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Functional Outcomes of Dorsal Preservation Rhinoplasty: A Systematic Review and Meta-analysis
Chelsea Chan1, Alexander Scott North2, Hamid Reza Khademi Mansour3
1NHS Glasgow and Clyde South Glasgow University Hospitals NHS Trust, Department of General Surgery, United Kingdom of Great Britain and Northern Ireland, Glasgow.
Introduction:
Preservation rhinoplasty is an increasingly popular alternative to structural rhinoplasty. However, concerns remain regarding potential nasal airway narrowing and the limited availability of objective postoperative functional data.
Objectives And Hypotheses:
To review and analyze current studies assessing functional outcomes of preservation rhinoplasty, with or without comparison to structural rhinoplasty.
Study Design:
Systematic review and meta-analysis of functional outcomes in preservation rhinoplasty.
Methods:
A comprehensive database search identified studies using key words. Eligible studies that were included reported original quantitative data using validated functional outcome measures (NOSE, SCHNOS-O, VAS-F, SNOT-22, or rhinometry).
Results:
A total of 22 studies (n = 2,058) met inclusion criteria. Controlled studies showed no significant difference between preservation and structural rhinoplasty outcomes, while uncontrolled studies demonstrated postoperative improvement from baseline.
Conclusion:
Preservation and structural rhinoplasty yield comparable functional results, both significantly improving validated patient-reported outcome measures.