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Infraorbital nerve palsy after rhinoplasty
M Meyer1, A L Moss, K W Cullen
1North East Thames Regional Plastic Surgery Unit, St. Andrews Hospital, Billericay, Great Britain.
Summary
Permanent infraorbital nerve damage during rhinoplasty surgery is presented. This rare complication, potentially leading to facial numbness, has not been previously documented in medical literature.
Area of Science:
- Plastic Surgery
- Neurosurgery
- Otolaryngology
Background:
- Rhinoplasty is a common cosmetic and reconstructive surgical procedure.
- Nerve damage is a known risk in surgical interventions, though specific nerve involvement varies.
- The infraorbital nerve, responsible for sensation in the lower eyelid, cheek, and upper lip, is rarely implicated in rhinoplasty complications.
Observation:
- This report details a unique case of permanent infraorbital nerve injury sustained during a rhinoplasty procedure.
- The patient experienced persistent sensory deficits following the surgery.
Findings:
- Permanent infraorbital nerve damage is a previously unreported complication of rhinoplasty.
- The exact mechanism of injury during the procedure requires further investigation.
Implications:
- Surgeons should be aware of this potential, albeit rare, complication during rhinoplasty.
- Further research is warranted to understand the incidence and mechanisms of infraorbital nerve injury in rhinoplasty.
- Improved surgical techniques or preventative measures may be necessary to mitigate this risk.