Preoperative Facial Analysis for Corrective Rhinoplasty

Abstract

Background: Cosmetic Rhinoplasty now transcends all age, gender, socioeconomic, and ethnic classes, and is no longer considered an indulgence reserved only for the wealthy. As Indian society continues to strive for facial beauty, cosmetic Rhinoplasty ranks among the most commonly performed cosmetic surgical procedures in India.Aim&Objective: This study was aimed at developing a soft tissue facial analysis with special emphasis on nose morphology. This can be used for evaluation of nasal deformity, treatment planning for the correction achieved during Rhinoplasty, with the objectives to establish anthropometric norms and composite index of facial outcome.Subjects and Methods:All the maxillofacial anthropometric parameters were studied on standardized digital photographs in a sample population of 40 males and 40 females of age 18-22 years. Statistically, all the anthropometric parameters were assessed for their theoretical distribution using normal (Gaussian) distribution. Their Goodness of fit was tested by Chi Square Test. Composite Index was established by factor analysis. Their inter-relationship was studied by factor analysis. The pre- and post- comparisons were made using pairedt test.Results:All the anthropometric norms followed normal (Gaussian) distribution pattern. The component matrix analysis showed that the male and female anthropometric norms followed a definite pattern to form a component index.Conclusion: The study needs to be continued as a multicentric study with regards to graft material and its acceptability by recipient site. Another parameter that needs to be considered is the degree of patient satisfaction.