ASSESSING OUTCOME IN AESTHETIC RHINOPLASTY SURGEON:ASSESSOR:PATIENT PERSPECTIVE

Abstract 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. Objectives To propose a standardized outcome measuring tool in form of J-RAS(Jinnah burn and reconstructive surgery centre, Rhinoplasty Assessment Score) that unites patient’s aesthetic preferences with the surgeon’s clinical objectivity. Methods The study conducted from March 2023 to August 2023 and 50 participants were enrolled. All surgeries were performed by different well-known rhinoplasty surgeons having experience of more than 10 years in the field. An assessor, an independent rhinoplasty surgeon not performing the surgery, assessed the preoperative and postoperative photographs taken immediately postoperative, one month and six months after rhinoplasty and marked the scores according to the performa given. A Likert item was generated to link satisfaction scores to a scale. Results The mean pre-operative JRAS was 30+3.2 while postoperative JRAS score was 35.6+2.8. 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.