Related Experiment Video
Updated: May 27, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Risks and complications in rhinoplasty
1ENT-Department, University Ulm, Germany.
GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
|November 11, 2011
Summary
Rhinoplasty carries risks including breathing issues and deformities like the pollybeak, often requiring revision surgery. Careful patient selection and surgical technique are crucial to minimize complications and achieve satisfactory outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Rhinoplasty, a common cosmetic and reconstructive procedure, is associated with various risks and potential complications.
- Patient and physician expectations may not always align, leading to dissatisfaction and the need for revision surgeries.
Purpose of the Study:
- To comprehensively review the risks and complications associated with rhinoplasty.
- To identify common postoperative deformities and their underlying causes.
- To emphasize strategies for risk reduction and achieving predictable surgical outcomes.
Main Methods:
- Review of existing literature on rhinoplasty complications.
- Analysis of common postoperative deformities and their etiological factors.
- Discussion of material risks (autogenous vs. alloplastic) and soft tissue complications.
Main Results:
- Breathing disturbances affect up to 70% of revision rhinoplasty patients.
- Common deformities include pollybeak, nasal tip irregularities, and dorsal irregularities, often due to septal support loss.
- Complication rates vary by implant material, with silicone implants having 5-20% complication rates.
Conclusions:
- Minimizing rhinoplasty risks requires meticulous surgical technique, appropriate material selection, and thorough preoperative assessment, including psychological evaluation.
- Understanding and addressing the causes of postoperative deformities, particularly those related to septal support, is key to successful revision surgery.
- Continuous education and experience are vital for surgeons to reduce complication rates and differentiate between complications and surgical errors.
Related Concept Videos
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:24Asthma-III: Symptoms and Complications
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
01:29Administering Oxygen by Nasal Cannula
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils, connected...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils, connected...
01:24Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...