PREVENTIVE POTENTIAL OF RHINOPLASTIC INTERVENTIONS IN ENSURING POPULATION HEALTH. MEDICAL AND SOCIAL SIGNIFICANCE

Authors

DOI:

https://doi.org/10.11603/1681-2786.2026.2.16468

Keywords:

rhinoplasty; septoplasty; nasal obstruction; public health; preventive medicine; quality of life.

Abstract

Objective: to summarize current scientific data on the epidemiology of nasal breathing disorders caused by anatomical defects of the nose, to analyze their impact on public health indicators, and to substantiate the preven- tive potential of reconstructive interventions as a factor in preserving the socio-economic resource of society. Materials and Methods. The study methodology was based on a systematic analysis of scientific sources (2002–2026) concerning the preventive effect, clinical effectiveness, and economic feasibility of reconstructive rhi- noplastic interventions from the perspective of modern public health metrics. Results. The article summarizes current scientific data on the medical and social significance of nasal breathing disorders and the preventive potential of rhinoplastic interventions within the public health system. It is shown that deviations of the nasal septum and other anatomical defects of the nose are extremely common (up to 80–90% among the adult population) and constitute a significant, often underestimated burden of non-communicable dis- eases. Chronic nasal obstruction is considered a multisystem risk factor associated with the development of sleep apnea, cardiovascular disorders, cognitive impairment, and reduced quality of life, leading to losses in healthy life years (DALYs) and a decrease in the socio-economic potential of the population. It has been established that rhinoplasty and septoplasty have significant preventive potential at different stages of life: in children, they prevent disorders of facial skeleton development as well as cognitive and behavioral impair- ments; in adults, they reduce the risk of systemic complications, improve respiratory function, sleep quality, and the effectiveness of treatment of comorbid conditions. They also have biopsychosocial aspects–contributing to improved psycho-emotional well-being, reduced levels of anxiety and depression, and better social integration of patients. Under martial law conditions in Ukraine, they acquire a key role in the medical and social rehabilitation of individuals with combat-related facial injuries. Conclusions. Rhinoplastic interventions should be considered an effective tool of preventive medicine, capable of reducing the burden of chronic diseases, improving population quality of life, and contributing to the preserva- tion of human capital. The integration of reconstructive nasal surgery into public health strategies and care models aimed at optimizing healthcare delivery under wartime and post-war challenges is a practical necessity.

References

Про схвалення Стратегії розвитку системи охорони здоров’я на період до 2030 року та затвердження операційного плану заходів з її реалізації у 2025-2027 роках : Розпорядження Кабінету Міністрів України від 17 січня 2025 р. № 34-р. URL: https:// zakon.rada.gov.ua/laws/show/34-2025-p#Text.

Про систему громадського здоров’я : Закон України № 2573-ІХ від 06 вересня 2022 р. URL: https://zakon/rada.gov.ua/laws/show/2573-20#Text.

Моніторинг стану громадського здоров’я як об’єкта публічного управління в умовах повномасштабної війни в Україні. URL: https://ema.ztu.edu/article/view/285094.

Alghamdi F. S., Albogami D., Alsurayhi A. S., Alshibely A. Y., Alkaabi T. H., Alqurashi L. M., et al. Nasal Septal Deviation: A Comprehensive Narrative Review. Cureus. 2022. Nov 10. 14(11). e31317. DOI: 10.7759/cureus.31317. DOI: https://doi.org/10.7759/cureus.31317

Moshfeghi M., Abedian B., Ghazizadeh Ahsaie M., Tajdini F. Prevalence of Nasal Septum Deviation Using Cone-Beam Computed Tomography: A Cross-Sectional Study. Contemp Clin Dent. 2020. 11(3). P. 223-228. DOI: 10.4103/ccd.ccd_110_19. DOI: https://doi.org/10.4103/ccd.ccd_110_19

Kumbhare S., Ashwinirani S. R., Suragimath G., Sande A. Prevalence of nasal septum deviation and its association with chronic maxillary sinusitis. J Oral Med Oral Surg Oral Pathol Oral Radiol. 2022. 8(1). Р. 16-19. DOI: 10.18231/j.jooo.2022.004. DOI: https://doi.org/10.18231/j.jooo.2022.004

Romoozi E., Molaee M., Rahimi H., Karimian A. The prevalence of nasal septum deviation and its association with maxillary sinus mucosal thickening using cone-beam computed tomography. Int J Health Sci. 2022 Oct 20. 6(S7). Р. 6258-70. DOI: 10.53730/ijhs.v6nS7.13513. DOI: https://doi.org/10.53730/ijhs.v6nS7.13513

Didkovskiy V., Shevchuk Y., Konovalov S. Types of the nasal septum deviations and their influence on the state of mucociliary clearance of the nasal cavity in patients with postnasal obstruction syndrome. ScienceRise Med Sci. 2023.(6). Р. 4–9. DOI: 10.15587/2519-4798.2023.295217. DOI: https://doi.org/10.15587/2519-4798.2023.295217

Sunnychan S., Deshmukh P. T. A Study of Nasal Septal Deviation, External Nasal Deformities, and their Correlation with the Severity of Sino-Nasal Symptoms Using Sino Nasal Symptoms Score Questionnaire. J Pharm Res Int. 2021 Dec 30. 33(64B). Р. 316-22. DOI: 10.9734/jpri/2021/v33i64B35407. DOI: https://doi.org/10.9734/jpri/2021/v33i64B35720

Alessandri-Bonetti M., Costantino A., Cottone G., Carbonaro R., Cardone F., Amendola F., et al. Efficacy of Septoplasty in Patients with Nasal Obstruction: A Systematic Review and Meta-analysis. Laryngoscope. 2023 Dec.133(12). Р. 3300-3310. DOI: 10.1002/lary.30713. DOI: https://doi.org/10.1002/lary.30684

Abou Sleiman R., Saadé A. Effect of septal deviation on nasomaxillary shape: A geometric morphometric study. J Anat. 2021 Oct. 239(4). Р. 788-800. DOI: 10.1111/joa.13479. DOI: https://doi.org/10.1111/joa.13479

Arpacı M. F., Özbağ D., Aydın Ş., Şenol D., Baykara R. A., Çiçek І. B. Evaluation of the relationship between nasal septal deviation and development of facial asymmetry with anthropometric measurements depending on age. Int J Pediatr Otorhinolaryngol. 2022 Aug.159. Р. 111-207. DOI: 10.1016/j.ijporl.2022.111207. DOI: https://doi.org/10.1016/j.ijporl.2022.111207

Zieliński J., Costa S., Cherkes M., Glibbery N., Kovács P., Mitrea-Sirețeanu L., et al. Pediatric Septoplasty: Benefits, Challenges, and Clinical Recommendations–Comprehensive Review of Young ESPO. J Clin Med. 2025. 14(15). Р. 5537. DOI: 10.3390/jcm14155537. DOI: https://doi.org/10.3390/jcm14155537

Baharmand I., Sheikh-Oleslami S., Pascual Rodríguez A., Hernaiz-Leonardo J. C., Alim B. M., Javer A. R. The Effects of Nasal Surgery on Pulmonary Function: A Systematic Review and Meta-Analysis. Laryngoscope. 2023 Nov. 133(11). P. 2837-2845. DOI: 10.1002/lary.30651. DOI: https://doi.org/10.1002/lary.30651

de Sousa F. A., Tavares Correia J., Carvalho Almeida J., Raquel Azevedo S., Gonçalves Ferreira M., et al. Septoplasty-mediated improvements in nasal patency and pulmonary function: A prospective study. Laryngoscope Investig Otolaryngol. 2025 Jan. 10(1). e70065. DOI: 10.1002/lio2.70065. DOI: https://doi.org/10.1002/lio2.70065

Wu Y., Yu T., Zhang Z., Wang X., Gao S. The benefits of septoplasty for patients with deviated nasal septum and allergic rhinitis: a meta-analysis. Sci Rep. 2024. 14(1). 28855. DOI: 10.1038/s41598-024-80377-3. DOI: https://doi.org/10.1038/s41598-024-80377-3

García-Paz V., Chamorro-Petronacci C. M., Painceira-Villar R., Becerro-de-Bengoa-Vallejo R., Losa-Iglesias M. E., et al. Allergic rhinitis improvement after septorhinoplasty in a sample of allergic rhinitis patients with septal deviation: a quasi-experimental study. Sao Paulo Med J. 2022 Jan-Feb. 140(1). P. 17-23. DOI: 10.1590/1516-3180.2021.0236.R1.03052021. DOI: https://doi.org/10.1590/1516-3180.2021.0236.r1.03052021

Fearington F. W., Awadallah A. S., Hamilton G. S. 3rd, Olson M. D., Dey J. K. Long-Term Outcomes of Septoplasty With or Without Turbinoplasty: A Systematic Review. Laryngoscope. 2024 Jun. 134(6). P. 2525-2537. DOI: 10.1002/lary.31193. DOI: https://doi.org/10.1002/lary.31193

Hismi A., Yu P., Locascio J., Levesque P. A., Lindsay R. W. The Impact of Nasal Obstruction and Functional Septorhinoplasty on Sleep Quality. Facial Plast Surg Aesthet Med. 2020 Nov/Dec. 22(6). P. 412-419. DOI: 10.1089/fpsam.2020.0005. DOI: https://doi.org/10.1089/fpsam.2020.0005

Carrie S., Fouweather T., Homer T., O'Hara J., Rousseau N., Rooshenas L., et al. Effectiveness of septoplasty compared to medical management in adults with obstruction associated with a deviated nasal septum: the NAIROS RCT. Health Technol Assess. 2024 Mar. 28(10). P. 1-213. DOI: 10.3310/MVFR4028. DOI: https://doi.org/10.3310/MVFR4028

Carrie S., O'Hara J., Fouweather T., Homer T., Rousseau N., Rooshenas L., et al. Clinical effectiveness of septoplasty versus medical management for nasal airways obstruction: multicentre, open label, randomised controlled trial. BMJ. 2023 Oct 18. 383. e075445. DOI: 10.1136/bmj-2023-075445. DOI: https://doi.org/10.1136/bmj-2023-075445

Boustany A. N., Grover R., Alnaeem H., Seyidova N., Rohrich R. J., Lin S. J. Cosmetic rhinoplasty. Plast Reconstr Surg. 2023. 151. P. 315–329. DOI: 10.1097/PRS.0000000000010185. DOI: https://doi.org/10.1097/PRS.0000000000009874

Wright L., Grunzweig K. A., Totonchi A. Nasal obstruction and rhinoplasty: a focused literature review. Aesthetic Plast Surg. 2020. 44. P. 1658–1669. DOI: 10.1007/s00266-020-01773-y. DOI: https://doi.org/10.1007/s00266-020-01710-5

Luong K. P., Slijper H. P., Stubenitsky B., Hummelink S., Ulrich DJO. Changes in patient-reported satisfaction and quality-of-life 6 months after rhinoplasty. J Plast Reconstr Aesthet Surg. 2024 Apr. 91. P. 325-334. DOI: 10.1016/j.bjps.2024.02.038. DOI: https://doi.org/10.1016/j.bjps.2024.02.038

Disawal A., Srivastava S. Changes in patient’s life after rhinoplasty. Int Surg J. 2021. 8(4). P. 1260-1264. DOI: 10.182303/2349-2902.isj20211308. DOI: https://doi.org/10.18203/2349-2902.isj20211308

Urs R., Anghel I., Anghel A. O. R., Anghel A. G. Risks and complications in rhinoplasty. A comparative study in structural vs preservation rhinoplasty. Rom Med J. 2022. 69. P. 82–86. DOI: 10.37897/RMJ.2022.2.3. DOI: https://doi.org/10.37897/RMJ.2022.2.7

Meretsky C. R., Polychronis A., Clark D., Liovas D., Schiuma A. T. Advantages and Disadvantages of Reconstructive and Preservation Rhinoplasty: Surgical Techniques, Outcomes, and Future Directions. Cureus. 2024 Sep 21. 16(9).e69002. DOI: 10.7759/cureus.69002 DOI: https://doi.org/10.7759/cureus.69002

Krzywdzińska S., Jurkiewicz D., Jadczak M. Assessment of Functional and Aesthetic Results in Preservation and Structural Rhinoplasty. J Clin Med. 2026 Feb 12. 15(4). P. 1429. DOI: 10.3390/jcm15041429. DOI: https://doi.org/10.3390/jcm15041429

Wo L. M., Al. Bayati M., Weber L. E., Habal M. B., & Thaller S. R. Future Direction in Rhinoplasty: Functional Improvements for a Better Outcome. The Journal of craniofacial surgery. 2020. 31(3). P. 750–754. DOI: https://doi.org/10.1097/SCS.0000000000006444 DOI: https://doi.org/10.1097/SCS.0000000000006444

Stergiou G., Schweigler A., Finocchi V., Fortuny C. G., Saban Y., Tremp M. Quality of Life (QoL) and Outcome After Preservation Rhinoplasty (PR) Using the Rhinoplasty Outcome Evaluation (ROE) Questionnaire-A Prospective Observational Single-Centre Study. Aesthetic Plast Surg. 2022 Aug. 46(4). P. 1773-1779. DOI: 10.1007/s00266-022-02773-2. DOI: https://doi.org/10.1007/s00266-022-02773-2

Omer G., Girolamo S., Hamatofiq B., Tofiq S., Mohammed M. A., Abdulkarim D., et al. Functional, Cosmetic, and Psychological Outcomes after Rhinoplasty. Plast Reconstr Surg Glob Open. 2024 Aug 16. 12(8). e6057. DOI: 10.1097/GOX.0000000000006057. DOI: https://doi.org/10.1097/GOX.0000000000006057

de Souza O. E., Lavinsky-Wolff M., Migliavacca R. O., de Azeredo A. M., Colognese Gabbardo A. V., Velho J. S. Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty. Laryngoscope. 2022 Aug. 132(8). P. 1569-1575. DOI: 10.1002/lary.29923. DOI: https://doi.org/10.1002/lary.29923

Luong K. P., Hummelink S., Stubenitsky B., Slijper H. P., Ulrich DJO. Determinants of patient-reported satisfaction with treatment outcome 6 months after rhinoplasty. JPRAS Open. 2025 Sep 25. 46. P. 337-347. DOI: 10.1016/j.jpra.2025.09.026. DOI: https://doi.org/10.1016/j.jpra.2025.09.026

Katamanin Olivia & Saini Shivani & Jafferany Mohammad. Psychological implications and quality of life after cosmetic rhinoplasty: a systematic review. Discover Psychology. 2024. 4. 10.1007/s44202-024-00126-5. DOI: https://doi.org/10.1007/s44202-024-00126-5

Farzan R., Haghdoost A., Tolouie M., Koudehi S. P., Khonacha E. E., Nikinia P., et al. Examining Mental Health Changes Before and After Rhinoplasty: An Analytical Study. PsyCh J. 2025. 14(2). P. 299–306. DOI: 10.1002/pchj.820. DOI: https://doi.org/10.1002/pchj.820

Published

2026-05-31

Issue

Section

Analytical reviews of scholarly sources

How to Cite

PREVENTIVE POTENTIAL OF RHINOPLASTIC INTERVENTIONS IN ENSURING POPULATION HEALTH. MEDICAL AND SOCIAL SIGNIFICANCE. (2026). Bulletin of Social Hygiene and Health Care Organization of Ukraine, 2, 129-136. https://doi.org/10.11603/1681-2786.2026.2.16468