Advances in Rhinoplasty Evidence: A Narrative Overview of Recent Meta-analyses (2015-2025).

Area of Science:

• Nasal and Plastic Surgery
• Otolaryngology

Background:

• Septoplasty and septorhinoplasty are crucial for functional and aesthetic nasal surgery.
• Recent advancements have significantly expanded the evidence base for these procedures.

Purpose of the Study:

• To systematically review current evidence on diagnostics, surgical techniques, perioperative care, and patient-reported outcomes in rhinoplasty.
• Focus on synthesizing findings from systematic reviews and meta-analyses.

Main Methods:

• A narrative review of 86 articles, including reviews and meta-analyses published within the last decade.
• Screening of studies for relevance to functional and aesthetic rhinoplasty.

Main Results:

• Four-phase rhinomanometry shows potential but requires validation.
• Screening for Body Dysmorphic Disorder (BDD) is increasingly relevant.
• Perioperative corticosteroids and tranexamic acid are supported; routine antibiotics are not necessary.
• Patient-reported outcome measures (PROMs) like NOSE, ROE, and SNOT-22 are commonly utilized.

Conclusions:

• The evidence base for rhinoplasty is expanding but remains heterogeneous.
• There is a need for standardized diagnostic approaches and objective measures linked to PROMs.
• Long-term data is essential for advancing patient-centered care in rhinoplasty.