A critical evaluation of 200 rhinoplasties.

Since few comprehensive statistics on results of rhinoplasties have been published since Klabunde and Falces' article [1] in 1964, a retrospective study of 200 consecutive patients was undertaken. These patients underwent rhinoplasty by a single surgeon and were followed for a minimum of six months. A separate reviewer studied patient satisfaction, physician satisfaction, rate of revision, and type of complications, including obstruction of airway, nasal deformity, hematoma, infection, hemorrhage, and psychological reactions. The incidence of infection, hemorrhage, and revisions has lessened in the past fifteen years. Patients not referred by a physician were more than twice as likely to be dissatisfied as those who were physician-referred (p less than 0.005). A higher percentage of female patients was dissatisfied than of male patients (p less than 0.05). The incidence of dissatisfaction increased significantly among patients in their fifth decade as compared with that in younger patients (p less than 0.01). No statistically significant difference was found in the incidence of dissatisfaction among single, married, widowed, or divorced patients.