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American Journal of Oral Medicine and Radiology

Volume 11, Issue 1, 2024
Mcmed International
American Journal of Oral Medicine and Radiology
Issn
XXX-XXXX (Print), 2394 - 7721 (Online)
Frequency
bi-annual
Email
editorajomr@mcmed.us
Journal Home page
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Abstract
Title
COMPREHENSIVE RHINOPLASTY: INTEGRATING AESTHETIC GOALS WITH FUNCTIONAL ASSESSMENT TO ENHANCE PATIENT OUTCOMES AND SATISFACTION
Author
Dr. Maddali V. Lakshmi Prathusha
Email
keyword
Rhinoplasty, Nasal Aesthetics, Revision Rhinoplasty, Nasal Obstruction, Nasal Valve Collapse, Functional Nasal Pathology, Endonasal Abnormalities, Patient Satisfaction
Abstract
Rhinoplasty (RP) is primarily sought for cosmetic enhancement, focusing on improving nasal aesthetics according to patient and family expectations. However, successful outcomes rely on addressing not only external nasal structure but also underlying functional and anatomical issues within the nasal cavity. Neglecting these factors may lead to postoperative complications, including nasal obstruction and the need for revision surgery. Studies show that revision RP is frequently performed due to nasal tip asymmetry and breathing difficulties, with nearly two-thirds of these patients experiencing nasal obstruction caused by adhesions or collapsed nasal valves. Additionally, reducing the nasal cross-sectional area during RP can increase the risk of postoperative breathing issues. Functional nasal pathologies stem from structural and anatomical factors, where mucosal conditions are typically managed through medical treatments and structural abnormalities often require surgical correction. A comprehensive preoperative assessment of both aesthetic and functional components, including sinonasal symptoms and potential structural abnormalities, is crucial for achieving high patient satisfaction and quality of life post-RP. Unlike many academic centers where cosmetic RP rarely includes functional evaluations, our team integrates clinical examinations and structured questionnaires to assess and treat underlying functional issues in aesthetic RP patients. This comprehensive approach aids in reducing the likelihood of revision surgeries and enhances long-term satisfaction by ensuring both cosmetic and functional needs are addressed
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