Patient reported outcome measures in septorhinoplasty surgery

Area of Science:

• Plastic Surgery
• Otolaryngology
• Health Services Research

Background:

• Cosmetic surgical procedures like septorhinoplasty face scrutiny in the NHS due to perceived limited clinical benefit.
• Patient-reported outcome measures (PROMs) are crucial for evaluating the effectiveness and patient satisfaction of these procedures.
• The study addresses the need for evidence to support the continued funding of septorhinoplasty within the NHS.

Purpose of the Study:

• To assess patient satisfaction with functional and cosmetic outcomes following septorhinoplasty surgery.
• To evaluate the long-term effectiveness of septorhinoplasty using a validated patient-reported outcome measure.
• To provide evidence supporting the clinical and patient-centered value of septorhinoplasty for NHS funding.

Main Methods:

• Utilized the Rhinoplasty Outcomes Evaluation (ROE) questionnaire, a validated PROM tool.
• Assessed patient satisfaction in 141 patients undergoing septorhinoplasty over a 90-month period.
• Analyzed data from 100 patients with a mean follow-up of 36 months.

Main Results:

• Achieved a mean ROE score of 73.3%, indicating overall patient satisfaction.
• 75% of patients reported happiness with their surgical results, and 83% would undergo the procedure again.
• Benefits were consistent across different patient demographics (age, sex, primary vs. revision surgery) and maintained long-term (up to 71 months).

Conclusions:

• Septorhinoplasty surgery leads to high levels of patient satisfaction with both functional and cosmetic outcomes.
• The findings provide strong support for the continued funding of septorhinoplasty as a necessary procedure within the NHS.
• PROMs are effective tools for demonstrating the value of cosmetic surgical procedures to healthcare providers and policymakers.