Rhinoplasty GUIDELINES Pocket Guide

Approved By

American Academy of Otolaryngology-Head and Neck Surgeons

Digital Subscription		$4.99	Add to Cart
Print	QTY	$9.95	Add to Cart

Free Sample

The digital subscription version of the Rhinoplasty GUIDELINES Pocket Guide contains all the same great information found in the physical pocket guide, and can be accessed on mobile devices and online:

Price: $4.99 per year
- Subscribe to additional guideline titles for discounted rates
Includes automatic updates during the term of your subscription
CPT® and ICD10 codes can be added to certain guidelines for an additional fee
Supported platforms
- iPhone and iPad
- Android phones and tablets
- Online (internet connection required)
Content on the Guideline Central mobile app accessible without an internet connection
- Access to additional guideline summaries, clinical calculators, and more

For mobile access, download the free app from the App Store or Google Play and use the same email address and password as the website to login.

For individual use only; contact us for group and site licenses.

The Improving Nasal Form and Function after Rhinoplasty GUIDELINES Pocket Guide is based on the latest guidelines of the American Academy of Otolaryngology – Head and Neck Surgery and was developed with their collaboration. This practical quick-reference tool contains key points, anatomical images, graded management recommendations (Key Action Statements), multiple assessment tools, a management algorithm and patient FAQs and information handouts concerning obstructive sleep apnea and pain management.

Spiral Bound
18 Pages
80# Diamond Silk Cover with Satin Aqueous Coating
4.25″ x 7.25″

Key Points
Tables

Definitions
Nasal Anatomy
Structures to Assess in Rhinoplasty
Cosmetic Assessments
Functional Assessments
Summary of Key Action Statements
Adjunctive Measures to Pain Management

Images

Anatomy of the Nose

Management Algorithm
Patient Information

Frequently Asked Questions
Counseling points for Patients with Obstructive Sleep Apnea (OSA)
Frequently Asked Questions Regarding Pain Management and Discomfort

STOP-Bang Sleep Apnea Questionnaire
Body Dysmorphic Disorder (BDD) Questionnaire
Nasal Obstruction and Septoplasty Effectiveness Scale

The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) is the world's largest organization representing specialists who treat the ear, nose, throat, and related structures of the head and neck. The Academy represents approximately 12,000 otolaryngologist-head and neck surgeons who diagnose and treat disorders of those areas. The medical disorders treated by our physicians are among the most common that afflict all Americans, young and old. They include chronic ear infection, sinusitis, snoring and sleep apnea, hearing loss, allergies and hay fever, swallowing disorders, nosebleeds, hoarseness, dizziness, and head and neck cancer.

Guideline Pricing
Single Title

$4.99 / year
Any 5 Titles

$23.99 / year
Any 10 Titles

$41.99 / year
Any 35 Titles

$74.99 / year
All Available Titles

$169.99 / year

Rhinoplasty GUIDELINES Pocket Guide

Approved By

American Academy of Otolaryngology-Head and Neck Surgeons

$8.99 Digital
$9.95 Print

Buy Now

Key Points

Rhinoplasty ranks among the most commonly performed cosmetic procedures in the United States, with over 200,000 procedures reported in 2014.
The primary reason for surgery can be aesthetic, functional, or both, and may include adjunctive procedures on the nasal septum, nasal valve, nasal turbinates, or the paranasal sinuses.
The average uncomplicated rhinoplasty procedure typically exceeds $4,000. However, the costs incurred due to complications, infections, or revision surgery (long-term antibiotics, hospitalization, and lost revenue from hours/days of missed work) add considerably to the total.
The resultant psychological impact of rhinoplasty can also be significant.

Table 1. Definitions of Words Used in the Guideline

Rhinoplasty	Rhinoplasty is a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway. The primary reason for surgery can be aesthetic, functional, or both, and may include adjunctive procedures on the septum, turbinates, or paranasal sinuses. (When these adjunctive procedures, however, are performed without an impact on nasal shape or appearance, they do not meet the definition of rhinoplasty used in this guideline).
Aesthetic	Concerned with beauty or the appreciation of beauty.
Body Dysmorphic Disorder	Psychiatric disorder consisting of distressing or impairing preoccupation with nonexistent or slight defects in one's appearance.
Cosmetic	Relating to treatment intended to restore or improve appearance.
Rhinitis	Inflammation of the mucus membranes of the nose frequently caused by infection or allergic reaction. It typically manifests with symptoms of nasal itching, increased mucus drainage, congestion, or post nasal drainage.
Obstructive Sleep Apnea	Sleep disorder involving at least five obstructive respiratory events per hour (detected during an overnight sleep study).
Nasal cycle	The often unnoticed alternating partial congestion and decongestion of the nasal cavities in humans and other animals. It is a physiological congestion of the nasal turbinates due to selective activation of the autonomic nervous system on one side of the nose.
Anterior rhinoscopy	Examination of the anterior part of the nose, including the inferior turbinate, the septum, and the nasal valves.
Nasal packing	Nasal packing is material, either removable or absorbable, placed inside the nose to promote hemostasis, structural support, and reduction of scar formation. Traditional nasal packs include ribbon gauze, expandable non-biodegradable pads, and non-stick dressing material. (Yan M, Zheng D, Li Y, et al. Biodegradable nasal packings for endoscopic sinonasal surgery: a systematic review and meta-analysis. PLos One. 2014; 9(12): e115458.) There are many newer types of packing that are biodegradable. Silastic stents or nasal splints, and custom cut sheeting are not considered packing.

Table 2. Nasal Anatomy Definitions

Upper Lateral Cartilage	The lateral cartilage piece of the nose, triangular in shape, meeting with the nasal bones superiorly and the lower lateral cartilages inferiorly, and fusing with the septum in the midline.
Lower Lateral Cartilage	Thin flexible plate of cartilage folded on itself and situated just below the upper lateral cartilage. It makes up the medial and lateral wall of the nostril.
Internal Nasal Valve	Refers to the area bordered by the upper lateral cartilage laterally, the septum medially, the head of the inferior turbinate, and the floor of the nose.
External Nasal Valve	Refers to the area bordered by the lateral limb of the lower lateral cartilage laterally, the medial limb of the lower lateral cartilage and the septum medially, and the floor of the nose.
Nasal Septum	Wall of cartilage and bone that runs down the middle of the nose dividing it into left and right nasal passages.
Nasal Turbinates	Long narrow curved shelves of bone covered in mucus membrane and protruding into the nasal passage.

Anatomy of the Nose

Oblique View of the Nose

Base view of the nose

Frontal view of the nose

Frontal view of the nose (2)

Management

Table 3. Structures to Assess in Rhinoplasty

Structure	Diagnostic Method	Example of an Abnormality or Problem
Adenoids	Nasal endoscopy	Adenoidal hypertrophy
Anterior Septum	Anterior rhinoscopy, nasal endoscopy	Caudal septal deviation
Inferior Turbinate	Anterior rhinoscopy, nasal endoscopy	Inferior turbinate hypertrophy
Nasal Septum	Anterior rhinoscopy, nasal endoscopy	Deviated septum
Nasal Valve	Cottle maneuver, modified Cottle maneuver	Nasal valve collapse
Posterior Septum	Nasal endoscopy	Posterior septal spur
Sinus Ostia	Nasal endoscopy	Chronic sinusitis, polyps, pus

Table 4. Cosmetic Assessments

FACE-Q Rhinoplasty Instrument	Initially 40 questions for patients undergoing facial aesthetic surgery to assess satisfaction with facial appearance, social function, psychological well-being, and satisfaction with the nose with subsequent refinement to 25 questions for rhinoplasty surgery.
Glasgow Benefit Inventory (GBI)	18 questions measuring the general perception of well-being and psychological, social, and physical well-being. Originally developed for multiple surgeries of the head and face including rhinoplasty with subsequent validation studies on rhinoplasty alone.
Rhinoplasty Outcome Evaluation (ROE)	6 questions examining three major domains: appearance, functional outcome, and social acceptance following rhinoplasty.

Table 5. Functional Assessments

Nasal Obstruction and Septoplasty Effectiveness Scale (NOSE)	https://www.entnet.org/sites/default/files/NOSE-Instrument.pdf	A 5 question scale developed specifically to evaluate nasal obstruction, with frequent literature citation in septoplasty and functional rhinoplasty surgery.
Sino-Nasal Outcome Test (SNOT-22)	www.canvasc.ca/pdf/SNOT22.pdf	A 22 item questionnaire originally designed for rhinosinusitis, adapted to assess nasal patency in septoplasty, nasal valve, and functional rhinoplasty surgery.

Rhinoplasty GUIDELINES Pocket Guide

Approved By

Guideline Pricing

Related Guidelines

Pocketcard Preview & Free Sample

Rhinoplasty GUIDELINES Pocket Guide

Approved By

Rhinoplasty GUIDELINES Pocket Guide

Key Points

Table 1. Definitions of Words Used in the Guideline

Table 2. Nasal Anatomy Definitions

Anatomy of the Nose

Management

Table 3. Structures to Assess in Rhinoplasty

Table 4. Cosmetic Assessments

Table 5. Functional Assessments

Figure 1. Algorithm