Abstract
Background: Postoperative complications following rhinoplasty under general anesthesia are a frequent concern in clinical practice, particularly those related to respiratory function such as dyspnea, nasal obstruction, and oxygen desaturation. Factors such as nasal packing, anesthesia technique, and airway management directly influence these outcomes. The study aimed to evaluate the prevalence and relationship of postoperative complications—especially dyspnea—in rhinoplasty patients while analyzing the perceptions of surgeons and anesthesiologists regarding preventive and management measures.
Methods: This quantitative cross-sectional study included 120 participants comprising surgeons and anesthesiologists involved in rhinoplasty procedures. Data were collected using a structured questionnaire assessing preoperative assessment practices, anesthesia preferences, nasal packing usage, and observed postoperative complications. Statistical analysis was conducted using SPSS version 27, employing descriptive statistics, chi-square, and Fisher’s exact tests to determine associations between clinical practices and postoperative outcomes.
Results: Findings revealed that postoperative dyspnea was the most frequently observed complication (70.8%), often associated with nasal packing and airway obstruction. Nasal packing was used in 95.8% of cases, with 75% of respondents acknowledging its role in aggravating dyspnea. Oxygen desaturation (SpO₂ < 90%) was reported by 33.3% of participants, highlighting the need for vigilant postoperative monitoring. A strong statistical association was found between nasal packing and dyspnea occurrence (p < 0.001), and between early nasal pack removal and improved breathing comfort (p < 0.001). Multidisciplinary collaboration was strongly endorsed by 99.2% of participants (p = 0.002).
Conclusion: The study concludes that postoperative dyspnea is a significant and preventable complication in rhinoplasty patients under general anesthesia. Nasal packing and airway obstruction are key contributing factors, while early removal of packing, careful airway management, and continuous SpO₂ monitoring significantly improve postoperative outcomes. Collaborative teamwork between surgeons and anesthesiologists enhances patient safety and reduces complication rates.
Recommendations: The study recommends minimizing nasal packing duration, ensuring routine preoperative airway assessment, and maintaining continuous postoperative oxygen monitoring. Hospitals should promote multidisciplinary collaboration between surgeons and anesthesiologists to enhance airway management and recovery safety. Further research should explore alternative techniques that maintain hemostasis without compromising patient comfort and breathing.