• Users Online: 398
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2014  |  Volume : 42  |  Issue : 1  |  Page : 35-41

Adapting quality assurance principles to open structure rhinoplasty Ahmed Elguindy

Department of Otolaryngology and Head & Neck Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt

Correspondence Address:
Ahmed Elguindy
Department of Otolaryngology and Head & Neck Surgery, Faculty of Medicine, Tanta University, 2 Omar Ibn Abdelaziz Street, PO Box 527, Tanta 31211
Login to access the Email id

DOI: 10.4103/1110-1415.130132

Rights and Permissions

Background Rhinoplasty is a pursuit for perfection, and every esthetic surgeon strives for excellence. Aim The aim of the study was to evaluate the methodology and outcomes of open structure rhinoplasty after adapting quality assurance (QA) principles during planning, surgery, and follow-up. Participants and methods QA principles were adapted to a prospective cohort study conducted in a tertiary care center on 72 patients undergoing open structure rhinoplasty, starting with a surgeon recognizant of the nasal esthetic and functional standards (quality defining). Patient's esthetic and functional variants were analyzed and deformities were identified (quality measuring). Patient's objectives were checked against surgery limitations to realize expectations. Quality improvement required effective selection of techniques and efficient sequencing of steps. The results were checked against patient's expectations and satisfaction, and against conformance to the esthetic and functional standards. Results In all, 90.6% of the surgeries met patient's expectations, whereas 92.2% fulfilled patient's satisfaction. 85.9% of patients conformed to esthetic measures and 93.7% to functional parameters. Conclusion Adapting QA principles to open rhinoplasty allowed standardization of methodology and better assessment of operation outcomes in a precise and accurate manner. It enhances education through a progressive procedure, starting with defining norms, analyzing variants, identifying deformities, realizing demands, recognizing limitations, virtualizing possible result, reaching agreement, selecting technique, sequencing steps, performing a safe surgery, and ending with achieving preset goals effectively and efficiently with better patient's quality of life.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded119    
    Comments [Add]    
    Cited by others 1    

Recommend this journal