Management of Common Complications in Rhinoplasty and Medical Rhinoplasty

Torres, Sebastian; Marianetti, Tito Matteo

doi:10.5772/63130

Cited by 5 publications

(4 citation statements)

References 41 publications

(33 reference statements)

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“…Rhinoplasty is the most common cosmetic operation performed by plastic surgeons. It is reported to have a weaker correlation with satisfaction level than other cosmetic operations [11]. The aim of this study was to determine the satisfaction levels of the patients and the doctors regarding primary and revision septorhinoplasties performed at KAMCH for the purpose of minimizing complications.…”

Section: Discussionmentioning

confidence: 97%

Causes, Prevention, and Correction of Complications of Primary and Revision Septorhinoplasty

Elsayed¹,

Alghamdi²,

Khan³

et al. 2021

Cureus

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Background: Rhinoplasty is one of the most challenging esthetic operations as it demands an optimal esthetic and practical outcome. Complications of rhinoplasty may occur intraoperatively or postoperatively during wound healing and contracture.Objectives: The aim of this study was to assess the complications of septorhinoplasty at King Abdullah Medical City Hospital (KAMCH) and to evaluate the satisfaction scores of the patients and the doctors after primary and revision septorhinoplasty.Materials and methods: In the last five years, 32 out of 425 patients (7.5%) underwent revision septorhinoplasty to correct complications of the previous operations performed at KAMCH. This is a retrospective single descriptive study that included Saudi patients aged 18 years and above who underwent primary and revision septorhinoplasty at KAMCH from January 2015 to March 2020. We reviewed the medical records of the patients to identify postoperative complications. Data were analyzed using SPSS statistical program (versions 7 and 8; SPSS Inc, Chicago).Results: The mean age of the 32 patients who underwent revision septorhinoplasty was 26 ± 8.5 years. Most of the complications involved the nasofrontal angle and the columellolabial angle. Statistically significant improvements in the satisfaction scores of the patients and the doctors were observed before the first surgery, after the first surgery, and after the second surgery (P = 0.000 for each time point). Conclusion:The satisfaction levels of the patients and the doctors improve after the second surgery.

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Section: Discussionmentioning

confidence: 97%

Causes, Prevention, and Correction of Complications of Primary and Revision Septorhinoplasty

Elsayed¹,

Alghamdi²,

Khan³

et al. 2021

Cureus

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“…When the septal cartilage is not available in secondary operations, conchal or costal cartilages should be used as graft material [15]. Although conchal cartilage grafts are easier to obtain compared to costal cartilage grafts [16], conchal cartilage grafts lack the strength, can easily be twisted, and usually are inadequate for the reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Dorsocaudal reconstruction of previous caudal septal resections with partial split spreader graft

Ekinci

Can

Koçman³

2022

J Surg Med

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Background/Aim: Nasal obstruction is caused mainly by nasal septal deviation, and submucosal resection is usually performed to treat this problem. However, if over-resected, nasal tip deprojection, deprojection of the dorsum, or pseudo-hump formation may be seen. Spreader grafts are used to restore the nasal septum in these cases, and different techniques have been described for this restoration; however, these techniques may not be the best fit for such restoration. This study presents a novel and effective method for septal reconstruction in patients with previous septal resections. Methods: Between March 2012 and October 2014, a case series of 14 male patients with tip deprojection and pseudo-hump formation who had undergone corrective surgery in our clinic was retrospectively examined. Partial-split, caudal extension costal spreader grafts were used and were fixed to the dorsum of the remnant septum cranially to prevent warping while avoiding nasal dorsum widening. Pre- and post-operative comparisons were performed, and the Nasal Obstructive Symptoms Evaluation questionnaire for the functional results and subjective Esthetic Appearance test for the esthetic outcomes were administered. Results: The mean age was 36.8 years (19–56 years), and the mean follow-up time was 14.6 months. Functional outcomes and esthetic appearance led to significantly improvements in all post-operative categories (P < 0.05) without any major complications. Common complaints were usually the same as seen in conventional rhinoplasty procedures, such as facial swelling, nasal stuffiness, pain, and/or epistaxis. None of the patients requested revision surgery. Conclusion: Using partial-split, caudal extension costal spreader grafts in the reconstruction of dorsocaudal septum in patients with previous septal resections appears to provide favorable functional and esthetic results.

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“…6,7 The nasal tip and alar regions exhibit limited vascularity, thereby increasing the risk of ischaemia and subsequent infection post-surgery. 8,9 Moreover, the complex relationship among nasal cartilages, specifically the lateral, alar and septal cartilages, necessitates precise surgical techniques to preserve nasal framework stability. 10,11 This complexity is exacerbated by the nasal cavity's proximity to vital structures like the eyes, maxillary sinuses and facial nerves, underlining the need for meticulous surgical planning to mitigate postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

“…Nonetheless, the anatomical intricacies of the nasal region, characterized by a limited buffer of protective tissues surrounding it, elevate the risks of postoperative complications, thereby questioning the universally accepted safety metrics of such prosthetics 6,7 . The nasal tip and alar regions exhibit limited vascularity, thereby increasing the risk of ischaemia and subsequent infection post‐surgery 8,9 . Moreover, the complex relationship among nasal cartilages, specifically the lateral, alar and septal cartilages, necessitates precise surgical techniques to preserve nasal framework stability 10,11 .…”

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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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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Management of Common Complications in Rhinoplasty and Medical Rhinoplasty

Cited by 5 publications

References 41 publications

Causes, Prevention, and Correction of Complications of Primary and Revision Septorhinoplasty

Causes, Prevention, and Correction of Complications of Primary and Revision Septorhinoplasty

Dorsocaudal reconstruction of previous caudal septal resections with partial split spreader graft

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

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