Background: A crooked nose is a challenge for a surgeon performing rhinoplasty. When performed correctly, rhinoseptoplasty aligns the nasal framework, restores nasal patency, and achieves facial symmetry. The key to this procedure is to dissect all the structures of the nasal framework, mobilize, reposition, and stabilize them. Aim: This study aims to discuss the quality of life after the rhinoseptoplasty and principles of treating a post-traumatic crooked nose with a view to improving the predictability and reliability of rhinoplasty procedures involving this challenging problem. Methods: The study compared the results of the Rhinoplasty Outcome Evaluation (ROE) and the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) through statistical analysis. Results: Considering the structural deformities that lead to a crooked nose, the open approach seems to be preferred during a rhinoseptoplasty of a post-traumatic, crooked nose. When reconstructing the nasal septum, it is always necessary to leave the required amount of cartilage to provide nasal support and to secure the septum to the nasal spine. Osteotomies are important for fixing a crooked nose. The preoperative values for ROE were significantly lower before surgery than after surgery (8.7 vs. 20.2), while for SCHNOS, the postoperative values were statistically significantly lower compared to the preoperative values (46.0 vs. 9.1). Conclusions: Properly planned and performed surgery improves the functional and aesthetic outcomes in patients after rhinoseptoplasty.

Background: The philosophy of preservation rhinoplasty (PR) is gaining popularity as an alternative to structural rhinoplasty (SR), prompting comparison of their effectiveness, patient satisfaction, and impact on quality of life. Methods: This study evaluated the outcomes of rhinoplasty performed using PR and SR, supported by the SCHNOS, ROE, NOSE, and WHOQOL-BREF questionnaires. Seventy-five patients were included (N = 47 (63%) female and N = 28 (37%) male), of whom 39 underwent SR. Surveys were completed preoperatively and at one and three months postoperatively. A single surgeon performed all procedures, and the results were subjected to statistical analysis. Results: Baseline ROE scores were identical in both groups (1.2 vs. 1.2; p > 0.05). At three months, PR demonstrated significantly higher ROE scores (3.8 vs. 3.7; p < 0.05). In the SCHNOS-Obstruction domain, PR showed better outcomes at one month (0.8 vs. 1.3; p < 0.01), whereas three-month scores were equal (0.5 vs. 0.5; p > 0.05). SCHNOS-Cosmesis and NOSE outcomes did not differ significantly at any point. WHOQOL-BREF results indicated significant postoperative improvement across all domains in both groups (p < 0.001). Conclusions: PR provides higher early satisfaction, but both PR and SR yield progressive improvement and comparable longer-term outcomes. Quality of life and self-esteem improved regardless of surgical technique.

Introduction: In its assumptions, rhinoplasty is intended to improve the aesthetics and restore normal function of the nose. In the Polish literature, a new tool has recently emerged for simultaneous assessment of the impact of rhinoseptoplasty on the external appearance and functionality of the nose.Aim: The aim of this study consisted in the surveying of patients having undergone rhinoplasty procedures using a validated and translated Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) questionnaire and the Rhinoplasty Outcome Evaluation (ROE) questionnaire to assess the functional and aesthetic outcomes of rhinoplasty.Materials and methods: A total of 106 subjects (N = 78 [73.6%] women and N = 28 men [26.4%]) aged 18 to 56 years (M = 33.99; SD = 9.77) participated in the study. The data were subjected to statistical analysis.Results: The analysis revealed significant differences between the measurements for all analyzed variables (p < 0.001). Statistically significantly lower SCHNOS scores and significantly higher ROE scores were reported in the postoperative assessments, with a strong effect for the difference of means (> 0.5).Conclusions: Properly performed rhinoplasty results in both aesthetic and, most importantly, functional improvement regardless of the patient’s age and gender.

Introduction: The main goals of rhinoseptoplasty are to correct any cosmetic and functional defects which may occur in a patient. As the most prominent facial feature, the nose has an increased risk of injury. A nasal fracture may eventually result in significant defects, posing challenges to the surgeon.Aim: The aim of the study is to compare the techniques used in post-traumatic and non-traumatic cases treated with rhinoplasty.Materials and methods: The study group consisted of 227 patients, mean age 37.5 11.4 years, median 36 years, age range from 18 to 79 years. Statistical analysis was performed using the Statistica 13.3 package StatSoft (Dell Statistica). Categorical variables are presented as frequencies and percentages. The Chi2 or Fisher’s exact test was used, when the values were less than 5, to check whether there was a correlation between nasal injuries and surgical technique. The level of statistical significance was assumed to be equal to α = 0.05.Results: Statistically significant differences were found in the use of five techniques. Septal filtration to the spine (44.1 vs. 10.7%), septal extension graft (5.9 vs. 1.3%), spreader graft (41.1 vs. 21.1%), and osteotomy (85.3 vs. 61.0%) were all performed more often in patients with nasal trauma. On the other hand, a lateral crural (LC) steal was performed significantly more often in patients without nasal trauma (36.5 vs. 22.1%).Conclusions: Nose injuries lead to cosmetic and functional complications and pose a challenge to the rhinoplasty surgeon. Optimal management of a post-traumatic nose injury requires a surgeon to have experience and precise surgical planning.

Objectives: Ear involvement is a common feature of antineutrophil antibody (ANCA)-associated vasculitis (AAV). The vigilance of otolaryngologists often determines early diagnosis of AAV, thereby reducing the risk of irreversible organ damage and improving the quality of life of these patients. The goal of this study was to assess the quantitative and qualitative hearing impairment in patients with active AAV and to identify an audiological test that can detect of early deterioration of hearing even in patients without hearing loss. Methods: A study group of 46 patients with ANCA-associated vasculitis (AAV) hospitalized at the Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine—National Research Institute and a control group of 20 patients without a diagnosis of ANCA vasculitis and with no reported hearing disturbances were assessed prospectively. A battery of audiologic tests were carried out including High Frequency Audiometry, Impedance Audiometry, Otoacoustic Emissions, and Auditory Brainstem Responces (ABR). Computed Tomography of temporal bones and paranasal sinuses were performed, and audiologic anamnesis was gathered. Results: Pure-tone audiometry (PTA) demonstrated hearing loss in 58.6% (51/87) of the ears in the study group. The predominant type of damage was sensorineural hearing loss (SNHL). No correlation was found between hearing loss and AAV activity, duration of the disease, number of relapses, or ANCA antibody type. The statistically significant differences between control group and study group, even after excluding patients with hearing loss, were observed for high frequency audiometry (p < 0.001, for all tested frequencies excluding 14,000 Hz). The otoacoustic emissions showed to be statistically insignificant after exclusion of patients with hearing loss. Conclusions: Hearing involvement is common in patients with AAV regardless of the type of ANCA antibodies. High Frequency Audiometry could be an important audiologic screening test in this group of patients, and should be incorporated to diagnostic test battery in AAV. Otoacoustic emissions and ABR can be a handful in uncertain cases.

Introduction: Facial analysis is a critical component of plastic surgery. When planning a rhinoplasty procedure, a patient's current facial proportions, along with factors such as race, ethnicity, age and gender, must be considered. Achieving an ideal facial balance requires positioning these factors harmoniously for each unique patient.Aim: The aim of this study is to explore the impact of external nasal reshapingfollowing rhinoplasty on facial proportions, aligning them more closely withnormative values.Material and methods: A photographic analysis was conducted on images taken before surgery and six months postoperatively. Measurements were made using a semi-automated method, where facial topographic points were selected and angles and proportions were automatically calculated and compared to normative data. The study included 93 patients (76 women and 17 men) who underwent rhinoplasty. For each patient, the following parameters were assessed before and after surgery: nasofrontal, nasomental, legan facial convexity, nasolabial, nasofacial, mentocervical angles, Goode ratio, facial height ratios, nasal index and various nasal to facial proportions.Results: In female patients, rhinoplasty resulted in a significant decrease in nasofrontal angle, Legan facial convexity, undernose face ratio and intercanthal to nasal breadth ratio, while nasomental angle, lower facial height ratio and nasal index showed a significant increase. In male patients, significant changes were observed in Legan facial convexity, lower facial height ratio, undernose face ratio and intercanthal to nasal breadth ratio, all of which decreased postoperativelyConclusions: The key angles are essential for determining the ideal nasal position and must be carefully considered in preoperative evaluations. While traditional facial proportions are useful, they should be applied flexibly, considering each patient's unique features and aesthetic goals. The future of rhinoplasty combines these principles with personalized approaches that respect diverse beauty standards.