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Edgar A. Lueg, MD; Jonathan C. Irish, MD; Mark R. Katz, MD; Dale H. Brown, MBChB; Patrick J. Gullane, MBChB

Arch Facial Plast Surg. 2001;3:241-244.

Objective  To determine, using patient- and observer-rated facial disfigurement measures, whether a lateral rhinotomy imparts significant aesthetic morbidity.

Design  Retrospective and subject-controlled study in a large, tertiary-referral, academic otolaryngology department. Twenty-one consecutive patients who had undergone lateral rhinotomy for the treatment of inverted papilloma were studied in the long-term.

Main Outcome Measures  Scores on the following: (1) the novel Patient-Rated Facial Disfigurement Analogue Scale questionnaire and (2) the reliable and validated Observer-Rated Facial Disfigurement 9-Point Likert Scale.

Results  Patients rated their facial appearance as minimally altered and significantly less apparent to others. The observers in this study, a surgeon (J.C.I.) and a psychiatrist (M.R.K.), rated the patients' facial disfigurement as minimally visible. Patients seem to rate how apparent their appearance is to others in a similar fashion to observers. The observer-rated facial disfigurement scale used is valid and reliable.

Conclusion  Patient- and observer-rated facial disfigurement measures suggest that a lateral rhinotomy does not impart significant aesthetic morbidity.

From Head & Neck Surgical Oncology and Microvascular Reconstruction, Department of Head & Neck Surgery, Southern California Permanente Medical Group, Los Angeles Medical Center, Los Angeles (Dr Lueg); and Head & Neck Surgical Oncology Service, Department of Otolaryngology, Wharton Head & Neck Center (Drs Irish, Brown, and Gullane), and Psychosocial Oncology, Department of Psychiatry (Dr Katz), The University Health Network, The University of Toronto, Toronto, Ontario.

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