,p=0.03). There were higher rates of nasal tip deformity surgery and augmentation surgery in the revision surgery group compared to the primary surgery group: 8/17 vs. 20/103, p=0.03 for nasal tip and 10/17 vs. 27/103,p=0.01 for augmentation. Conclusions: Open structure septorhinoplasty significantly increased the ROE score. Our rate of revision surgery, 6.7%, was lower than the average rate of 10%-18% reported in the literature. The rate of revision surgery was higher in cases judged pre-operatively to be more complex.