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Revision Rhinoplasty for Asian Postoperative Short Noses
Dept. of Otolaryngology, Asan Medical Center, Univ. of Ulsan College of Medicine1, Dept. of Otolaryngology, Taichung Veterans General Hosp., National Yang Ming Univ.2
Ji Heui KIM, Ji Heui KIM1, Ming Ying LAN2, Yong Ju JANG1
¸ñÀû: Short nose, especially Asian postoperative short nose, remains a challenging problem for plastic surgeons. This study was performed to determine the outcomes of revision rhinoplasty of Asian postoperative short noses. ¹æ¹ý:A retrospective chart review of 41 patients with postoperative short nose who underwent revision rhinoplasty in 2006 - 2014 in a tertiary-care referral center in Korea was conducted. Patient demographic, surgical technique, graft usage, anthropometric measurement, complication, and aesthetic outcome assessment data were retrieved. °á°ú:The 41 enrolled patients were on average 36.5 years old. There were 16 males and 25 females. The most commonly used dorsal graft in the previous rhinoplasty was silicone, followed by fascia with or without cartilage. Nostril asymmetry was a commonly associated aesthetic deformity it was noted in 92.7% of the patients. Various surgical techniques were applied, including septal reconstruction, cartilage flap technique, tip surgery, lateral compartment correction, and dorsal augmentation. Autologous costal cartilage was the most commonly used septal reconstruction material. Eleven patients (26.8%) developed postoperative complications, including infection, nostril asymmetry, and polly beak deformity. Revision rhinoplasty yielded statistically significant improvements in nasal length, nasal tip projection, nasofrontal angle, nasolabial angle, and columellarlobular angle (all P < 0.05). Over 90% of the patients were judged to have either good or excellent aesthetic results. °á·Ð:Correction of Asian postoperative short nose requires complicated surgery that usually involves more than one kind of surgical technique. Complications are not uncommon and patients should be informed of this before surgery.


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