title: High patient satisfaction after secondary rhinoplasty in cleft lip patients.
abstract: OBJECTIVE
  We surveyed the subjective outcome of secondary rhinoplasty in cleft lip patients.
  
  
  METHODS
  Questionnaires were sent to 38 patients who had undergone a secondary rhinoplasty. A total of 30 questionnaires were returned and analyzed. Patients were asked to score their preoperative and postoperative nasal function and form. The validated Rhinoplasty Outcome Evaluation (ROE) questionnaire was supplemented with questions on the subjective burden of the procedure and general satisfaction. In parallel, the objective aesthetic outcome was judged by 2 surgeons using preoperative and postoperative photographs.
  
  
  RESULTS
  There was a significant subjective improvement in ROE scores (from 39.3 ± 3.1 to 73.1 ± 2.0, p < 0.001), and in specific scores for nasal aesthetical appearance (from 3.6 ± 0.3 to 7.9 ± 0.2, p < 0.0001) and breathing capacity (from 4.9 ± 0.4 to 6.8 ± 0.3, p < 0.01). Subjective improvement in nasal aesthetics was generally evaluated to be better than improvement in nasal breathing. In retrospect, all patients would undergo the procedure again. Patient satisfaction did not correlate with the surgeon's appreciation of the aesthetic outcome of the rhinoplasty.
  
  
  CONCLUSIONS
  Patient satisfaction after secondary rhinoplasty in cleft lip patients is high and comparable to that of non-cleft lip rhinoplasty patients.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
authors.forename: Greet
authors.initials: G
authors.lastname: Hens
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Picavet
authors.forename: Vincent Vander
authors.initials: VV
authors.lastname: Poorten
authors.forename: Joseph
authors.initials: J
authors.lastname: Schoenaers
authors.forename: Mark
authors.initials: M
authors.lastname: Jorissen
authors.forename: Peter W
authors.initials: PW
authors.lastname: Hellings
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D002971:Cleft Lip / Q000523:psychology / Q000601:surgery*; D002972:Cleft Palate / Q000523:psychology / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012086:Reoperation / Q000523:psychology; D012225:Rhinoplasty / Q000523:psychology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult