English abstract
Objectives: We sought to compare functional and cosmetic satisfaction among male
and female patients undergoing open and closed septorhinoplasty within sub-groups
of indications for the surgery at a tertiary care hospital in Oman. Methods: We
conducted a prospective study in the ear, nose, and throat surgery department at Sultan
Qaboos University Hospital from 2010 to 2015. All patients aged above 17 years,
without dysmorphic pathologies, and due to be operated through open or endonasal
septorhinoplasty based on the appropriate indications (functional or cosmetic or
functional and cosmetic), were included in the study. Results: Out of 215 patients who
underwent septorhinoplasty, 30 were lost to follow-up. One-hundred and eighty-five
patients (124 males and 61 females) available for postoperative assessment had been
allocated to septorhinoplasty by the endonasal approach (n = 89; 59 males and 30
females) or open approach (n = 96; 65 males and 31 females) based on their indications
for surgery: functional (n = 98; 64 males and 34 females); cosmetic (n = 39; 23 males
and 16 females); and both functional and cosmetic (n = 48; 37 males and 11 females).
Sex-wise distribution across different age groups for the specific surgical technique based
on indication for surgery did not show any significant differences within any of the
respective sub-groups. Both sexes reported no significant difference in satisfaction per
their scores on the functional satisfaction scale post open or endonasal intervention.
However, in their cosmetic satisfaction scale scores, a significantly higher proportion
of males within the functional indication for surgery subgroup (90.9%) expressed
satisfaction with the open surgical approach than the 71.0% males operated by the
endonasal approach (p = 0.041). Conclusions: Males undergoing septorhinoplasty for
functional indications expressed significant satisfaction with the open surgical approach
compared with the endonasal approach on the cosmetic satisfaction scale. This study
could accrue only 185 patients during the five-year study period and hence was unable to
generate any significant evidence to prove any differences in postoperative functional and
cosmetic satisfaction outcomes within sub-groups based on other indications for surgery
for males and females separately.
