Open AccessVertical Dome Division: A Quality‐of‐Life Outcome Study
Author(s) -
LavinskyWolff Michelle,
Camargo Humberto L.,
Manzini Michelle,
Romanczuk Sabrina,
Pizzoni Rodrigo,
Dolci Jose E.L.,
Polanczyk Carisi A.
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451438a25
Subject(s) - medicine , dome (geology) , visual analogue scale , quality of life (healthcare) , surgery , paleontology , nursing , biology
Objective To assess quality‐of‐life outcomes in patients undergoing vertical dome division technique using a validated instrument, the Rhinoplasty Outcome Evaluation (ROE). Method Patients undergoing primary cosmetic and functional rhinoseptoplasty using vertical dome division were consecutively evaluated from December 2010 through October 2011 at a facial plastic clinic of a tertiary center in Brazil. During surgery patients were classified as normal‐, thin‐, or thick‐skinned. ROE and 100‐mm visual analogue scales (VAS) were administered pre‐ and postoperatively. Results Thirty‐one patients were included, and all answered pre‐ and postoperative questionnaires. Mean age was 31 ± 13 years, 18 (58%) were female, and mean follow‐up was 92 days (range 30‐191). ROE scores was higher postoperatively (75 [±16] vs 32 [±18]; P <. 001). Post‐ and preoperative ROE and VAS variation were 42 (±17) and 68 (40‐81), P <. 001. Postoperative ROE scores were similar among normal or thin‐skinned and thick‐skinned patients (78 [±13] vs 69 [±19]; P =. 123). VAS postoperative scores were higher among normal or thin skinned (90 mm [77‐100]) than among thick‐skinned patients (69 mm [51‐93]; P =. 008). Follow‐up is ongoing. Conclusion Our preliminary results demonstrated that vertical dome division is a versatile technique to nasal tip refinement that resulted in improvement of rhinoplasty‐related short‐term quality‐of‐life outcomes. Skin thickness does not seem to be a condition for using vertical dome division technique. Follow‐up is still ongoing.