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Rhinoplasty Clinical Guideline

AAO-HNSF has developed a clinical practice guideline for rhinoplasty that is expected to be published early next year, but a Sunday education session will offer a preview of its evidence-based recommendations to improve outcomes of the surgical procedure.

“AAO-HNSF Clinical Practice Guideline: Rhinoplasty” will be presented from 4:45 pm-5:45 pm Sunday in Ballroom F.

“We will talk about the methodology behind the development of the guideline and then go into its specific recommendations,” said Lisa E. Ishii, MD, MHS, chair of the panel that developed Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty. “We will leave plenty of time for a lot of questions and answers from the audience. This is an opportunity to highlight this new clinical practice guideline in a large otolaryngology forum.”

A 15-member multidisciplinary panel developed the guideline and identified 10 key action steps, including talking to patients before surgery about their expectations, educating patients about pain control, the use of antibiotics and steroids, and chronic medical conditions to be considered before performing rhinoplasty.

Sunday, Dr. Ishii and four other speakers will address those action statements during the one-hour session.

“The panelists will go through the guideline’s action statements,” said Dr. Ishii, an associate professor at Johns Hopkins School of Medicine Department of Otolaryngology-Head and Neck Surgery. “We will give an overview of the guideline.

“We were able to make some exciting recommendations, particularly about antibiotics, steroids, and assessment of patient expectations. We are excited about the new recommendations because they are important areas for quality improvement. Everyone who participates in the care of patients undergoing rhinoplasty should attend to learn about them.”

In 2014, more than 200,000 procedures were reported to correct nasal deformities and anatomic variations linked to nasal obstruction and airway compromise, and to improve nasal aesthetics.

“Rhinoplasty is a very common procedure in this country. We needed to have a way to make recommendations based on evidence to optimize the quality of care we provide,” Dr. Ishii said. “Ultimately, we will be able to standardize care better in areas where we know it is appropriate.”

Other panel members for the session are:

  • Gregory Basura, MD, PhD, assistant professor at the Taubman Health Care Center, University of Michigan, Ann Arbor
  • Edward Farrior, MD, Farrior Facial Plastic and Cosmetic Surgery Center, Tampa, FL
  • Richard M. Rosenfeld, MD, MPH, professor and chairman of the Deparment of Otolaryngology at SUNY Downstate Medical Center
  • Travis Tollefson, MD, MPH, assistant professor of facial plastic and reconstructive surgery at the University of California, Davis Medical Center

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