Informed Consent in Rhinoplasty: Prospective Randomized Study of Risk Recall in Patients Who Are Given Written Disclosure of Risks versus Traditional Oral Discussion Groups

Hong, Paul; Makdessian, Ara Samuel; Ellis, David A. F.; Taylor, S. Mark
June 2009
Journal of Otolaryngology -- Head & Neck Surgery;Jun2009, Vol. 38 Issue 3, p369
Academic Journal
Objective: To determine the effectiveness of providing written information in enhancing patient understanding and retention. Design: A multicentre prospective randomized study was conducted in university-affiliated ambulatory surgical centres. One hundred consecutive patients seen for rhinoplasty consultation were included. Patients were randomly assigned to (1) those receiving traditional oral dialogue of the surgical risks or (2) those receiving an oral discussion and a written pamphlet outlining the risks of the procedure. Fourteen to 18 days after the consultation, each patient was contacted for an assessment of risk recall. Results: Overall risk recall was higher in the group that received written information (2.3 vs 1.3 of 5 risks; p < .008). As well, in the group that received a pamphlet, patients with university and postgraduate levels of education had a better rate of recall (p < .05). Female patients in both groups reported higher risk recall (p < .01). Conclusion: Patient risk recall of rhinoplasty is improved with the addition of written information during the informed consent process. As the process of informed consent plays a very decisive role in facial plastic surgery, enhanced postoperative satisfaction may result from the use of supplemental educational materials.


Related Articles

  • The Second Annual Membership Meeting and Scientific Session.  // Journal of Dermatologic Surgery & Oncology;Dec85, Vol. 11 Issue 12, p1199 

    The article presents information on the Second Annual Membership Meeting and Scientific Session organized by the American Academy of Cosmetic Surgery in conjunction with the American Society of Lipo-Suction Surgery which is to be held on January 10-12, 1986 in Los Angeles, California. The...

  • Sushruta: Rhinoplasty in 600 B.C. Saraf, Sanjay // Internet Journal of Plastic Surgery;2006, Vol. 3 Issue 2, p6 

    The roots of ancient Indian surgery go back to more than 4000 years ago. Sushruta, one of the earliest surgeons of recorded history (600 B.C.) is believed to be the first individual to describe Rhinoplasty. The detailed description of the Rhinoplasty operation by Sushruta is amazingly...

  • Injection rejection. Toriumi, Dean M. // Cosmetic Surgery Times;Nov/Dec2007, Vol. 10 Issue 10, p4 

    The article discusses the risks of 'nonsurgical' rhinoplasty or the injection of filler materials to provide contour changes to the nose. The author stresses that this practice could result in complications that permanently damage the nasal skin. Some of the patients who undergo the procedure...

  • Closed Rhinoplasty with Marginal Incision: Our Experience and Results. Bruschi, Stefano; Bocchiotti, Maria; Verga, Maurizio; Kefalas, Nicola; Fraccalvieri, Marco // Aesthetic Plastic Surgery;Mar2006, Vol. 30 Issue 2, p155 

    Supporters of traditional rhinoplasty and promoters of open rhinoplasty have debated their approaches for many years. From among different possible techniques, a surgeon must always choose the approach that provides the best aesthetic result. The surgeon’s experience and artistic sense...

  • PLASTIC SURGERY. Mano, D. Keith // National Review;11/13/1981, Vol. 33 Issue 22, p1363 

    The article presents the author's experience as a plastic surgeon. He describes in detail a mammaplasty he and other colleagues performed on a woman. The procedure has an numbing effect on him. He also described a rhinoplasty he and colleagues performed on another woman patient.

  • Revision Rhinoplasty from the Patient's Point of View. Pearlman, Steven J. // Plastic Surgery Practice;Oct2011, Vol. 21 Issue 10, p16 

    The article discusses revision Rhinoplasty, which is a plastic surgery procedure conducted to correct problems that occur after a nose surgery. Aesthetic abnormalities include implant displacement, over rotated and under rotated of nasal tips, and dorsal irregularity. It informs about functional...

  • Complications of rhinoplasty. Raghavan, Ullas; Jones, Nick S. // Clinical Risk;Jul2002, Vol. 8 Issue 4, p142 

    The article provides information on rhinoplasty, the most commonly performed facial cosmetic operation. Any complication from rhinoplasty is often difficult for both the patient and surgeon to come to terms with. The estimated incidence of complications following rhinoplasty is mentioned. It...

  • Building the Family Business. Smith, Rich // Plastic Surgery Practice;Jul2009, Vol. 19 Issue 8, p10 

    The article focuses on doctor Irvin Wiesman and how he maintains several practices as a board certified plastic surgeon, hand surgeon and a general practitioner in one. He considers being triple-boarded as an advantage in a way that he can address various problems he encounters in doing an...

  • Manejo de la punta nasal con injerto en flor de lis. Ramírez Oropeza, Fernando J.; Gómez, Diana Heras; Lozano, David Galarza; Mondragón Ángeles, Marco Einar // Anales de Otorrinolaringología Mexicana;jun2010, Vol. 55 Issue 3, p88 

    No abstract available.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics