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Global rhinoplasty research shows an increasing trend towards aesthetic procedures. While the USA leads in publications, its dominance is decreasing, and there

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Medical Research Trends

Background:

  • Rhinoplasty is a leading cosmetic and reconstructive surgical procedure globally.
  • It is among the top five most performed surgical cosmetic procedures worldwide.

Purpose of the Study:

  • To analyze global trends in rhinoplasty research over a 20-year period (1994-2013).
  • To assess changes in publication volume, geographic distribution, study design, and evidence levels.

Main Methods:

  • Identified top plastic surgery and otolaryngology journals based on impact factors (IF).
  • Compiled a database of 1244 rhinoplasty articles (1994-2013), classifying them by IF, author location, study design, level of evidence (LOE), and focus (aesthetic vs. reconstructive).
  • Calculated productivity indices and shares for different regions.

Main Results:

  • The mean IF of journals increased significantly from 0.75 to 1.90 (p < 0.001).
  • Most publications were clinical (91.0%) with predominantly lower levels of evidence (LOE IV: 42.4%, LOE V: 33.2%).
  • The USA led publication volume (37.9%) and productivity (41.2%), followed by Asia and Western Europe. Aesthetic rhinoplasty articles increased significantly (p = 0.009), constituting 60.4% of publications.

Conclusions:

  • The USA remains the most productive nation in rhinoplasty research, but its lead has narrowed.
  • Research trends are shifting towards aesthetic rhinoplasty over reconstructive procedures.
  • There is a need to focus on generating higher levels of evidence (LOE) in rhinoplasty studies.