Immediate Re-Insertion of Non-Autologous Materials in Revision Augmentation Rhinoplasty. Issue 5 (May 2015)

• Record Type: Journal Article
• Authors: Kim, Yoo Suk; Hyun, Dong Woo; Seong, Sang Yeob; Park, Do Yang; Kim, Chang-Hoon; Yoon, Joo-Heon
• Is Part Of: Annals of plastic surgery. Volume 74:Issue 5(2015:May)
• Publication Date: 2015-05
• Subjects: non-autologous material -- augmentation -- revision rhinoplasty; Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/SAP.0000000000000128
• Languages: English
• ISSNs: 0148-7043

Abstract

Abstract : Objective: This paper aims to study whether immediate re-insertion of non-autologous augmentation material in revision augmentation rhinoplasty is a safe surgical strategy creating a successful and functional aesthetic outcome. Study Design: Retrospective review and analysis of medical records. Setting: Tertiary referral hospital. Subjects and Methods: A retrospective analysis of 11 consecutive patients who had undergone removal of previous augmentation material and immediate re-insertion of non-autologous material in revision augmentation rhinoplasty was performed. Demographics, surgical approaches, augmentation materials, material-related complications, time interval between surgeries, surgical outcome, and follow-up period were included in the analysis to evaluate our surgical strategy. Results: A successful surgical outcome with respect to both functional and aesthetic aspects was obtained in nine of the 11 enrolled patients. In 1 patient, there was a recurrence of material-related complication, while another patient experienced unsatisfactory graft displacement. The unsuccessful cases had 2 common features in that silicone and endonasal approaches were used in the primary and revision surgeries, respectively. Conclusion: Removal of previous augmentation material and immediate re-insertion of non-autologous material for dorsal augmentation in revision rhinoplasty is feasible with respect to functional and aesthetic aspects of patient outcome.