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DOI: 10.1055/s-0041-1735511
In-office Endonasal Minor Revision Rhinoplasty
Abstract
The revision rhinoplasty presents many unique challenges to the facial plastic surgeon. While many cases will require a full revision in the operating room, there are several isolated deformities which may be repaired in the office via an endonasal approach. This provides many benefits to the patient and surgeon including decreased cost, shorter recovery time, avoidance of general anesthesia, and less discomfort. It is critical to identify defects appropriate for endonasal repair, establish clear expectations with the patient, and work within one's skill set and level of experience. The surgeon who can comfortably navigate both open and endonasal techniques can offer their patients a comprehensive set of solutions for revision rhinoplasty. In this article we outline the defects amenable to this type of repair as well as technical considerations for each defect addressed. We hope it serves as a useful framework for the range of deformities the rhinoplasty surgeon may take on for in-office repair.
Keywords
revision rhinoplasty - in-office procedure - facial plastic surgery - endonasal rhinoplastyPublikationsverlauf
Artikel online veröffentlicht:
20. September 2021
© 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
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References
- 1 Rettinger G. Risks and complications in rhinoplasty. GMS Curr Top Otorhinolaryngol Head Neck Surg 2007; 6: Doc08 Accessed April 1, 2021 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199839/
- 2 Butz DR, Gill KK, Randle J, Kampf N, Few JW. Facial Aesthetic Surgery: The Safe Use of Oral Sedation in an Office-Based Facility. Aesthet Surg J 2016; 36 (02) 127-131
- 3 Kamer FM, McQuown SA. Revision rhinoplasty. Analysis and treatment. Arch Otolaryngol Head Neck Surg 1988; 114 (03) 257-266
- 4 Perkins SW. The evolution of the combined use of endonasal and external columellar approaches to rhinoplasty. Facial Plast Surg Clin North Am 2004; 12 (01) 35-50
- 5 Yu K, Kim A, Pearlman SJ. Functional and aesthetic concerns of patients seeking revision rhinoplasty. Arch Facial Plast Surg 2010; 12 (05) 291-297
- 6 Cvjetković N, Lustica I. [Secondary rhinoplasty (analysis of failures over a 5-year period)]. Lijec Vjesn 1997; 119 (02) 68-71
- 7 Hellings PW, Nolst Trenité GJ. Long-term patient satisfaction after revision rhinoplasty. Laryngoscope 2007; 117 (06) 985-989
- 8 Hassan Y, Leveille CF, Gallo L. et al. Reporting Outcomes and Outcome Measures in Open Rhinoplasty: A Systematic Review. Aesthet Surg J 2020; 40 (02) 135-146
- 9 Rodman R, Kridel R. A Staging System for Revision Rhinoplasty: A Review. JAMA Facial Plast Surg 2016; 18 (04) 305-311
- 10 Constantian MBMD. Differing characteristics in 100 consecutive secondary rhinoplasty patients following closed versus open surgical approaches. Plast Reconstr Surg 2002; 109 (06) 2097-2111
- 11 Stucker FJ. Rhinoplasty from the Goldman/Cottle schools to the present: a survey of 7447 personal cases. Am J Rhinol 2003; 17 (01) 23-26
- 12 Adamson PA, Constantinides M, Kim AJ, Pearlman S. Rhinoplasty: panel discussion. Facial Plast Surg Clin North Am 2014; 22 (01) 25-55
- 13 Dayan S, Kanodia R. Has the pendulum swung too far?: trends in the teaching of endonasal rhinoplasty. Arch Facial Plast Surg 2009; 11 (06) 414-416
- 14 Lee M, Unger JG, Gryskiewicz J, Rohrich RJ. Current clinical practices of the Rhinoplasty Society members. Ann Plast Surg 2013; 71 (05) 453-455
- 15 Vermeiren J, De Vos G. The feather touch rasp, a powered instrument for hump reduction. B-ENT 2007; 3 (03) 113-117
- 16 Uppal R, Yousif AH, Maheshwari K. Outcome-based Comparative Study to Examine the Correction of Columella Deformitiesfollowing Rhinoplasty. Plast Reconstr Surg Glob Open 2020; 8 (07) e3001
- 17 Lee M, Zwiebel S, Guyuron B. Frequency of the preoperative flaws and commonly required maneuvers to correct them: a guide to reducing the revision rhinoplasty rate. Plast Reconstr Surg 2013; 132 (04) 769-776
- 18 Constantian MB. What motivates secondary rhinoplasty? A study of 150 consecutive patients. Plast Reconstr Surg 2012; 130 (03) 667-678
- 19 Chun JJ, Yoon SM, Wee SY, Choi CY, Oh HS, Jeong HG. Alar Rim Composite Graft: A Safe and Simple Way to Correct Alar Retraction. Arch Aesthetic Plast Surg 2018; 24 (02) 55-61
- 20 Chen C, Patel R, Chi J. Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft. Surg J (N Y) 2018; 4 (02) e55-e61
- 21 Bracaglia R, Fortunato R, Gentileschi S. Secondary rhinoplasty. Aesthetic Plast Surg 2005; 29 (04) 230-239
- 22 Foda HMT. Rhinoplasty for the multiply revised nose. Am J Otolaryngol 2005; 26 (01) 28-34
- 23 Beekhuis GJ. Nasal obstruction after rhinoplasty: etiology, and techniques for correction. Laryngoscope 1976; 86 (04) 540-548
- 24 Dutton JM, Neidich MJ. Intranasal Z-plasty for internal nasal valve collapse. Arch Facial Plast Surg 2008; 10 (03) 164-168
- 25 Sinno S, Mehta K, Lee Z-H, Kidwai S, Saadeh PB, Lee MR. Inferior Turbinate Hypertrophy in Rhinoplasty: Systematic Review of Surgical Techniques. Plast Reconstr Surg 2016; 138 (03) 419e-429e
- 26 Picavet VA, Grietens J, Jorissen M, Hellings PW. Rhinoplasty from a rhinologist's perspective: need for recognition of associated sinonasal conditions. Am J Rhinol Allergy 2012; 26 (06) 493-496