Assessment of Different Middle Vault Reconstruction Techniques in Rhinoplasty from Multiple Patient-Reported Outcome...

Area of Science:

• Plastic Surgery
• Otolaryngology
• Facial Plastic Surgery

Background:

• Patient satisfaction is crucial after rhinoplasty, particularly concerning middle nasal vault reconstruction.
• Assessing outcomes via patient-reported outcome measures (PROMs) provides valuable insights into functional and aesthetic results.

Purpose of the Study:

• To compare the efficacy of different middle nasal vault rhinoplasty techniques using multiple PROMs.
• To evaluate patient satisfaction with shape and function following structural and dorsal preservation rhinoplasty (DPR) methods.

Main Methods:

• A comparative study involving 129 patients undergoing four middle nasal vault techniques: spreader graft, L-strut graft, DPR with high strip (DPRwHS), and DPR with low strip.
• Outcomes were assessed preoperatively and at 2 and 12 months postoperatively using the Nasal Obstruction Symptom Evaluation (NOSE), Rhinoplasty Outcomes Evaluation, and Standardized Cosmesis and Health Nasal Outcomes Survey.

Main Results:

• All techniques, except DPRwHS for NOSE, demonstrated significant improvements in all PROMs (p < 0.001).
• Dorsal preservation rhinoplasty (DPR) techniques showed no significant difference between short-term (2 months) and longer-term (12 months) outcomes (p > 0.05).
• Structural techniques exhibited different short-term versus longer-term outcomes, unlike DPR.

Conclusions:

• Dorsal preservation rhinoplasty (DPR) techniques offer consistent patient-reported outcomes from 2 months to 1 year post-surgery.
• No significant difference was found in the patient-reported outcomes between different DPR techniques within the study period.
• Both structural and DPR techniques improve patient satisfaction, with DPR showing sustained results.