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Management of Rhinoplasty Patient

An outstanding corrective surgical plan needs to be based on thorough clinical assessment, clear doctor patient communication and frank discussion of the pros and cons of surgery. In addition, a well informed consent, smooth in-patient care and close follow-up are mandatory in order to lessen the patients fear and anxiety, limit complications and cut down the medicolegal cases.

Practical guidelines are presented as follows:
  1. Consultation
    • History
    • Clinical examination
    • Computer imaging
    • Informed consent
    • Photographs
    • Preoperative investigation

  2. In-patient management
    • Hospital admission
    • Anaesthesia
    • Immediate postoperative care

  3. Instructions and follow-up
Consultation
  1. History
    Ask the patient about:
    1. The main complaint: shape and or function.
    2. What he/she dislikes about his/her nose.
    3. What he/she likes about his/her nose.
    4. Any airways obstruction.
    5. Any previous nasal surgery.
    6. Any medication for nasal obstruction or allergies.
    7. Any other illnesses (diabetes, asthma, heart, hypertension, etc.) and other medications or previous surgeries.

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