Background and objective: The growing global popularity of rhinoplasty underscores the need to better understand public opinions and choices about the procedure. This study examines how acceptance of cosmetic surgery, concerns about nose appearance, and peer influence are associated with the decision to consider rhinoplasty among Saudi adults. Methods: This cross-sectional study of 1591 participants used a self-administered online questionnaire. Data on considering or undergoing rhinoplasty, sociodemographic characteristics, and whether friends or family members had undergone the surgery were collected. The Acceptance of Cosmetic Surgery Scale (ACSS) and nose-related appearance concern scale were used. Perceived reasons for and against considering rhinoplasty, as well as perceived seriousness of postoperative complications, were examined. Data were analyzed using IBM SPSS v27. Results: The mean age was 35.7 ± 13.2 years, with a majority being females (70%). Of the 1591 participants, 74% were not considering rhinoplasty, while 26% were considering the procedure or had already undergone it. The most common perceived reason for undergoing rhinoplasty was to enhance appearance, while religious concerns were the most common perceived reason for refusing it. Participants identified the mismatch between the nose and the face (20.1%) as the most serious complication. The ACSS was a key factor associated with higher odds of considering rhinoplasty at all stages, from exploring options to undergoing surgery. During the exploration stage, those with financial constraints were more likely to explore rhinoplasty options, whereas wealthier participants were 67% less likely to do so (OR = 0.33, 95% CI: 0.16–0.71). Greater nose concerns and having a peer who had undergone surgery increased the odds of exploration and preparation. Older age was associated with higher odds of not considering rhinoplasty (OR = 1.11, 95% CI: 1.03–1.19). Being female was linked to higher odds of undergoing rhinoplasty (OR = 7.76, 95% CI: 1.73–34.75). Conclusions: More than a quarter of the sample was willing to or had already undergone rhinoplasty. Factors associated with higher odds of considering rhinoplasty included female gender, young age, limited financial resources, having a friend or family member who had the surgery, concerns about nose appearance, and the acceptance of cosmetic surgery in general.

Background. Acute bacterial rhinosinusitis (ABRS) is a common infection of the paranasal sinuses that can lead to complications such as orbital and intracranial extension. The abducens nerve course is adjacent to the sphenoid sinus. Diplopia is rarely the initial presentation of sphenoid sinus pathology. In this article, we present the case of a middle-aged male who presented with diplopia and abducens nerve palsy secondary to ABRS, and we conducted a literature review in search of similar cases. Case Presentation. A 52-year-old male presented with diplopia secondary to ABRS. Imaging revealed the complete opacification of the bilateral sphenoid and frontal sinuses, with the extension of the inflammatory process to the optic nerve and cavernous sinus. The patient underwent a surgical intervention, which revealed a pyocele collection in the opticocarotid recess inside the sphenoid sinuses. After the surgery, the patient received antibiotics and reported a complete recovery. Conclusions. Acute bacterial rhinosinusitis can present with atypical symptoms and lead to serious complications, such as abducens nerve palsy. Early diagnosis, appropriate management, and timely referral to a multidisciplinary team are crucial to preventing residual nerve damage and ensuring favorable outcomes.

Bifid inferior turbinate is a rare anatomical variant of the lateral nasal wall that may be overlooked on nasal endoscopy or mistaken for an abnormality of the uncinate process or middle meatus. A 24-year-old woman presented with long-standing right-sided nasal obstruction, frontal headache, rhinorrhea, snoring, sleep disturbance, and allergic rhinitis. Computed tomography (CT) demonstrated an inferomedially oriented duplication of the left inferior turbinate, bilateral inferior turbinate hypertrophy, an S-shaped septal deviation, and concha bullosa. She underwent septoplasty, inferior turbinoplasty, and concha bullosa resection. Preoperative recognition of bifid inferior turbinate was important because it occurred alongside common obstructive abnormalities requiring surgery. We also provide an updated review of reported cases, focusing on the relationship with the uncinate process, anatomical orientation, and implications for surgical planning. Careful CT assessment may prevent misclassification and help preserve key endoscopic landmarks.