title: Outcomes in open structure septorhinoplasty.
abstract: OBJECTIVE
  This study assessed the patient-related outcome measures and complications of post-open structure septorhinoplasty. It also investigated the factors associated with the need for revision surgery.
  
  
  METHODS
  We prospectively reviewed the case notes of patients who underwent septorhinoplasty performed by a single rhinologist at our institute between August 2011 and August 2013. Patient satisfaction was assessed using the Rhinoplasty Outcomes Evaluation (ROE) tool.
  
  
  RESULTS
  A total of 120 patients were included with a mean follow-up time of 28.2 months. Eight patients (6.7%) required revision nasal surgery. There was a significant increase in the mean post-operative ROE score of all patients who underwent surgery (19.5 ± 9.41 vs. 68.4 ± 23.7,p < 0.001). The rate of revision surgery was significantly higher in patients with complex surgeries (3/12 vs. 5/108, p = 0.03). There were higher rates of nasal tip deformity surgery and augmentation surgery in the revision surgery group compared to the primary surgery group: 8/17 vs. 20/103, p = 0.03 for nasal tip and 10/17 vs. 27/103, p = 0.01 for augmentation.
  
  
  CONCLUSIONS
  Open structure septorhinoplasty significantly increased the ROE score. Our rate of revision surgery, 6.7%, was lower than the average rate of 10%-18% reported in the literature. The rate of revision surgery was higher in cases judged pre-operatively to be more complex.
authors.forename: S D
authors.initials: SD
authors.lastname: Sharma
authors.forename: T
authors.initials: T
authors.lastname: Jacques
authors.forename: T
authors.initials: T
authors.lastname: Abed
authors.forename: D
authors.initials: D
authors.lastname: Gatland
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000601:surgery*; D017060:Patient Satisfaction; D012086:Reoperation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult