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Epistaxis01:30

Epistaxis

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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
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Migrated Implant Causing Refractory Headache in Rhinoplasty.

Facial plastic surgery : FPSยท2016
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Migrated Implant Causing Refractory Headache in Rhinoplasty.

Wen Hsuan Tseng1, Yu-Hsun Tony Chiu2

  • 1Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.

Facial Plastic Surgery : FPS
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Summary

A silicone implant used for rhinoplasty caused a rare complication, leading to persistent headaches in a patient. This case highlights potential long-term risks associated with nasal augmentation implants.

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Area of Science:

  • Plastic Surgery
  • Neurosurgery
  • Medical Case Reports

Background:

  • Alloplastic materials, particularly silicone implants, are frequently used for nasal augmentations due to cost and ease of use.
  • Silicone implants are known for potential mobility and extrusion risks, but severe complications are uncommon.

Observation:

  • A 58-year-old woman presented with a year-long history of headaches, with neurological causes excluded.
  • Physical examination revealed an upwardly deviated nasion and a poorly defined silicone implant under the skin on the nasal dorsum.

Findings:

  • The patient had undergone augmentation rhinoplasty 20 years prior using a silicone implant.
  • The persistent headache was an unusual complication potentially linked to the long-term presence and position of the nasal silicone implant.

Implications:

  • This case underscores the importance of considering implant-related complications, even years after initial surgery.
  • Further investigation into the long-term effects and potential sequelae of alloplastic nasal implants is warranted.