title: Patient reported outcome measures in septorhinoplasty surgery.
abstract: BACKGROUND
  Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of 'limited clinical benefit' by many primary care providers. Patient reported outcome measures (PROMs), which assess the quality of care delivered from the patients' perspective, are becoming increasingly important in documenting the effectiveness of such procedures.
  
  
  METHODS
  The Rhinoplasty Outcomes Evaluation (ROE) questionnaire, a validated PROM tool, was used to assess patient satisfaction in 141 patients undergoing septorhinoplasty surgery over a 90-month period at the University Hospital Southampton NHS Foundation Trust.
  
  
  RESULTS
  Overall, 100 patients with a mean follow-up period of 36 months completed the study. The mean ROE score was 73.3%. In addition, 75% of patients questioned were happy with the final result of their operation and 83% would undergo the procedure again if required. These benefits occurred irrespective of age, sex and primary versus revision surgery, and were maintained for up to 71 months following surgery.
  
  
  CONCLUSIONS
  This study has shown that patients are generally satisfied with their functional and cosmetic outcomes following septorhinoplasty surgery. These results help support the case for septorhinoplasty surgery to continue being funded as an NHS procedure.
authors.affiliation: University Hospital Southampton NHS Foundation Trust, UK.
authors.forename: T C
authors.initials: TC
authors.lastname: Biggs
authors.forename: L R
authors.initials: LR
authors.lastname: Fraser
authors.forename: M J
authors.initials: MJ
authors.lastname: Ward
authors.forename: V S
authors.initials: VS
authors.lastname: Sunkaraneni
authors.forename: P G
authors.initials: PG
authors.lastname: Harries
authors.forename: R J
authors.initials: RJ
authors.lastname: Salib
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012225:Rhinoplasty; D012649:Self Concept; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult