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Evidence-Based Performance Measures for Rhinoplasty: A Multidisciplinary Performance Measure Set.

Michele A Manahan1, Fred Fedok1, Caryn Davidson1

  • 1From the Johns Hopkins Hospital; Fedok Plastic Surgery and Laser Center; the American Society of Plastic Surgeons; The Plastic Surgery Clinic; Westlake Dermatology and Cosmetic Surgery; The Center for Facial Restoration; the University of Pennsylvania; the University of Michigan; the University of Southern California; Beth Israel Deaconess Medical Center/Harvard Medical School; the University of Wisconsin; private practice; Stanford University; Case Western Reserve University; TLKM Plastic Surgery; Yale School of Medicine; the University of California, Davis; and the Dallas Plastic Surgery Institute.

Plastic and Reconstructive Surgery
|November 25, 2020
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Summary
This summary is machine-generated.

New quality measures for rhinoplasty (nose surgery) focus on patient satisfaction and key procedural aspects. These guidelines aim to improve functional and aesthetic outcomes for patients undergoing nose reshaping procedures.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Plastic Surgery

Background:

  • Professional societies recognized the need for standardized quality measures in rhinoplasty.
  • Existing care protocols lacked comprehensive evaluation for both functional and aesthetic aspects.

Purpose of the Study:

  • To identify and draft quality measures for patients undergoing functional and aesthetic rhinoplasty.
  • To establish benchmarks for evaluating the quality of care in rhinoplasty procedures.

Main Methods:

  • A multidisciplinary work group was convened by leading surgical societies.
  • Measures were developed focusing on patient satisfaction, motivations, airway assessment, and pain management strategies.

Main Results:

  • One outcome measure (patient satisfaction) was identified.
  • Three process measures were developed: motivations/expectations, airway assessment, and non-narcotic pain management decision-making.

Conclusions:

  • The developed quality measures were approved by multiple major surgical organizations.
  • Recommendations include implementing these measures for quality initiatives, education, and reporting programs.