Abstract

Background: Rhinoplasty is one of the most challenging esthetic operations as it demands an optimal esthetic and practical outcome. Complications of rhinoplasty may occur intraoperatively or postoperatively during wound healing and contracture.Objectives: The aim of this study was to assess the complications of septorhinoplasty at King Abdullah Medical City Hospital (KAMCH) and to evaluate the satisfaction scores of the patients and the doctors after primary and revision septorhinoplasty.Materials and methods: In the last five years, 32 out of 425 patients (7.5%) underwent revision septorhinoplasty to correct complications of the previous operations performed at KAMCH.This is a retrospective single descriptive study that included Saudi patients aged 18 years and above who underwent primary and revision septorhinoplasty at KAMCH from January 2015 to March 2020. We reviewed the medical records of the patients to identify postoperative complications. Data were analyzed using SPSS statistical program (versions 7 and 8; SPSS Inc, Chicago).Results: The mean age of the 32 patients who underwent revision septorhinoplasty was 26 ± 8.5 years. Most of the complications involved the nasofrontal angle and the columellolabial angle. Statistically significant improvements in the satisfaction scores of the patients and the doctors were observed before the first surgery, after the first surgery, and after the second surgery (P = 0.000 for each time point).Conclusion: The satisfaction levels of the patients and the doctors improve after the second surgery.

Highlights

  • The nose is the most noticeable facial feature, and its contribution to facial appearance is greater than that of any other facial feature

  • Materials and methods: In the last five years, 32 out of 425 patients (7.5%) underwent revision septorhinoplasty to correct complications of the previous operations performed at King Abdullah Medical City Hospital (KAMCH)

  • Septorhinoplasty is considered one of the most common and most difficult facial cosmetic operations, and complications may occur in most cases

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Summary

Introduction

The nose is the most noticeable facial feature, and its contribution to facial appearance is greater than that of any other facial feature. The nose is an essential organ of breathing and facial expression. In addition to function and esthetics, there is a psychological aspect to the nose in terms of the reaction of a patient and other people to the nose of the patient [1]. The patients require rhinoplasty for acquired or congenital problems and for functional or esthetic reasons or both [4]. These problems may involve any part of the nasal anatomy [5]. Complications of rhinoplasty may occur intraoperatively or postoperatively during wound healing and contracture

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