Skip to main content
Erschienen in: Aesthetic Plastic Surgery 5/2024

12.05.2023 | Review

The Effect of Functional Rhinoplasty on Quality of Life: A Systematic Review and Meta-Analysis

verfasst von: Kai Chen, Li Zhou

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 5/2024

Einloggen, um Zugang zu erhalten

Abstract

Background

The purpose of the study was to comprehensively review the effect of functional rhinoplasty on quality of life.

Methods

Eligible studies before December 2022 were identified by searching PubMed, Ovid, and Embase databases. The meta-analysis was performed with Stata. Outcomes included NOSE, SNOT-22 scores, VAS of obstruction, and ROE.

Results

Sixteen studies, involving a total of 971 patients, were included. Meta-analysis showed that functional rhinoplasty statistically reduced the NOSE, SNOT-22 scores, and VAS of obstruction and statistically increased the ROE score of patients.

Conclusion

Functional rhinoplasty could statistically significantly improve quality of life of patients. However, given the number and quality of included research, further thorough studies with a larger sample size of high-quality studies need to be conducted.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literatur
1.
Zurück zum Zitat Chan D, Shipchandler TZ (2015) Update on the evidence for functional rhinoplasty techniques. Curr Opin Otolaryngol Head Neck Surg 23(4):265–271CrossRefPubMed Chan D, Shipchandler TZ (2015) Update on the evidence for functional rhinoplasty techniques. Curr Opin Otolaryngol Head Neck Surg 23(4):265–271CrossRefPubMed
2.
Zurück zum Zitat Friedman O, Cekic E, Gunel C (2017) Functional Rhinoplasty. Facial Plast Surg Clin North Am 25(2):195–199CrossRefPubMed Friedman O, Cekic E, Gunel C (2017) Functional Rhinoplasty. Facial Plast Surg Clin North Am 25(2):195–199CrossRefPubMed
3.
Zurück zum Zitat Baumann I (2010) Quality of life before and after septoplasty and rhinoplasty. GMS Curr Top Otorhinolaryngology Head Neck Surg 9:06 Baumann I (2010) Quality of life before and after septoplasty and rhinoplasty. GMS Curr Top Otorhinolaryngology Head Neck Surg 9:06
4.
Zurück zum Zitat Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed) 29(372):n71 Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed) 29(372):n71
5.
Zurück zum Zitat Zhao R, Chen K, Tang Y (2022) Effects of functional rhinoplasty on nasal obstruction: a meta-analysis. Aesthetic Plast Surg 46(2):873–885CrossRefPubMed Zhao R, Chen K, Tang Y (2022) Effects of functional rhinoplasty on nasal obstruction: a meta-analysis. Aesthetic Plast Surg 46(2):873–885CrossRefPubMed
6.
Zurück zum Zitat Aydoğdu I, Bayram AA, Aydoğdu Z (2022) Assessment of functional outcomes of an autospreader flap and spreader graft in rhinoplasty. J Craniofac Surg 33(3):e257–e260CrossRefPubMed Aydoğdu I, Bayram AA, Aydoğdu Z (2022) Assessment of functional outcomes of an autospreader flap and spreader graft in rhinoplasty. J Craniofac Surg 33(3):e257–e260CrossRefPubMed
7.
Zurück zum Zitat Datema FR, van Zijl F, van der Poel EF, Baatenburg de Jong RJ, Lohuis P (2017) Transparency in functional rhinoplasty: benefits of routine prospective outcome measurements in a tertiary referral center. Plast Reconstr Surg 140(4):691–702CrossRefPubMed Datema FR, van Zijl F, van der Poel EF, Baatenburg de Jong RJ, Lohuis P (2017) Transparency in functional rhinoplasty: benefits of routine prospective outcome measurements in a tertiary referral center. Plast Reconstr Surg 140(4):691–702CrossRefPubMed
8.
Zurück zum Zitat Most SP (2006) Analysis of outcomes after functional rhinoplasty using a disease-specific quality-of-life instrument. Arch Facial Plast Surg 8(5):306–309CrossRefPubMed Most SP (2006) Analysis of outcomes after functional rhinoplasty using a disease-specific quality-of-life instrument. Arch Facial Plast Surg 8(5):306–309CrossRefPubMed
9.
Zurück zum Zitat Lindsay RW (2012) Disease-specific quality of life outcomes in functional rhinoplasty. Laryngoscope 122(7):1480–1488CrossRefPubMed Lindsay RW (2012) Disease-specific quality of life outcomes in functional rhinoplasty. Laryngoscope 122(7):1480–1488CrossRefPubMed
10.
Zurück zum Zitat Günel C, Omurlu IK (2015) The effect of rhinoplasty on psychosocial distress level and quality of life, European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head and Neck Surgery 272: 1931–1935 Günel C, Omurlu IK (2015) The effect of rhinoplasty on psychosocial distress level and quality of life, European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head and Neck Surgery 272: 1931–1935
11.
Zurück zum Zitat de Moura BH, Migliavacca RO, Lima RK, Dolci JEL, Becker M, Feijó C, Brauwers E, Lavinsky-Wolff M (2018) Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality-of-life outcomes: a randomized clinical trial. Laryngoscope 128(1):57–63CrossRefPubMed de Moura BH, Migliavacca RO, Lima RK, Dolci JEL, Becker M, Feijó C, Brauwers E, Lavinsky-Wolff M (2018) Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality-of-life outcomes: a randomized clinical trial. Laryngoscope 128(1):57–63CrossRefPubMed
12.
Zurück zum Zitat Radulesco T, Penicaud M, Santini L, Thomassin JM, Dessi P, Michel J (2018) Outcomes of septorhinoplasty: a new approach comparing functional and aesthetic results. Int J Oral Maxillofac Surg 47(2):175–179CrossRefPubMed Radulesco T, Penicaud M, Santini L, Thomassin JM, Dessi P, Michel J (2018) Outcomes of septorhinoplasty: a new approach comparing functional and aesthetic results. Int J Oral Maxillofac Surg 47(2):175–179CrossRefPubMed
13.
Zurück zum Zitat Plath M, Sand M, Cavaliere C, Plinkert PK, Baumann I, Zaoui K (2021) How to predict the outcome of septorhinoplasty? a normative study of ROE and FROI-17 scores. Acta otorhinolaryngologica Italica: organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale 41(4):327–335CrossRefPubMed Plath M, Sand M, Cavaliere C, Plinkert PK, Baumann I, Zaoui K (2021) How to predict the outcome of septorhinoplasty? a normative study of ROE and FROI-17 scores. Acta otorhinolaryngologica Italica: organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale 41(4):327–335CrossRefPubMed
14.
Zurück zum Zitat Kemal Ö, Tahir E, Kavaz E, Karabulut H (2022) Impact of functional and aesthetic factors on patient satisfaction in septorhinoplasty. Turkish Archives Otorhinolaryngology 60(1):36–41CrossRef Kemal Ö, Tahir E, Kavaz E, Karabulut H (2022) Impact of functional and aesthetic factors on patient satisfaction in septorhinoplasty. Turkish Archives Otorhinolaryngology 60(1):36–41CrossRef
15.
Zurück zum Zitat Phillips PS, Stow N, Timperley DG, Sacks R, Srubiski A, Harvey RJ, Marcells GN (2011) Functional and cosmetic outcomes of external approach septoplasty. Am J Rhinol Allergy 25(5):351–357CrossRefPubMed Phillips PS, Stow N, Timperley DG, Sacks R, Srubiski A, Harvey RJ, Marcells GN (2011) Functional and cosmetic outcomes of external approach septoplasty. Am J Rhinol Allergy 25(5):351–357CrossRefPubMed
16.
Zurück zum Zitat Mahato NB, Regmi D, Bista M (2021) Septorhinoplasty among patients who visited the outpatient department of otolaryngology-head and neck surgery of a tertiary care center: a descriptive cross-sectional study. JNMA J Nepal Med Assoc 59(237):432–436PubMedPubMedCentral Mahato NB, Regmi D, Bista M (2021) Septorhinoplasty among patients who visited the outpatient department of otolaryngology-head and neck surgery of a tertiary care center: a descriptive cross-sectional study. JNMA J Nepal Med Assoc 59(237):432–436PubMedPubMedCentral
17.
Zurück zum Zitat Martin MM, Hauck K, von Witzleben A, Lindemann J, Scheithauer MO, Hoffmann TK, Sommer F (2022) Treatment success after rhinosurgery: an evaluation of subjective and objective parameters. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head and Neck Surgery 279(1):205-211. Martin MM, Hauck K, von Witzleben A, Lindemann J, Scheithauer MO, Hoffmann TK, Sommer F (2022) Treatment success after rhinosurgery: an evaluation of subjective and objective parameters. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head and Neck Surgery 279(1):205-211.
18.
Zurück zum Zitat Andrews PJ, Choudhury N, Takhar A, Poirrier AL, Jacques T, Randhawa PS (2015) The need for an objective measure in septorhinoplasty surgery: are we any closer to finding an answer? Clin Otolaryngol 40(6):698–703CrossRefPubMed Andrews PJ, Choudhury N, Takhar A, Poirrier AL, Jacques T, Randhawa PS (2015) The need for an objective measure in septorhinoplasty surgery: are we any closer to finding an answer? Clin Otolaryngol 40(6):698–703CrossRefPubMed
19.
Zurück zum Zitat Balikci HH, Gurdal MM (2014) Satisfaction outcomes in open functional septorhinoplasty: prospective analysis. J Craniofac Surg 25(2):377–379CrossRefPubMed Balikci HH, Gurdal MM (2014) Satisfaction outcomes in open functional septorhinoplasty: prospective analysis. J Craniofac Surg 25(2):377–379CrossRefPubMed
20.
Zurück zum Zitat Başer E, Kocagöz GD, Çalim ÖF, Verim A, Yilmaz F, Özturan O (2016) Assessment of patient satisfaction with evaluation methods in open technique septorhinoplasty. J Craniofac Surg 27(2):420–424CrossRefPubMed Başer E, Kocagöz GD, Çalim ÖF, Verim A, Yilmaz F, Özturan O (2016) Assessment of patient satisfaction with evaluation methods in open technique septorhinoplasty. J Craniofac Surg 27(2):420–424CrossRefPubMed
21.
Zurück zum Zitat Sasindran V, Harikrishan B, Mathew N (2020) Cosmetic and Functional Outcomes of Septorhinoplasty. Indian J Otolaryngology Head Neck Surg: Off Publ Assoc Otolaryngologists India 72(2):194–199CrossRef Sasindran V, Harikrishan B, Mathew N (2020) Cosmetic and Functional Outcomes of Septorhinoplasty. Indian J Otolaryngology Head Neck Surg: Off Publ Assoc Otolaryngologists India 72(2):194–199CrossRef
22.
Zurück zum Zitat Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT (2004) Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngol Head Neck Surg 130(2):157–163CrossRefPubMed Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT (2004) Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngol Head Neck Surg 130(2):157–163CrossRefPubMed
23.
Zurück zum Zitat Alsarraf R (2000) Outcomes research in facial plastic surgery: a review and new directions. Aesthetic Plast Surg 24(3):192–197CrossRefPubMed Alsarraf R (2000) Outcomes research in facial plastic surgery: a review and new directions. Aesthetic Plast Surg 24(3):192–197CrossRefPubMed
24.
Zurück zum Zitat Bulut OC, Plinkert PK, Wallner F, Baumann I (2016) Quality of life in functional rhinoplasty: rhinoplasty outcomes evaluation German version (ROE-D). European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head Neck Surg 273(9):2569-73. Bulut OC, Plinkert PK, Wallner F, Baumann I (2016) Quality of life in functional rhinoplasty: rhinoplasty outcomes evaluation German version (ROE-D). European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head Neck Surg 273(9):2569-73.
25.
Zurück zum Zitat DeConde AS, Mace JC, Bodner T, Hwang PH, Rudmik L, Soler ZM, Smith TL (2014) SNOT-22 quality of life domains differentially predict treatment modality selection in chronic rhinosinusitis. Int Forum Allerg Rhinolo 4(12):972–979CrossRef DeConde AS, Mace JC, Bodner T, Hwang PH, Rudmik L, Soler ZM, Smith TL (2014) SNOT-22 quality of life domains differentially predict treatment modality selection in chronic rhinosinusitis. Int Forum Allerg Rhinolo 4(12):972–979CrossRef
26.
Zurück zum Zitat Floyd EM, Ho S, Patel P, Rosenfeld RM, Gordin E (2017) Systematic review and meta-analysis of studies evaluating functional rhinoplasty outcomes with the NOSE score. Otolaryngol Head Neck Surg 156(5):809–815CrossRefPubMed Floyd EM, Ho S, Patel P, Rosenfeld RM, Gordin E (2017) Systematic review and meta-analysis of studies evaluating functional rhinoplasty outcomes with the NOSE score. Otolaryngol Head Neck Surg 156(5):809–815CrossRefPubMed
27.
Zurück zum Zitat Pfaff MJ, Bertrand AA, Lipman KJ, Shah A, Nolan I, Krishna V, Patel H, Roostaeian J, Lee JC (2021) The effect of functional nasal surgery on olfactory function. Plast Reconstr Surg 147(3):707–718CrossRefPubMed Pfaff MJ, Bertrand AA, Lipman KJ, Shah A, Nolan I, Krishna V, Patel H, Roostaeian J, Lee JC (2021) The effect of functional nasal surgery on olfactory function. Plast Reconstr Surg 147(3):707–718CrossRefPubMed
28.
Zurück zum Zitat AlHarethy S, Al-Angari SS, Syouri F, Islam T, Jang YJ (2017) Assessment of satisfaction based on age and gender in functional and aesthetic rhinoplasty. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head Neck Surg 274(7):2809-2812. AlHarethy S, Al-Angari SS, Syouri F, Islam T, Jang YJ (2017) Assessment of satisfaction based on age and gender in functional and aesthetic rhinoplasty. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology-Head Neck Surg 274(7):2809-2812.
Metadaten
Titel
The Effect of Functional Rhinoplasty on Quality of Life: A Systematic Review and Meta-Analysis
verfasst von
Kai Chen
Li Zhou
Publikationsdatum
12.05.2023
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 5/2024
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-023-03390-3

Weitere Artikel der Ausgabe 5/2024

Aesthetic Plastic Surgery 5/2024 Zur Ausgabe

Vorsicht, erhöhte Blutungsgefahr nach PCI!

10.05.2024 Koronare Herzerkrankung Nachrichten

Nach PCI besteht ein erhöhtes Blutungsrisiko, wenn die Behandelten eine verminderte linksventrikuläre Ejektionsfraktion aufweisen. Das Risiko ist umso höher, je stärker die Pumpfunktion eingeschränkt ist.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Deutlich weniger Infektionen: Wundprotektoren schützen!

08.05.2024 Postoperative Wundinfektion Nachrichten

Der Einsatz von Wundprotektoren bei offenen Eingriffen am unteren Gastrointestinaltrakt schützt vor Infektionen im Op.-Gebiet – und dient darüber hinaus der besseren Sicht. Das bestätigt mit großer Robustheit eine randomisierte Studie im Fachblatt JAMA Surgery.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.