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Preoperative Simulation in Planning Rhinoplasty: Evaluation from Patients' and Surgeons' Perspectives
İbrahim Alper Aksakal1, Musa Kemal Keles2, Murat Sinan Engin3
1Department of Plastic, Reconstructive and Aesthetic Surgery, Gebze Medical Park Hospital, Kocaeli, Turkey.
Facial Plastic Surgery : FPS
|June 2, 2017
Summary
Preoperative simulations in rhinoplasty build patient rapport but can create surgeon liability. Patient confidence in simulations grows faster than surgeon confidence in using them.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Medical Simulation
Background:
- Rhinoplasty is a common aesthetic surgery procedure.
- Preoperative simulations are increasingly used but controversial.
- Simulations can enhance surgeon-patient rapport or become a liability.
Purpose of the Study:
- To evaluate surgeon and patient perspectives on preoperative simulations in rhinoplasty.
- To understand the influence of simulations on patient decision-making.
- To assess the relationship between surgeon experience and simulation confidence.
Main Methods:
- Online questionnaire survey distributed to plastic surgeons performing rhinoplasty and patients considering the procedure.
- Inquiry into opinions on simulation use and ability to distinguish simulated from actual results.
- Statistical analysis using SPSS software.
Main Results:
- Patient decision-making is influenced by simulation availability, surgeon's previous results, and patient referrals.
- Experienced surgeons exhibit higher confidence in using simulations compared to inexperienced surgeons (p < 0.05).
- Simulation withholding preferences did not differ significantly across surgeon experience levels (p > 0.05).
Conclusions:
- Patient self-consciousness regarding preoperative simulations appears to increase more rapidly than surgeon confidence in their application.
- The study highlights a potential disparity in the evolving comfort levels with simulation technology between patients and surgeons.
- Further research may be needed to reconcile these differing perceptions for optimal patient care and surgical practice.

