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Aesthetic Outcome of Transfacial Sinus Surgery
The Patient's View
Juergen Alberty, MD;
Wolfgang Hermann, MD, PhD;
Christoph Mueller, MD;
Claudia Rudack, MD;
Wolfgang Stoll, MD
Arch Otolaryngol Head Neck Surg. 2006;132:1190-1195.
Objective To investigate the patient's view of the cosmetic outcome of transfacial sinus surgery.
Design Prospective survey of patients after transfacial sinus surgery in a tertiary referral academic otolaryngology department.
Setting Academic outpatient clinic of otorhinolaryngology.
Patients Seventy patients (52 men, 18 women; mean ± SD age, 56.2 ± 14.9 years) who had undergone transfacial sinus surgery more than 4 months prior to study entry.
Interventions Standardized patient self-assessment for postoperative alteration of facial appearance and emotional impairment and standardized observer assessment by surgeons and laypersons by means of visual analogue scales.
Results Seventy-nine percent of the patients rated their appearance unaltered or minimally altered after transfacial surgery, and 91% reported no or minimal cosmetic morbidity. Postoperative cosmetic morbidity was significantly more common in women, in patients with chronic disease, and in those operated on for trauma. The surgeons' assessment was significantly correlated with the patients' self-assessment of altered appearance, but not with the patients' emotional impairment.
Conclusion Consideration of these risk factors may help to further improve patient selection for, and patients' satisfaction with, transfacial sinus surgery.
Author Affiliations: Department of Otorhinolaryngology, University of Münster, Münster, Germany.
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