{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:46:06Z","timestamp":1791870366004,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Patients undergoing septorhinoplasty frequently experience perioperative concerns that prompt communication with their clinical care team. We sought to characterize the prevalence and nature of these concerns and identify variables associated with increased concern frequency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was a retrospective chart review. Records were obtained for patients who underwent septorhinoplasty between August 6, 2017 and August 6, 2022. Demographics, surgical characteristics, medication histories, and details of perioperative concerns were recorded. These included any clinically\u2010relevant communication to the surgeon or surgeon's staff initiated by the patient in the 30\u2009days prior to and 30\u2009days after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 306 septorhinoplasties were included in the analysis. A total of 197 patients (64%) had perioperative clinical concerns prompting contact with the office, with the majority of concerns arising postoperatively. Although not independent predictors of patient\u2010initiated communication (PIC), patients undergoing cosmetic intervention and\/or a history of allergic rhinitis had significantly higher volumes of PIC. Common reasons for preoperative patient concerns included procedural details (31%) and medication\u2010related questions (28%). Common reasons for postoperative PIC included wound care (17%) and medication\u2010related questions (17%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Perioperative patient concerns prompting contact with clinical staff are common among septorhinoplasty patients. Identifying the variables that contribute to these communications may guide quality improvement initiatives to enhance practices around perioperative patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70990","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:09:19Z","timestamp":1791868159000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors and Themes of Perioperative Patient\u2010Initiated Communication in Septorhinoplasty"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5481-0143","authenticated-orcid":false,"given":"Priyanka","family":"Tripuraneni","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5675-5758","authenticated-orcid":false,"given":"Amir A.","family":"Hakimi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5665-9822","authenticated-orcid":false,"given":"Christian X.","family":"Lava","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5344-4455","authenticated-orcid":false,"given":"Seetha","family":"Aribindi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keon M.","family":"Parsa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenia","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"issue":"4","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"e002525","DOI":"10.1136\/bmjopen-2012-002525","article-title":"What Determines Patient Satisfaction With Surgery? 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Global Open"},{"issue":"8","key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"e1495","DOI":"10.1002\/hsr2.1495","article-title":"Prevalence of Body Dysmorphic Disorder in Rhinoplasty Candidates: A Systematic Review and Meta\u2010Analysis","volume":"6","author":"Nabavizadeh S. S.","year":"2023","journal-title":"Health Science Reports"},{"issue":"3","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1002\/lary.31852","article-title":"Patient\u2010Initiated Communication After Parotidectomy","volume":"135","author":"Prince A. D. P.","year":"2025","journal-title":"Laryngoscope"},{"issue":"2","key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1097\/DSS.0000000000001750","article-title":"Factors Associated With Patient\u2010Initiated Communication After Mohs Micrographic Surgery","volume":"45","author":"Chitgopeker P.","year":"2019","journal-title":"Dermatologic Surgery"},{"issue":"10","key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1097\/SPV.0000000000000636","article-title":"Patient\u2010Initiated Telephone Calls in the Postoperative Period After Female Pelvic Reconstructive Surgery","volume":"26","author":"Ramaseshan A. 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