Revision rhinoplasty of Asian noses: analysis and treatment.
نویسندگان
چکیده
OBJECTIVE To analyze postrhinoplastic deformities in Asian noses and the differences between noses of white and Asian patients. For a successful revision rhinoplasty, one of the most difficult and unpredictable procedures in plastic surgery, an accurate diagnosis and analysis of error are needed. DESIGN A retrospective study of 84 revision rhinoplasties performed by the senior author (C.H.P.) from January 2001 through December 2006. SETTING Tertiary care rhinology clinic. PATIENTS The study population comprised 84 patients (28 men and 56 women), with a mean age of 36 years (range, 20-58 years). MAIN OUTCOME MEASURES The postrhinoplastic deformities were divided anatomically into the upper, middle, and lower thirds of the nose with further subdivision of the deformities within each group. RESULTS In the 84 patients studied, the mean number of rhinoplasties per patient was 2.3. Of the 84 patients, 75 (89%) underwent revision rhinoplasty for upper-third deformities. Overall, deviated dorsum was the most common deformity, followed by irregular dorsum and asymmetric tip. Most of the upper-third deformities were treated with a rasp, camouflage graft, and expanded polytetrafluoroethylene (Gore-Tex; W. L. Gore & Associates Inc, Flagstaff, Arizona) augmentation. To correct lower-third deformities, mostly tip problems, we used transdermal and interdermal sutures. CONCLUSIONS In Asian noses, unlike noses of white patients, the most common cause of revision rhinoplasty is upper-third deformities. As most upper-third deformities in Asian noses result from inadequate insertion or dislocation of the augmentation graft material, we must be careful in our selection of implants and augmentation.
منابع مشابه
Revision Rhinoplasty for Short Noses in the Asian Population.
IMPORTANCE Short nose, especially postoperative short nose in Asian patients, remains a challenging problem for plastic surgeons. OBJECTIVE To determine the outcomes of revision rhinoplasty of postoperative short noses in Asian patients. DESIGN, SETTING, AND PARTICIPANTS We performed a retrospective medical record review of 41 Asian patients with postoperative short nose who underwent revis...
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عنوان ژورنال:
- Archives of otolaryngology--head & neck surgery
دوره 135 2 شماره
صفحات -
تاریخ انتشار 2009