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The following summarized guidelines for the evaluation and management of post-rhinoplasty care are prepared by our editorial team based on guidelines from the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF 2017).
Evaluate rhinoplasty candidates for nasal airway obstruction during preoperative assessment.
Assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs.
Postoperative nasal packing: do not place nasal packing routinely at the end of surgery in patients undergoing rhinoplasty with or without septoplasty.
Perioperative corticosteroids: consider administering perioperative systemic corticosteroids in patients undergoing rhinoplasty.
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Preoperative counseling: ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, provide feedback on whether those expectations are a realistic goal of surgery, and document this discussion in the medical record.
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5.Follow-up and surveillance
Assessment of patient satisfaction: document patient satisfaction with their nasal appearance and with their nasal function at a minimum of 12 months after rhinoplasty.