A Prospective study on the Post Operative Outcomes of Open Septorhinoplasty

Arunraj, C (2020) A Prospective study on the Post Operative Outcomes of Open Septorhinoplasty. Masters thesis, Madurai Medical College, Madurai.

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Abstract

INTRODUCTION: Septorhinoplasty is derived from a greek word rhis means the nose and plassein means to shape. Hence it is a surgical procedure mainly aimed at working on the nose to give both cosmetic and functional betterment to the patient. Septorhinoplasty modifies the functional properties and aesthetic appearance of the nose through operative manipulation of the skin, underlying cartilage, bone, and lining. Septorhinoplasty is arguably the most critical of all facial surgical procedures. While relatively other operations may claim difficult anatomical access, requisition of excessive physical strength, or significant operating time causing surgeon fatigue, the operation of Septorhinoplasty demands a thorough understanding of an art and science. AIM AND OBJECTIVES: 1. To assess the post operative outcomes in patients subjected to surgery. 2. To standardizes assessment and enables to identify possible patients who do / don’t benefit from surgery in psychological, functional, social emotional aspects using a worldwide accepted SROE questionnaire studied by alizeraff. 3. To evaluate the best surgical approach (open) to improve the quality of outcomes of surgery. 4. To create awareness & happiness among people by providing this surgery. 5. To increase the self esteem of the patient. 6. SROE questionnaire standardizes assessment and enables to identify possible patients who do / don’t benefit from surgery in psychological, functional, social, emotional aspects. MATERIALS AND METHODS: STUDY DESIGN: A prospective study that includes patients with external nose deformities with or without nose obstruction /nasal valve collapse .each patient is to be subjected to full clinical evaluation and CT facial bone/PNS. STUDY SETTING: Department of ENT, Government Rajaji Hospital & Madurai Medical College, Madurai. STUDY SUBJECTS: patients visiting Government Rajaji Hospital, Madurai ENT OPD. STUDY PERIOD: September 2017 to September 2019. SAMPLE SIZE: 30 patients. METHOD OF STUDY: The study is conducted on 30 patients presenting with external nasal deformities with or without nasal obstruction satisfying the inclusion and exclusion criteria attending ENT OPD in Government Rajaji Hospital, Madurai. Approval of the institutional ethical committee obtained. After taking detailed history and clinical examination, computed tomography (plain study), photography in frontal, lateral & basal views are taken and proceeded with the study. RESULTS: A total of 30 patients with external nasal deformity with or without nasal obstruction were included in this study. The ages of the patient ranged from 19 to 49 years with mean age of 30.1 years. The minimum age in the study was 19 years and the maximum age was 49 years. 53.3% of the patients were less than 30 years of age and 46.7% of the patients were more than 30 years of age. Of the 30 patients, 27were males (90%) and 3 were females (10 %). Out of 30 cases there were different proportion of diagnostic cases selected for surgery the most being crooked nose 8 cases (27%), hump nose 7 cases (23%), caudal dislocation of nose 6 cases (20%), alar collapse being 4 cases (13%), saddle nose 3 cases (10%), tip deformity 2 cases (7%). Out of 30 cases only 5 cases (16.7%) are selected due to trauma related deformities and the rest 25 cases (83.3%) are non trauma /congenital cases. Of the 30 cases subjected to surgery, the mean value,standard deviation,p value were calculated with the help of SROE questionnaire and chi square test. pre operative score out of 50 (total score) is assessed initially and proceeded with post operative scores on 1st ,3rd month,6th month,1 year and total score is assigned for each period of time respectively and finally mean preoperative score and standard deviation is compared with regular interval post operative scores. CONCLUSION: This study meant to assess the post operative outcomes in eligible patients who are subjected to open method of septorhinoplasty has brought out lot of positives which was very well evidently analyzed by statistics bringing out a significant and a positive P value score of <0.001 .While operating a surgeon may encounter many issues like damaging the nasal soft tissue or musculature ,pleura injury while harvesting rib cartilage, sepsis following surgery, non compliance of the patient during follow ups which is not at all encountered in this study. SROE QUESTIONNAIRE is a great tool which paved way to highlight the successful outcome of this study. Almost all patients are highly satisfied with the open septorhinoplasty procedure which concludes the study.

Item Type: Thesis (Masters)
Additional Information: 221714102
Uncontrolled Keywords: Open septorhinoplasty, external nasal deformity with or without nasal obstruction, SROE QUESTIONNAIRE.
Subjects: MEDICAL > Otolaryngology
Depositing User: Subramani R
Date Deposited: 15 Feb 2021 03:41
Last Modified: 15 Feb 2021 03:41
URI: http://repository-tnmgrmu.ac.in/id/eprint/14223

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