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Immediate re-insertion of non-autologous materials in revision augmentation rhinoplasty
Yoo Suk Kim1, Dong Woo Hyun, Sang Yeob Seong
1From the *Department of Otolaryngology, Ajou University School of Medicine, Suwon; †Department of Otorhinolaryngology, Hallym University College of Medicine, Seoul; and ‡Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
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.
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