Background: Rhinoplasty is a widely performed cosmetic and functional procedure. Despite its popularity, postoperative dissatisfaction remains a common concern. This study aims to assess patient satisfaction and quality of life using the rhinoplasty outcome evaluation (ROE) survey, to help improve preoperative planning and postoperative care. Patients and Methods: A systematic literature review was conducted in PubMed, Cochrane, Google Scholar, EBSCO, and Web of Science using the terms “Rhinoplasty OR Septorhinoplasty,” “Satisfaction OR Prognosis OR Outcome,” “Quality of Life OR QoL,” and “ROE OR Rhinoplasty Outcome Evaluation.” All studies published between 2018 and 2024 were selected, and nonrelevant studies were excluded after full text review. Results: Twenty-four studies were included in a meta-analysis comparing ROE scores pre- and postoperative. The results demonstrated a significant improvement in satisfaction and quality of life postoperatively. The subgroup analysis revealed a notable variation in the outcome according to the country of origin. Although the study heterogeneity was high (I ² = 99.8%), a random-effects model was used for the analysis. Conclusions: Gender was not a major determinant of satisfaction. However, the country of origin significantly influenced ROE scores. These findings emphasize the need for culturally sensitive counseling, individualized surgical planning, and management of patient expectations to enhance satisfaction.

Patulous Eustachian Tube (PET) is a rare otologic disorder, which is caused by abnormal patency of the Eustachian tube. Rapid weight loss is a recognized predisposing factor for PET potentially because of the reduction in peritubal adipose tissue that contributes to normal tubal closure. Although there is increasing awareness of this association, the best treatment of PET is still debated with several conservative, medical and surgical operations reported in the literature. This narrative review summarizes the available evidence regarding conservative, medical, minimally invasive, and surgical management of PET, with particular consideration of PET associated with rapid weight loss. Relevant literature was identified through searches of PubMed/MEDLINE, Embase, Web of Science, and the Cochrane Library, with attention to studies using standardized diagnostic criteria and outcome measures. Conservative approaches, including hydration, nasal saline instillation, and behavioral modifications such as cessation of habitual sniffing, have been associated with symptomatic improvement and considered as initial options because of their accessibility and low procedural burden. Medical therapies, such as topical irritants, estrogen-based preparations, and mucosal-thickening agents, may provide temporary symptom relief, although their long-term effects require further evaluation. Among interventional strategies, silicone (Kobayashi) plug insertion has demonstrated encouraging symptom improvement and reductions in symptom scores in selected patients with refractory PET. Minimally invasive techniques, including autologous fat injection, cartilage augmentation, and soft tissue bulking procedures, have also demonstrated encouraging outcomes. Trans-tympanic interventions, including ventilation-tube insertion and catheter-based techniques, provided additional options with variable reported outcomes. Management of PET remains heterogeneous and largely individualized. Conservative and medical therapies are considered reasonable first-line options, while surgical and minimally invasive approaches may be considered for selected patients with persistent symptoms.

Auricular hematoma typically follows blunt trauma and requires early evacuation and compression to prevent fibrocartilage deformity. Non-traumatic etiologies are uncommon. We report a 33-year-old male smoker who presented with a 1-week history of progressive left auricular swelling after sleeping overnight while wearing headphones, without any history of direct or repetitive trauma. Incision and drainage with bolster compression dressing were performed, evacuating serosanguinous fluid with minimal purulent component. Early recurrence occurred on Days 2 and 6 after the initial procedure, requiring repeat evacuation and reinforced compression dressings on both occasions. The recurrence was likely related to persistent dead space and delayed presentation. By Day 10, only minimal residual deformity remained, which remained stable at 1-year follow-up without progression. This case highlights prolonged nocturnal headphone compression as a possible non-traumatic mechanism for auricular hematoma and emphasizes the importance of close follow-up because early recurrence may occur despite appropriate management.

Background: Ear piercing is one of the most commonly performed forms of body modification worldwide. While generally considered a simple procedure, it may be associated with a range of local and cosmetic complications. Objective: To evaluate current ear-piercing trends, determine the prevalence of ear-piercing complications, and identify factors independently associated with the development of these complications among females residing in Riyadh. Methods: A cross-sectional survey was conducted among females residing in Riyadh, Saudi Arabia. Participants were recruited through an online self-administered questionnaire distributed via social media platforms. Multivariable logistic regression was used to identify independent predictors of complications. Results: A total of 1018 participants were included. Ear piercing for aesthetic purposes was reported by 52.8% of respondents. Most participants (87.8%) reported not receiving information regarding procedural risks or aftercare instructions. Complications were reported by 26.5% of participants, with infection (57.0%) and ear pain (54.1%) being the most frequent. Independent predictors of complications included having multiple piercings, cartilage piercing, student status, and the use of piercing guns. Undergoing the first ear piercing before one year of age was associated with a lower risk of complications. Conclusions: Our findings indicate that nearly one-quarter of females reported experiencing complications from ear piercings and are associated with several potentially modifiable factors. This emphasizes the importance of informed consent before the procedure, along with proper education on associated risks.