Assessing Outcome in Aesthetic Rhinoplasty Surgeon Assessor Patient’s Perspective

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Author(s): Hafiz Khalil Ahmad1, Bilal Umar2 ,Kamran Khalid3,Muhammad Amin Yousaf4 ,Usman Ishaque5,Ammara Rabbani6

Pages: 16-25 | DOI: https://doi.org/10.5455/pjps.1713351214


Background: Throughout the years, a plethora of aesthetic rhinoplasty scales and instruments have surfaced,
each tailored to capture distinct dimensions of nasal features, patient contentment, and overall quality of life.
The importance of standardized outcome assessment tools in the context of aesthetic rhinoplasty is
paramount.
Objective: To propose a standardized outcome measuring tool in form of JRAS (Jinnah Burn and
Reconstructive Surgery Centre, Rhinoplasty Assessment Score) that unites patient’s aesthetic preferences
with the surgeon’s clinical objectivity.
Methodology: The study was conducted from March 2023 to August 2023 and 50 participants  were enrolled.
All surgeries were performed by different well-known surgeons having experience of more than 10 years in
the field. An independent rhinoplasty surgeon not performing the surgery, assessed the preoperative and
postoperative photographs taken at six months after rhinoplasty and marked the scores according to the
proforma given.ALikert item was generated to link satisfaction scores to a scale.
Results:Whilemean pre-operative JRAS was 41 ±3.2 while postoperative JRAS score was 46.1 ±1.8. This
showed an overall substantial improvement from the preoperative scores. Spearman’s correlation with
satisfaction scores showed a significant positive correlation.
Conclusion: JRAS is a good addition to the already existing repertoire of rhinoplasty assessment scores
especially because it provides unique perspective in linking the plastic surgeon’s assessment in a single
numerical score with the patient’s satisfaction. This allows all data points to be presented in a concise manner.
Received | 20-05-2024 Revision | 29-07-2024 Accepted | 12-08-2024
CorrespondingAuthor | Hafiz KhalilAhmad, Department of Plastic Surgery, Jinnah Hospital Lahore.
Email: khalilah007@gmail.com
Keywords | Aesthetic rhinoplasty, Outcome assessment scale, Surgeon: assessor: patient’s perspective, saddle deformity, hump
deformity.