Academic Journal
Dorsal Preservation versus Component Dorsal Hump Reduction Rhinoplasty: An Assessment of Patient-reported Outcomes
| العنوان: | Dorsal Preservation versus Component Dorsal Hump Reduction Rhinoplasty: An Assessment of Patient-reported Outcomes |
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| المؤلفون: | Jose A. Foppiani, MD, Ngamthoiba Joy, MBBS, Angelica Hernandez Alvarez, MD, Maria J. Escobar-Domingo, MD, Daniela Lee, BS, Iulianna C. Taritsa, BA, Kirsten A. Schuster, MD, JD, Nancy Maty Aneken, MD, Bernard T. Lee, MD, MPH, MBA, Samuel J. Lin, MD, MBA |
| المصدر: | Plastic and Reconstructive Surgery, Global Open, Vol 12, Iss 8, p e6103 (2024) |
| بيانات النشر: | Wolters Kluwer, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Surgery, RD1-811 |
| الوصف: | Background:. The literature on patient-reported outcomes (PROs) discussing dorsal preservation rhinoplasty (DPR) and component dorsal hump reduction (CDHR) is scarce. This study aims to fill the gap in PROs between these techniques. Methods:. A systematic review was conducted to investigate PROs of DPR and CDHR. A proportion meta-analysis was conducted using Stata statistical software. Results:. A total of 25 studies met our inclusion criteria, pooling 1706 participants, with 13 studies on CDHP and 12 studies on DPR. Overall satisfaction rates were high, varying from 84% to 100% across studies. A subgroup analysis revealed that both techniques exhibited equally high satisfaction with no statistical differences (P = 0.18). A random-effects model revealed that about two of 100 treated patients underwent revisions across our cohort (95% interquartile range: 0–4). Notably, the CDHR technique was associated with a significant 53.7-point reduction in the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS)-cosmetic domain [95% confidence interval (CI): −62.7 to −44.8, P < 0.001], along with a meaningful improvement in SCHNOS-obstructive scores by −27.3 points (95% CI: −50.5 to −4.04, P = 0.02). Conversely, the DPR was linked to a 55.3-point reduction in the SCHNOS-cosmetic domain (95% CI: −60.7 to −49.9, P < 0.001), and a −19.5 point change in the SCHNOS-obstructive domain (95% CI: −27.9 to −11.1, P < 0.001). Conclusion:. Although PROs are comparable, the literature suggests that CDHR outcomes may be better than DPR in alleviating obstructive symptoms, potentially offering an evidence-based choice for addressing functional concerns in rhinoplasty. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2169-7574 00000000 |
| Relation: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006103; https://doaj.org/toc/2169-7574 |
| DOI: | 10.1097/GOX.0000000000006103 |
| URL الوصول: | https://doaj.org/article/3ccad33cd11a4701a0a14cc576d8263b |
| رقم الانضمام: | edsdoj.3ccad33cd11a4701a0a14cc576d8263b |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21697574 00000000 |
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| DOI: | 10.1097/GOX.0000000000006103 |