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Aesthetic sequelae of septoplasty
1Department of Otolaryngology/Facial Plastic Surgery, Gooi Noord Hospital, Blaricum, The Netherlands.
Clinical Otolaryngology and Allied Sciences
|June 1, 1997
Summary
Septoplasty rarely causes significant nasal aesthetic changes, though minor changes occur in 21% of patients. Patients should be informed of potential nasal shape alterations before surgery.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Medical Imaging
Background:
- Septoplasty is a common surgical procedure to correct nasal septum deviations.
- Aesthetic outcomes are an important consideration for patients undergoing septoplasty.
- Understanding the risk of aesthetic changes is crucial for patient counseling.
Purpose of the Study:
- To prospectively evaluate the incidence and severity of aesthetic changes after septoplasty.
- To identify potential surgical factors associated with aesthetic alterations.
- To emphasize the importance of informed consent regarding nasal shape modifications.
Main Methods:
- Prospective study of 100 septoplasty patients with a minimum 9-month follow-up.
- Standardized pre- and post-operative photographs were assessed by three independent observers.
- Statistical analysis correlated operative data with observed aesthetic changes.
Main Results:
- Minimal aesthetic changes were documented in 21% of patients.
- Significant post-operative aesthetic changes were rare, occurring in only 1% of cases.
- No specific surgical maneuvers were identified as significantly increasing the risk of aesthetic changes.
Conclusions:
- Septoplasty carries a low risk of significant aesthetic nasal changes.
- Informed consent detailing potential nasal shape alterations is essential for all septoplasty patients.
- Pre-operative photographic documentation is recommended prior to septal surgery.