Facial Plast Surg 2019; 35(01): 085-089
DOI: 10.1055/s-0039-1677708
Original Research
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Relationship of Sociodemographic Factors and Outcomes in Functional Rhinoplasty

Brian Nuyen
1   Department of Otolaryngology Head and Neck Surgery, Stanford University School of Medicine, Stanford, California
,
Emily A. Spataro
2   Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California
,
Cristen Olds
1   Department of Otolaryngology Head and Neck Surgery, Stanford University School of Medicine, Stanford, California
,
Cherian K. Kandathil
1   Department of Otolaryngology Head and Neck Surgery, Stanford University School of Medicine, Stanford, California
,
Sam P. Most
2   Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California
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Publikationsverlauf

Publikationsdatum:
17. Januar 2019 (online)

Abstract

The objective of this article was to compare the effect of such sociodemographic factors as gender, age, marital status, employment status, race, and income on short- and long-term rhinoplasty outcomes using a validated disease-specific instrument—Nasal Obstruction Symptom Evaluation (NOSE) scale, as well as complication and revision rates. Patients who underwent a functional (+/− cosmetic) rhinoplasty with the senior author between January, 1 2012, and September 9, 2017, and had both a preoperative and at least one postoperative NOSE score, were included in the study. Sociodemographic variables of binary gender, age, marital status, employment status, race, and income based on zip code were collected. The primary outcomes were the differences between the preoperative and postoperative NOSE scores with short-term (less than 3 months) and longer-term (greater than 3 months) follow-up. Secondary outcomes were general complications and specifically revision surgery. Standard descriptive statistics, as well as univariable linear and logistic regressions, were conducted with each outcome measure. A total of 341 patients were included in this study. No individual patient-level variables were found to significantly affect the short- or longer-term average change in NOSE scores, although older age trended toward significance in longer-term average change in NOSE scores (p = 0.07). No factors significantly affected the rate of complications or revision surgery in this cohort. The authors found improvement in NOSE scores after rhinoplasty was not related to factors of age, gender, race, employment status, income, and marital status. This cohort also did not demonstrate differential rates in complications or revision surgery based on sociodemographic variables.

 
  • References

  • 1 Daraei P, Moore CE. Racial disparity among the head and neck cancer population. J Cancer Educ 2015; 30 (03) 546-551
  • 2 Jabbour J, Robey T, Cunningham MJ. Healthcare disparities in pediatric otolaryngology: A systematic review. Laryngoscope 2018; 128 (07) 1699-1713
  • 3 Daar DA, Abdou SA, Robinson IS, Levine JP, Thanik V. Disparities in postmastectomy breast reconstruction: A systematic review of the literature and modified framework for advancing research toward intervention. Ann Plast Surg 2018; 81 (04) 495-502
  • 4 Epstein S, Tran BN, Cohen JB, Lin SJ, Singhal D, Lee BT. Racial disparities in postmastectomy breast reconstruction: National trends in utilization from 2005 to 2014. Cancer 2018; 124 (13) 2774-2784
  • 5 Spataro E, Most SP. Measuring nasal obstruction outcomes. Otolaryngol Clin North Am 2018; 51 (05) 883-895
  • 6 Lipan MJ, Most SP. Development of a severity classification system for subjective nasal obstruction. JAMA Facial Plast Surg 2013; 15 (05) 358-361
  • 7 United States Census Bureau, American Fact Finder. Community Facts: Income. 5 Oct. 2010; https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml?src=bkmk . Accessed July 23, 2018
  • 8 Rhee JS, Poetker DM, Smith TL, Bustillo A, Burzynski M, Davis RE. Nasal valve surgery improves disease-specific quality of life. Laryngoscope 2005; 115 (03) 437-440
  • 9 Alsarraf R. Outcomes research in facial plastic surgery: A review and new directions. Aesthetic Plast Surg 2000; 24 (03) 192-197
  • 10 Günel C, Omurlu IK. The effect of rhinoplasty on psychosocial distress level and quality of life. Eur Arch Otorhinolaryngol 2015; 272 (08) 1931-1935
  • 11 Meningaud JP, Lantieri L, Bertrand JC. Rhinoplasty: An outcome research. Plast Reconstr Surg 2008; 121 (01) 251-257
  • 12 Cingi C, Songu M, Bal C. Outcomes research in rhinoplasty: Body image and quality of life. Am J Rhinol Allergy 2011; 25 (04) 263-267
  • 13 Abbas OL. Revision rhinoplasty: Measurement of patient-reported outcomes and analysis of predictive factors. Springerplus 2016; 5 (01) 1472
  • 14 Moubayed SP, Ioannidis JPA, Saltychev M, Most SP. The 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg 2018; 20 (01) 37-42
  • 15 Berlin NL, Momoh AO, Qi J. , et al. Racial and ethnic variations in one-year clinical and patient-reported outcomes following breast reconstruction. Am J Surg 2017; 214 (02) 312-317
  • 16 Spataro E, Piccirillo JF, Kallogjeri D, Branham GH, Desai SC. Revision rates and risk factors of 175,842 patients undergoing septorhinoplasty. JAMA Facial Plast Surg 2016; 18 (03) 212-219