Preoperative factors for quality of life improvement after functional septorhinoplasty

Introduction Functional rhinoplasty can improve the disease-specific quality of life measured with dedicated patient-reported outcome measures like the functional septorhinoplasty outcome inventory-17 (FROI-17). Still, some patients show little or no improvement in the postoperative course. Aim of this study was the assessment of preoperative factors and their impact on postoperative improvement the FROI-17.

Methods 113 patients underwent SRPL at the University Hospital Heidelberg. All patients completed the FROI-17 before and 12 months after surgery and initially a screening questionnaire on body dysmorphic disorder (the BDDQ-AS). Patient characteristics including prior surgery and nasal shape were registered. The endpoint of the study was the mean difference between pre- and postoperative total FROI-score. Data analyses included uni- and multivariate regression and t-test, a p

Results In univariate analysis, patients with positive BDD-screening (p=0.024) and deviated nose (p=0.003) showed a significantly higher improvement in the total FROI-score. Age, gender, surgical approach and revision surgery showed no significant differences. The preoperative FROI-score was significantly associated with improvement after surgery (p<0.001). In the multivariate model, only preoperative FROI-score remained as significant factor (also p<0.001).

Conclusion Deviated nose and positive screening on BDD are significant parameters that may affect the amount of quality of life gain. Disease-specific questionnaire like the FROI-17 are not only valuable in pre- and postoperative patient evaluation, but can also help the surgeon estimate the possible amount of postoperative improvement.

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Artikel online veröffentlicht:
19. April 2024