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Comparison of Changes in Nasal Skin Sensation After Primary and Revision Rhinoplasty Procedures Using
Abdulvahap Akyigit1, Erol Keleş1, Yavuz Sultan Selim Yıldırım2
1Otorhinolaryngology, Fırat University Medical Faculty, Department of Otorhinolaryngology, Elazig, Turkey.
Aesthetic Surgery Journal
|March 19, 2021
Summary
Nasal skin sensation typically returns to normal by 12 months after primary rhinoplasty, except for the tip and infratip. Revision rhinoplasty patients experience persistent reduced sensation, particularly at the tip, infratip, and columellar base.
Area of Science:
- Plastic Surgery
- Sensory Neuroscience
- Otolaryngology
Background:
- Nasal skin numbness is a frequent complication after rhinoplasty.
- Understanding sensory recovery is crucial for patient outcomes.
Purpose of the Study:
- To investigate postoperative sensory changes in primary and revision rhinoplasty.
- To evaluate recovery timelines and identify factors influencing sensation.
Main Methods:
- Prospective, randomized blinded study with 100 primary, 34 revision rhinoplasty patients, and 50 controls.
- Semmes-Weinstein monofilament testing at 7 nasal points preoperatively and at 1, 3, 6, 12 months postoperatively.
Main Results:
- Primary rhinoplasty: significant sensation reduction at tip/infratip; other areas recovered by 12 months.
- Revision rhinoplasty: significant sensation reduction at tip, infratip, columellar base; persistent deficits.
- Revision patients showed significantly reduced sensation across all tested points compared to primary patients.
Conclusions:
- Nasal skin sensation largely recovers by 12 months post-primary rhinoplasty, excluding the tip and infratip.
- Revision rhinoplasty is associated with more profound and persistent sensory deficits, especially at the tip, infratip, and columellar base.
