Guideline sources The following summarized guidelines for the evaluation and management of post-rhinoplasty care are prepared by our editorial team based on guidelines from the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF 2017). 1 Guidelines 1. Diagnostic investigations Preoperative assessment: Evaluate rhinoplasty candidates for nasal airway obstruction during preoperative assessment. B Assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs. B 2. Nonpharmacologic interventions Postoperative nasal packing: do not place nasal packing routinely at the end of surgery in patients undergoing rhinoplasty with or without septoplasty. D 3. Perioperative care https://web.pathway.md/diseases/recmHEUGjnkAY0nJs 1/2 6/29/23, 11:21 PM Post-rhinoplasty care Pathway Perioperative corticosteroids: consider administering perioperative systemic corticosteroids in patients undergoing rhinoplasty. C Perioperative antibiotics: do not administer antibiotics for a duration of > 24 hours after surgery, if a decision to use perioperative antibiotics is made. D 4. Patient education Preoperative counseling: ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, provide feedback on whether those expectations are a realistic goal of surgery, and document this discussion in the medical record. B Show 3 more 5. Follow-up and surveillance Assessment of patient satisfaction: document patient satisfaction with their nasal appearance and with their nasal function at a minimum of 12 months after rhinoplasty. B References 1. Ishii LE, Tollefson TT, Basura GJ et al. Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty. Otolaryngol Head Neck Surg. 2017 Feb;156 2_suppl):S1 S30. Open https://web.pathway.md/diseases/recmHEUGjnkAY0nJs 2/2