Crooked Nose: Aesthetic and Functional Outcomes

Area of Science:

• Plastic Surgery
• Otolaryngology
• Medical Outcomes Research

Background:

• Crooked nose deformities present complex aesthetic and functional challenges.
• Accurate assessment of surgical outcomes is crucial for patient satisfaction and procedural refinement.

Purpose of the Study:

• To analyze aesthetic and functional rhinoplasty outcomes in Middle Eastern patients with crooked noses.
• To evaluate the efficacy of the Standardized Cosmesis Health Nasal Outcomes Survey (SCHNOS) in assessing these outcomes.

Main Methods:

• A longitudinal cohort study involving 41 patients with crooked noses.
• Patients completed the Arabic SCHNOS preoperatively and postoperatively.
• Preoperative and postoperative data were analyzed for changes in nasal obstruction and cosmetic scores.

Main Results:

• Significant improvements were observed in both nasal obstruction scores (SCHNOS-O) and nasal cosmesis scores (SCHNOS-C) post-surgery (p < 0.001).
• Overall SCHNOS item scores showed a substantial reduction postoperatively (p < 0.001).
• A significant relationship was found between changes in SCHNOS-O and the reason for surgery.

Conclusions:

• Understanding three-dimensional nasal pathology is key for optimal surgical results.
• Validated questionnaires like SCHNOS are highly recommended for clinical practice to refine surgical techniques and track patient outcomes effectively.