Complications Associated with Rhinoplasty: An Umbrella Review of Meta-analyses

Wu, Beiyi; Chen, Shanshan; Sun, Kaibo; Xu, Xuewen

doi:10.1007/s00266-021-02612-w

Cited by 5 publications

(4 citation statements)

References 52 publications

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“…To manage these post‐rhinoplasty tissue deficits, several reconstructive techniques are currently in practice, each with its merits and limitations. Techniques such as local approximated suturing, local pedicled flap grafting and free flap grafting have been widely utilized 16,17 . However, there is no consensus on a gold standard technique that assures optimal aesthetic results while concurrently addressing the infection effectively.…”

Section: Introductionmentioning

confidence: 99%

“…Techniques such as local approximated suturing, local pedicled flap grafting and free flap grafting have been widely utilized. 16 , 17 However, there is no consensus on a gold standard technique that assures optimal aesthetic results while concurrently addressing the infection effectively. This lack of unified guidelines is a persistent gap in literature and practice, and it motivates ongoing clinical and academic inquiries.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the therapeutic and reconstructive efficacy of flap transplantation techniques in managing nasal tissue deficiency resulting from post‐rhinoplasty surgical infections

Song,

Liu

2024

International Wound Journal

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Rhinoplasty is a frequently performed aesthetic surgery with a high procedural volume. Despite the operational ease and safety profile of biocompatible materials such as silicone and inflatable prosthetics, postoperative complications like surgical site infections can lead to significant clinical challenges. These complications necessitate effective therapeutic and reconstructive interventions. This study aims to evaluate the efficacy of different flap transplantation techniques for early treatment of post‐rhinoplasty nasal tissue deficiencies. A retrospective study was conducted from May 2018 to May 2023, involving 38 patients divided into a control group receiving standard anti‐infective treatment and an observation group undergoing early flap grafting procedures. Efficacy was evaluated using objective metrics—namely, nasal appearance, function and flap condition—each assessed through a 10‐point scoring system, and subjective metrics such as patient satisfaction gauged through self‐administered questionnaires. Statistical analyses were performed using SPSS version 27.0. Both groups were statistically comparable in terms of demographics such as age, marital status and educational background. The observation group displayed significantly improved outcomes in terms of nasal aesthetics (mean score 7.92 ± 1.00), nasal function (mean score 8.47 ± 0.51) and flap condition (mean score 7.89 ± 1.12) compared to the control group. Flap transplantation techniques demonstrated superior therapeutic and reconstructive efficacy in the management of nasal tissue deficiencies arising from post‐rhinoplasty surgical infections. These findings contribute to evidence‐based recommendations for optimal clinical practice.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluating the therapeutic and reconstructive efficacy of flap transplantation techniques in managing nasal tissue deficiency resulting from post‐rhinoplasty surgical infections

Song,

Liu

2024

International Wound Journal

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“…The most commonly reported complications in the literature are perioperative bleeding, edema, ecchymosis, infection, septal hematoma, and persistent epistaxis. More serious complications such as persistent pain, deformity, anosmia, and even cerebrospinal fluid loss have been described [ 4 , 5 ]. Early complications usually occur within the first week after surgery: Complications related to the use of rib cartilage, soft tissue complications such as excessive edema, and other typically minor, localized, and transient problems such as acne or dermatitis, postoperative bleeding/hematoma, and infection.…”

Section: Introductionmentioning

confidence: 99%

“…Technical complications include septal perforation, saddle nose deformity, open roof deformity, inverted V deformity, pollybeak deformity, and rocker deformity (these depend on technique rather than management related to osteotomy and other procedures). There are numerous clinical studies that have examined the effects of some medical applications [ 4 , 8 , 9 ], surgical techniques [ 10 , 11 ], and preoperative and postoperative medications [ 12 , 13 , 14 , 15 ] to minimize these complications, but there is not yet a standardized protocol. In the absence of standardized definitions of complications and treatment protocols, comparison of complication rates between different studies is extremely difficult, and the ability to perform high-quality meta-analyses is limited.…”

Section: Introductionmentioning

confidence: 99%

Proposal for Perioperative Pharmacological Protocol for the Reduction in Early Complications in Orthorhinoseptoplasty: Five Years of Experience

Nocini,

Arietti,

Barausse

et al. 2023

JPM

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Septorhinoplasty is a crucial intervention in functional and aesthetic facial surgery. Although rare and usually manageable, complications could lead to disfiguring consequences. There is no universal protocol for perioperative management in the literature. The aim of this article is to analyze the surgical complications in patients who underwent open rhinoseptoplasty and were treated in the perioperative period with the standardized protocol used in our department, in order to propose it as a standardized protocol for a more global application. Methods: The patients included underwent rhinoplasty between 2017 and 2022 and were managed with the same treatment protocol. Perioperative and intraoperative data, as well as possible complications, were collected. Results: A total of 129 patients were included, 73% of which reported either mild or no complications. Abnormal scar healing was the most frequent complaint (9%), followed by edema (6.2%), nasal dyspnea (3.9%), infection (2.3%), and bleeding (2.3%). No severe complications were reported. Conclusions: Our protocol appears to be effective in minimizing complications such as infection and bleeding, although it is very difficult to compare the results with the literature.

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Tranexamic Acid in Patients Undergoing Rhinoplasty: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials

Gutierrez,

Gobbo,

Heringer

2023

Aesth Plast Surg

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Complications Associated with Rhinoplasty: An Umbrella Review of Meta-analyses

Cited by 5 publications

References 52 publications

Evaluating the therapeutic and reconstructive efficacy of flap transplantation techniques in managing nasal tissue deficiency resulting from post‐rhinoplasty surgical infections

Evaluating the therapeutic and reconstructive efficacy of flap transplantation techniques in managing nasal tissue deficiency resulting from post‐rhinoplasty surgical infections

Proposal for Perioperative Pharmacological Protocol for the Reduction in Early Complications in Orthorhinoseptoplasty: Five Years of Experience

Tranexamic Acid in Patients Undergoing Rhinoplasty: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials

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