Clinical and Psychosocial Outcomes of Rhinoplasty: A Prospective Study Using Glasgow Benefit Inventory

Abstract

Background:
Rhinoplasty presents a unique challenge to facial cosmetic surgeons due to the intricate nasal anatomy, lack of standardization in surgical approaches, and the diverse expectations of patients. This study aims to address the growing trend of rhinoplasty among young individuals, focusing on the need for comprehensive data collection and outcome analysis. Patient-reported outcomes, particularly quality of life (QOL) assessments, are gaining significance in evaluating the success of facial cosmetic procedures.
Methodology:
A prospective longitudinal study was conducted on 30 patients with various forms of nasal deformities at SLN Medical College and Hospital, Koraput, Odisha. Surgeries were performed by senior consultants, and the outcomes were analyzed using the Glasgow Benefit Inventory (GBI). Patients were assessed using GBI questionnaires in English and Hindi at 3 and 6 months postsurgery. Inclusion criteria involved patients aged 18 to 60 with parental support and consent for rhinoplasty, while exclusion criteria included psychologically unstable patients and those medically unfit. Detailed preoperative evaluations, standardized surgeries, and postoperative assessments were conducted.
Results:
Among 31 patients undergoing rhinoplasty, the most common deformity was a crooked nose (38.7%). The mean total GBI score was 63.21, with significant differences observed in total scores, general benefit, and social support scores over 3 and 6 months. Descriptive analysis revealed no significant differences between male and female patients or among different forms of nasal deformities. The study indicated an overall improvement in health status, with a notable impact on general benefit and social support.
Discussion:
Surgeons undertaking rhinoplasty must navigate the complex interplay of nasal anatomy and psychosocial expectations. Patient satisfaction, a key metric, necessitates scrutiny of surgical outcomes. This study employs GBI, a validated post-intervention questionnaire, to comprehensively assess clinical, QOL, and psychological improvements. The positive results underscore the significance of aesthetic and functional rhinoplasty in enhancing the QOL of the study population.
Conclusion:
This study concludes that rhinoplasty positively impacts patients' psyches by improving their selfperception and overall well-being. Through meticulous preoperative assessment, proper patient selection, and standardized surgical procedures, rhinoplasty can achieve excellent clinical and psychological outcomes. The Glasgow Benefit Inventory emerges as a vital tool for postintervention assessment in rhinoplasty studies.