Accuracy and safety of ChatGPT-4o responses in rhinoplasty postoperative counseling: a panel-based study.

[BACKGROUND] ChatGPT and other large language models have emerged as new tools for patient education, yet their clinical safety and reliability remain unclear.

[OBJECTIVE] To assess the accuracy and safety of ChatGPT-4o's responses to common postoperative questions following rhinoplasty.

[METHODS] Ten consensus-based postoperative questions were identified a modified Delphi process. ChatGPT-4o responses were generated and evaluated by three independent otolaryngologists using a 10-point Likert scale. Reviewers also assessed the presence of critical errors.

[RESULTS] The average Likert score across responses was 8.87 (95% CI, 8.39 to 9.34), No critical errors were detected. Inter-rater reliability was high (ICC(2,k) = 0.876).

[CONCLUSIONS] ChatGPT-4o provided clinically accurate and safe answers to common rhinoplasty postoperative questions.

[SIGNIFICANCE] These findings suggest that ChatGPT-4o may serve as a useful adjunct for postoperative patient counseling in structured settings, particularly when physician access is limited.