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Morphing as a Selection Tool in the Rhinoplasty Consult: A Cross-Sectional Study
Garyfalia Lekakis1, Jonathan Sykes2, Greet Hens1
1Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg, Leuven, Belgium.
Facial Plastic Surgery : FPS
|February 25, 2020
Summary
Computer morphing in rhinoplasty can help filter unsuitable patients. Patient satisfaction with morphed results predicts surgical commitment, improving the selection process.
Area of Science:
- Plastic Surgery
- Medical Imaging
Background:
- Morphing is a recognized preoperative tool in rhinoplasty.
- Its utility in patient selection has not been previously investigated.
Purpose of the Study:
- To evaluate morphing as a filter for unsuitable rhinoplasty candidates.
- To determine patient attrition rates from consultation to surgery.
- To assess if patient appreciation of morphing influences decision-making.
Main Methods:
- 334 rhinoplasty patients underwent 2D computer imaging and completed a 14-question survey.
- Patients were categorized as accepted or rejected based on consensus during morphing simulation.
- Accepted patients were tracked for surgery, postponement, or cancellation.
Main Results:
- 13.2% of patients were rejected due to lack of consensus.
- Of accepted patients, 53.3% proceeded to surgery, 22.1% postponed, and 11.4% cancelled.
- Dissatisfaction with morphing results was higher in rejected (57%) and static (42%) groups compared to operated patients (16%).
Conclusions:
- Patient-physician consensus during morphing is a valuable indicator of surgical suitability.
- Patient satisfaction and reassurance with morphed images predict surgical progression.
- Morphing serves as an effective selection tool for both surgeons and patients in rhinoplasty.
