Related Experiment Video
Updated: Sep 15, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Effect of Surgical Specialty on Postoperative Complications of Rhinoplasty
Sree Chinta1, Keshav D Kumar1, Dhiraj Sibala1
1Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Objective:
Rhinoplasty is a cosmetic procedure that is typically performed by either otolaryngologists (ear, nose, and throat [ENT]) or plastic surgeons. This study specifically investigates the association between surgical specialty and complications in rhinoplasty.
Study Design:
Retrospective database review.
Setting:
US hospitals.
Methods:
The National Surgical Quality Improvement Program database was queried for patients who underwent rhinoplasty between 2005 and 2020. Univariate and multivariable analyses were conducted to determine associations between surgical specialty and postoperative complications.
Results:
In total, 2127 patients undergoing rhinoplasty were queried. Of the cohort, 1253 (58.9%) were operated on by ENT and 874 (41.1%) were operated on by plastic surgeons. ENT patients were more likely to be male (55.8% vs 46.7%, P < .001), have a higher American Society of Anesthesiologists (ASA) classification (ASA class I: 13.0% vs 19.2%, P < .001), be smokers (19.2% vs 14.4%, P = .002), and have prolonged operative time (59.9% vs 44.4%, P < .001). Univariate analysis also showed a significantly lower incidence of sepsis (0.1% vs 0.8%, P = .008) among ENT patients. Multivariable analyses revealed that plastics patients had greater odds of postoperative sepsis (odds ratio: 23.716, CI: 2.025-277.764, P = .012).
Conclusion:
Surgical specialty has been shown to impact outcomes of other head and neck procedures. This study suggests an independent association between surgical specialty and 30-day postoperative sepsis in rhinoplasty.
Level Of Evidence:
IV.
Related Concept Videos
01:30Epistaxis
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Suctioning the Nasopharyngeal Airway
Equipment Required
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:26Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:23Peripheral Artery Disease V: Postoperative Nursing Management