1.Patient dissatisfaction following rhinoplasty:a 10‑year experience in Iran
Farhad GHORBANI ; Hanie AHMADI ; Ghazal DAVAR
Maxillofacial Plastic and Reconstructive Surgery 2023;45(1):7-
Background:
The nose is one of the most prominent parts of the face and plays a significant role in peoples’ selfsatisfaction as well as quality of life. Rhinoplasty is considered as one of the most numerous and delicate cosmetic surgeries all around the world that can be performed for functional issues, esthetic issues, or both. In this study, we aimed to evaluate the dissatisfaction of patients who had undergone rhinoplasty surgery and inform the surgeons to improve the surgical techniques to prevent probable future complaints.Method This retrospective cross-sectional study was conducted to report various aspects of dissatisfaction of patients following rhinoplasty. All available files in the Fars Forensic Medicine Department between 2011 and 2020 were reviewed, and the required information was extracted.
Results:
Out of 117 patients, 68.4% were females and 31.6% were males. Most of the patients were in the age range of 30–34 years. In terms of educational attainment, the highest frequency is associated with academically educated patients and the lowest with a diploma. The majority of cases filed for litigation less than 6 months after their rhinoplasty. The first rank among the factors of dissatisfaction with surgeries belonged to “respiratory problems” (36.8%) followed by “dissatisfaction with the general shape of the nose” (34.2%).
Conclusion
Our study shows that middle-aged female patients may be more difficult to satisfy. In general, at younger ages, patients complain about esthetics, and with aging, most patients feel dissatisfied with nasal function.
2.Analysis of hard tissue facial symmetry after unilateral mandibular reconstruction
Mohamad Saleh KHAGHANINEJAD ; Leila KHOJASTEPOUR ; Hanie AHMADI ; Saeid TAVANAFAR ; Alireza EBRAHIMI ; Mohammad MAHJOORI-GHASRODASHTI
Maxillofacial Plastic and Reconstructive Surgery 2021;43(1):15-
Background:
This study aimed to determine how successful reconstruction of the mandible can recover the symmetry.
Materials and methods:
All patients who underwent surgical treatment for unilateral mandibular reconstruction in 4 years were retrospectively examined. Bilateral differences of gonion (GO) positions were measured in 3 dimensions based on immediate postoperative computed tomography. The data collected was analyzed in 3 ways: First, the comparison of bilateral differences of GO in 3 dimensions. Second, the mean Asymmetry Index in control subjects was used to divide all cases into three groups: “Symmetry,” “Asymmetry,” and “Marked asymmetry.” Third, “maximum normal asymmetry” was calculated, and all cases were categorized as below and above maximum normal asymmetry. The difference between two gonial angles was used to determine the amount of asymmetry.
Results:
Forty-seven patients and 47 normal adults were enrolled. The mean bilateral GO difference in the control group was higher than in the study group patients, but it was not statistically significant. The mean Asymmetry Index for the control group was not also significantly higher than the study cases. The study group was “Symmetric” in 78.7% of the cases whereas the control group in 91.4%, 19.1% of the study group and 8.5% of controls were “Asymmetric,” and 2.1% of study cases and 0% of controls were “Markedly Asymmetric.” Maximum normal asymmetry was 82.9% in the study group and 97.8% in the control group. The mean differences between the right and left gonial angles were higher in the study group, but it was not significant (P = 0.1).
Conclusions
Our study’s results showed that bilateral symmetry in mandibular reconstruction patients was satisfactory and similar to the normal individuals.