Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

Area of Science:

• Plastic Surgery
• Otolaryngology
• Evidence-Based Medicine

Background:

• Rhinoplasty is a common cosmetic procedure with significant costs and potential psychological impacts.
• Limited literature previously existed on standardized pre- and post-surgical management for rhinoplasty.
• This guideline aims to establish consensus on perioperative strategies for optimal patient safety and surgical results.

Purpose of the Study:

• To provide evidence-based recommendations for clinicians involved in rhinoplasty care.
• To optimize patient care, promote effective diagnosis and therapy, and reduce variations in care.
• To address knowledge gaps and clinical concerns associated with rhinoplasty.

Main Methods:

• Development of a clinical guideline based on current evidence-based medicine practices.
• Recommendations formulated by a Guideline Development Group.
• Focus on perioperative and postoperative strategies for rhinoplasty patients aged 15 and older.

Main Results:

• Recommendations include assessing patient motivations/expectations, screening for comorbidities (e.g., sleep apnea), evaluating nasal airway function, and educating patients on outcomes and potential complications.
• Specific recommendations against routine prolonged antibiotic use (>24 hours) and routine nasal packing post-surgery.
• Guidance on counseling patients with obstructive sleep apnea and managing postoperative discomfort.

Conclusions:

• Clinicians should thoroughly evaluate rhinoplasty candidates, manage expectations, and provide comprehensive preoperative and postoperative education.
• Evidence-based practices should be implemented to minimize complications and enhance patient satisfaction.
• The guideline promotes standardized care to improve safety and optimize functional and aesthetic outcomes in rhinoplasty.