Validation and clinical application of the Arabic rhinoplasty outcomes evaluation questionnaire.

OBJECTIVES: To carry out translation, cross-cultural adaptation, and validation of the rhinoplasty outcome evaluation (ROE) into Arabic. METHODS: This non-randomized, prospective study included 50 patients from the Otorhinolaryngology Department, King Saud University, Riyadh, Saudi Arabia who underwent primary rhinoplasty from January to October 2020 and a control group of 89 healthy individuals. The reliability of the Arabic (ROE) was tested using Cronbach's alpha. The test-retest reliability was assessed by estimating the intra-class correlation coefficient for the total Arabic (ROE) score and individual items. Discriminant validity was used to examine the validity of the Arabic (ROE) by comparing the scores of the patients and the control group. The Friedman test was used to measure differences in Arabic (ROE) ratings within the study patients' group, including preoperative, and 2 weeks, and 3 months postoperative ratings. RESULTS: The internal consistency and reliability of the Arabic (ROE) were good. There was a significant difference in ratings between rhinoplasty patients and the control group regarding both the individual questions and total scores. Significant improvement was observed in the patient group ratings at 2 weeks and 3 months postoperatively compared to the preoperative rating (p<0.0001). CONCLUSIONS: The Arabic version of the (ROE) showed good reliability and validity and can be used in the assessment of rhinoplasty outcomes in the Arabic population.

Trends and demographic characteristics of Saudi cosmetic surgery patients.

OBJECTIVES: To  present the demographic characteristics of Saudi patients undergoing cosmetic procedures.  Methods: This prospective study survey was conducted in 3 private cosmetic surgery centers in different regions of Saudi Arabia (Riyadh and Jeddah) between January and August 2016. Validated questionnaire with modification was used and the following patient's information were provided: age group, height and weight, marital status, number of children, age of the patient's spouse, educational level, monthly income, name of the cosmetic procedure, names of any previous cosmetic procedures and their reason for cosmetic procedure. Results: The present study revealed that a typical Saudi cosmetic surgery patients are university graduates, married (46.8%), employed (68.3%), and middle aged 20-40 years of age (70%), with a fairly high typical monthly income.  Conclusion: There is a possible positive correlation between gender and undergoing cosmetic procedure. Laser hair removal, botox, liposuction, filler, and scar revision are common among females, while rhinoplasty is a common procedure among males.

Surgical Outcomes of Bony Batten Grafting to Correct Caudal Septal Deviation in Septoplasty.

IMPROTANCE: Correction of caudal septal deviation with a batten graft has been popularized recently. However, few reports have documented the surgical outcomes of this technique, especially the use of bony batten grafts in septoplasty. OBJECTIVE: To evaluate the surgical outcomes of bony batten grafting for the management of caudal septal deviation in endonasal septoplasty. DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study evaluates the medical records of 141 patients with caudal septal deviation who underwent septoplasty using bony batten grafts from September 1, 2011, through February 29, 2016, at a tertiary referral hospital. Patients were divided into primary and secondary surgery groups. Patients were also divided into the septoplasty plus turbinate surgery and the septoplasty only group. Endoscopic assessment of deviation correction was performed, and postoperative complications were analyzed. MAIN OUTCOMES AND MEASURES: Patient satisfaction and symptom improvement were evaluated via telephone interviews by using the Nasal Obstruction Symptoms Evaluation (NOSE) scores. RESULTS: Of the 141 patients (24 women [17%] and 117 men [83%]; mean [SD] age, 32.8 [12.9] years), 86 (61%) rated their symptoms in the postoperative survey as much improved; 50 (35.5%), improved; 4 (2.8%), no change; and 1 (0.7%), worse. All patients had significantly improved mean (SD) postoperative NOSE scores (28.7 [22.0]; 95% CI, 25.0-32.4) compared with preoperative scores (70.5 [26.7]; 95% CI, 66.0-75.0; P < .001). No significant intergroup differences were observed in surgical outcome between the 116 patients undergoing primary surgery (mean [SD] NOSE score, 28.2 [21.9]) and 25 undergoing secondary surgery (mean [SD] NOSE score, 30.8 [24.3]; P = .34). No significant difference in surgical outcome was found between the 102 patients in the turbinate surgery group (mean [SD] NOSE score, 28.1 [20.8]) and 39 in the septoplasty only group (mean [SD] NOSE score, 30.4 [23.7]; P = .65). On endoscopic examination for surgical outcome, 128 patients (90.8%) had a straight septum and 13 (9.2%) had improved but residual caudal deviation. Postoperative complications included septal hematoma in 4 patients, hyposmia in 2, and chondritis in 1; all patients were treated successfully. Four patients required revision surgery because of incomplete functional correction or a desire for rhinoplasty. CONCLUSIONS AND RELEVANCE: Septoplasty using bony batten grafts is useful for correcting caudal septal deviation with favorable surgical outcomes and an acceptable complication rate. LEVEL OF EVIDENCE: 3.

The ideal aesthetic nasal dorsum in the Saudi population.

OBJECTIVE: To investigate and define the ideal aesthetic nasal dorsum measurement in the Saudi population. METHODS: This observational study was conducted from January to December 2012 at the Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. A total of 127 raters, 56 males and 71 females were asked to choose the most ideal profile view from one male and one female photograph, whose nasolabial angle were fixed at 90 degrees for the male, and 95 degrees for the female, and whose level of dorsum was modified with a Photoshop program into 5 variables in relation to a line drawn from the radix to the tip-defining points (anterior of more than 2 mm anterior within 2 mm, at the level of the line, posterior within 2 mm, and posterior of more than 2 mm). RESULTS: Male raters preferred the dorsal level slightly posterior within 2 mm (57.1%) for the male photograph, and a straight dorsum (58.9%) for the female photograph. For female raters, the slightly concave profile of less than 2 mm was the most preferred (71.8%) in males, while for females they gave an equal score for either straight dorsum or posteriorly within 2 mm (47.9%). CONCLUSION: The findings in this study conclude that males preferred a male of a slight deep dorsum, and a female of a straight profile line. Females preferred the male of slight deep dorsum and a female of a straight profile, or slight concavity.

Oval window perilymph fistula caused by accidental stapedectomy during ear toilet.

Acquired perilymphatic fistulae can be the result of direct or indirect trauma to the temporal bone, barotraumas, infections or a complication of stapedectomy surgery. We report a case of accidental stapedectomy causing a perilymphatic fistula in an ear with inactive chronic noncholesteatomatous otitis media. This patient had an oval window perilymphatic fistula for 6 weeks prior to surgery without significant permanent sensorineural hearing loss.