A patient- and observer-rated analysis of the impact of lateral rhinotomy on facial aesthetics

Arch Facial Plast Surg. Oct-Dec 2001;3(4):241-4. doi: 10.1001/archfaci.3.4.241.


Objective: To determine, using patient- and observer-rated facial disfigurement measures, whether a lateral rhinotomy imparts significant aesthetic morbidity.

Design: Retrospective and subject-controlled study in a large, tertiary-referral, academic otolaryngology department. Twenty-one consecutive patients who had undergone lateral rhinotomy for the treatment of inverted papilloma were studied in the long-term.

Main outcome measures: Scores on the following: (1) the novel Patient-Rated Facial Disfigurement Analogue Scale questionnaire and (2) the reliable and validated Observer-Rated Facial Disfigurement 9-Point Likert Scale.

Results: Patients rated their facial appearance as minimally altered and significantly less apparent to others. The observers in this study, a surgeon (J.C.I.) and a psychiatrist (M.R.K.), rated the patients' facial disfigurement as minimally visible. Patients seem to rate how apparent their appearance is to others in a similar fashion to observers. The observer-rated facial disfigurement scale used is valid and reliable.

Conclusion: Patient- and observer-rated facial disfigurement measures suggest that a lateral rhinotomy does not impart significant aesthetic morbidity.

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel
  • Esthetics*
  • Face*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nose / surgery*
  • Nose Neoplasms / surgery*
  • Papilloma, Inverted / surgery
  • Retrospective Studies
  • Self Concept*