Vertical dome division: a quality-of-life outcome study.

Abstract

OBJECTIVE:

To assess quality-of-life outcomes in patients undergoing nasal tip surgery with the vertical dome division technique using validated instruments (Rhinoplasty Outcome Evaluation [ROE] and Nasal Obstruction Symptom Evaluation [NOSE]).

STUDY DESIGN:

Case series with planned data collection.

SETTING:

Tertiary university center.

SUBJECT AND METHODS:

Patients undergoing primary cosmetic and functional rhinoseptoplasty using vertical dome division were consecutively evaluated. The ROE, NOSE, and 100-mm visual analog scale (VAS) were administered pre- and postoperatively.

RESULTS:

Forty-four patients were included and completed pre- and postoperative questionnaires. Their median age was 28 years, 27 (61%) were female, and the median duration of follow-up was 5 months (range, 3-9 months). Median postoperative ROE, NOSE, and VAS scores (79 [66; 87], 20 [15; 23], and 88 [61; 97], respectively) showed significant improvement compared with preoperative scores (29 [16; 41], 75 [60; 95], and 65 [46; 82], respectively; P < .001). The change in median ROE score was significantly greater in normal- and thin-skinned patients than in thick-skinned patients (54 vs 33; P = .033). Median changes in NOSE-p (-48.5 vs -68.0; P = .10) and VAS (69.0 vs 48.0; P =.083) scores did not differ between normal-/thin- and thick-skinned patients.

CONCLUSION:

Vertical dome division is a versatile technique for nasal tip refinement that resulted in significant improvement in quality-of-life outcomes related to rhinoplasty and nasal obstruction, as well as satisfaction with nasal appearance in a short-term follow-up period. The vertical dome division technique does not seem to be indicated only in patients with thick skin.

• Authors: Michelle Lavinsky-Wolff, José Eduardo Lutaif Dolci, Humberto Lopes Camargo Jr, Michelle Manzini, Sara Petersen, Sabrina Romanczuk, Rodrigo Pizzoni, Carisi Anne Polanczyk
• Journal: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (Otolaryngol Head Neck Surg) Vol. 148 Issue 5 Pg. 758-63 (May 2013) ISSN: 1097-6817 [Electronic] England
• PMID: 23459703 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Female
• Humans
• Male
• Middle Aged
• Nasal Septum (surgery)
• Quality of Life
• Rhinoplasty (methods)
• Treatment Outcome
• Young Adult