To better understand revision rates and factors associated with higher revision rates, a large study including results and data coming from three databases on 175,842 patients who underwent septorhinoplasty in 2005-2012 in California, Florida, or New York was conducted by Emily Spataro, MD; Jay F. Piccirillo, MD; Dorina Kallogjeri, MD, MPH; Gregory H. Branham, MD; Shaun C. Desai, MD, members of the Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, Missouri, Division of Facial Plastic and Reconstructive Surgery, the Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, Missouri and with the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, The Johns Hopkins University School of Medicine, Bethesda, Maryland.
The overall rate of revision after septorhinoplasty was 3.3%. After primary septorhinoplasty, 3.1% of patients had revision increasing at 11.0% of those who underwent secondary septorhinoplasty.
Factors independently associated with revision rates included being 13 to 18 years old (adjusted odds ratio 1.6 compared to 19- to 40-year-olds); female sex (aOR 1.11); anxiety (aOR 1.30); and autoimmune disease or immunodeficiency (aOR 1.52). Patients undergoing more complex surgeries, for example cleft septorhinoplasty, were also more likely to require revision.
The data are important for counseling patients and physicians preoperatively on what to expect with septorhinoplasty in terms of the need for revision and the findings are also important because they provide normative data on septorhinoplasty revision rates for third-party payers, who are increasingly looking at these types of metrics to evaluate the quality of patient care…
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JAMA Facial Plast Surg 2016.doi:10.1001/jamafacial.2015.2194