Abstract
Objective: Analyze and compare the surgical outcome and quality of life in patients with and without deviated nose in rhinoplasty.
Method: A total of 191 patients who underwent primary rhinoplasty between 2006 to 2009 were enrolled. The study population was separated into nondeviated or deviated groups. The surgical outcome, pre- and postoperative quality of life were assessed using rhinoplasty outcome evaluation (ROE) and EuroQol, and statistically analyzed.
Results: A hundred ten cases had deviated nose and 81 cases had nondeviated nose. The vast majority of cases were operated using endonasal approach except 3 cases. When non-deviated and deviated groups were compared according to satisfaction with appearance, breathing problems, friends’ satisfaction with appearance, social interactions, self-confidence, need for additional procedures, ROE score, statistically significant differences were determined. The comparison of pre- and postoperative change in EuroQol (EQ-5 index, living quality index and visual analogue scale) between 2 groups also demonstrated statistically significant differences.
Conclusion: The deviated nose is a challenging nasal morphology which may lead to lesser satisfaction in surgical outcome and inadequate improvement in quality of life. Therefore, it should be precisely evaluated in candidates of rhinoplasty.
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