Introduction: Citation analysis aims to quantify the importance and influence of
a published article within its field. We performed a bibliometric analysis to determine
the most highly cited articles within rhinoplasty and their impact on current
practice.
Methods: The 100 most-cited articles relating to rhinoplasty, between and inclusive
of January 1864 to September 2015, were extracted from Web of Science in October
2015. Title, source journal, publication year, total citations, average citations/
year, type of article, level of evidence, country of origin, main focus, use of outcome
measures, incorporation into “Selected Readings in Plastic Surgery,” and funding
status were recorded.
Results: The total number of citations per article ranged from 61 to 276 (1.5–12.1
average citations per year). Surgical technique was the focus of 53% of articles,
particularly those for reconstruction (75%). The United States produced 72% of
articles compared with 8% from the United Kingdom. The top 100 articles were
published within 20 journals; “Plastic and Reconstructive Surgeons” contributed
the most articles (n = 57). None of the articles achieved level 1 or 2 of evidence
(Oxford Centre for Evidence-Based Medicine levels of evidence, 2011), with most
achieving level 4 evidence (n = 64). Case-series were the most popular methodology
(n = 37). Few articles used validated outcome measures (n = 21). Twenty-nine
percent were referenced in “selected readings.” Eighty-nine percent were unfunded
studies.
Conclusions: These top 100 articles are used in current teaching material and
underpin surgical decision making. Developing and using validated objective
assessment tools will benefit surgeons, patients, and the greater scientific community
in objectively evaluating techniques with the most favorable results.