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Post-rhinoplasty care

Guidelines

Key sources

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). ...
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Diagnostic investigations

Preoperative assessment
As per AAO-HNSF 2017 guidelines:
Evaluate rhinoplasty candidates for nasal airway obstruction during preoperative assessment.
B
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.
B
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Nonpharmacologic interventions

Postoperative nasal packing: as per AAO-HNSF 2017 guidelines, do not place nasal packing routinely at the end of surgery in patients undergoing rhinoplasty with or without septoplasty.
D

Perioperative care

Perioperative corticosteroids: as per AAO-HNSF 2017 guidelines, consider administering perioperative systemic corticosteroids in patients undergoing rhinoplasty.
C

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Patient education

Preoperative counseling: as per AAO-HNSF 2017 guidelines, 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.
B
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Follow-up and surveillance

Assessment of patient satisfaction: as per AAO-HNSF 2017 guidelines, document patient satisfaction with their nasal appearance and with their nasal function at a minimum of 12 months after rhinoplasty.
B