Evaluating Change in Quality of Life as Long-Term Outcome Measure Post Septorhinoplasty: A Systematic Review.

Abstract

Septo-/rhinoplasty, combining septoplasty and rhinoplasty, addresses both functional nasal impairments and aesthetic concerns. While immediate outcomes are well-studied, long-term impacts on quality of life (QoL) are less explored. Evaluating QoL provides insights into the procedure's comprehensive benefits and limitations. This review synthesizes evidence on long-term QoL changes following septo-/rhinoplasty, identifies predictors of improved outcomes, and offers recommendations to optimize patient satisfaction. A systematic review was conducted using PRISMA guidelines and the PICOS framework. Inclusion criteria focused on patients with external nasal deformities and/or deviated nasal septum undergoing primary functional or cosmeto-functional septo-/rhinoplasty. Studies published between 2014 and 2024 were included. Validated QoL scales such as Rhinoplasty Outcome Evaluation and Nasal Obstruction Symptom Evaluation were used. Sixteen studies involving 2270 patients met the criteria. Significant long-term QoL improvements were observed across physical, psychological, and social dimensions. Enhanced nasal function, better facial aesthetics, and increased self-confidence were reported. Turbinectomy showed marginally better symptom relief, but no significant differences were found between open and closed rhinoplasty techniques. Patient demographics and psychological traits influenced outcomes. The studies were of moderate to high quality, though randomized trials were lacking. Septo-/rhinoplasty significantly enhances QoL by addressing functional and aesthetic concerns. Improvements in nasal obstruction correlate strongly with overall QoL. Patient-centered care and realistic counseling are essential for optimal satisfaction. Future randomized studies should focus on subgroup-specific outcomes to strengthen the evidence base.