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    New clinical practice guideline for rhinoplasty

     

    Rhinoplasty Numbers Increasing

    According to the American Academy of Otolaryngology-Head and Neck Surgery Foundation, the increasing number of rhinoplasty procedures highlights the need “to reduce surgical morbidity, promote appropriate therapy, engage patients in their case, and to coordinate care effectively.”

    For instance, clinicians should ask patients about their motivations for surgery and the patient’s expectations of outcomes. Clinicians should also convey to the patient if those expectations are realistic and document the discussion in the medical record.

    Similarly, clinicians should assess rhinoplasty candidates for comorbid conditions that might modify or contraindicate surgery, such as obstructive sleep apnea, body dysmorphic disorder or bleeding conditions.

    During preparation of the guideline, “gaps in our knowledge were identified,” Dr. Ishii says. “We look forward to future studies that will help us close the current gaps in our knowledge. For example, hopefully future studies will inform us as to whether steroids are of value in the postoperative management of patients undergoing rhinoplasty.”

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