Evidence map›Paper›PMID 40195129›Full record

SynthesisAesthetic plastic surgery2025

Comparison of Patient-Reported Outcomes Between Dorsal Preservation and Conventional Dorsal Hump Reduction Rhinoplasty: A Systematic Review and Meta-Analysis.

Do Hyun Kim, David W Jang, Se Hwan Hwang

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Impact of Dorsal Preservation Rhinoplasty on the Internal Nasal Valve.Plastic and reconstructive surgery. Global open · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Do Hyun KimDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Seoul St. Mary'S Hospital, the Catholic University of Korea, Seoul, Korea.
David W JangDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Se Hwan HwangDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Bucheon St. Mary'S Hospital, the Catholic University of Korea, 327 Sosa-ro, Bucheon-si, Gyeonggi-do, 14647, Korea. yellobird@catholic.ac.kr.ORCID 0000-0002-2838-7820

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, improvements in dorsal preservation rhinoplasty have been reported to minimize swelling, reduce scarring, and the aesthetic lines of the nasal dorsum.

methodsSourcing studies from six databases, the change in patient-reported scores for cosmetic satisfaction (-C) (using a visual analogue scale [VAS] and the Standardized Cosmesis and Health Nasal Outcomes Survey [SCHNOS]) and nasal obstruction severity (-O) (using a VAS, the SCHNOS, and the Nasal Obstruction Symptom Evaluation [NOSE]) related to the presence of a nasal anatomical deformity were recorded from baseline (before treatment) to post-treatment and compared between an intervention group (dorsal preservation rhinoplasty) and a conventional group (conventional dorsal hump reduction rhinoplasty). The mean difference was chosen to calculate effect sizes of patient-reported outcomes.

resultsData for meta-analysis were retrieved for six studies with a total of 753 patients. The cosmetic satisfaction of patients was significantly greater in the intervention group versus the conventional group (VAS-C: -0.5215 [-0.9616; -0.0814]/SCHNOS-C: 1.9385 [0.1648-3.7123]). There was no significant difference in nasal obstruction scores between the intervention and conventional groups (VAS-O: -0.1997 [-0.5337; 0.1343]/SCHNOS-O: 0.5204 [-1.0096; 2.0504]/NOSE: -3.7884 [-10.2381; 2.6612]). According to the timing of measurement, the intervention group maintained a better improvement in cosmetic satisfaction (VAS-C and SCHNOS-C) until six months postoperation (early), but there was no significant difference thereafter.

conclusionBased on the patient-reported cosmetic or functional benefits, although dorsal preservation led to better cosmetic results in the early follow-up period, the results after six months were similar in the two groups. The two techniques led to similar functional improvements in nasal obstruction at one year of follow-up. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

Indexed as

Nasal ObstructionPatient Reported Outcome MeasuresPatient SatisfactionRhinoplastyAdultEstheticsFemaleHumansMaleRisk AssessmentTreatment OutcomeCosmeticDorsal preservationHump resectionMeta-analysisPreservation rhinoplastySystematic review

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.