Abstract
Evaluation of different techniques in management of secondary rhinoplasty cases
Highlights
Secondary rhinoplasty is basically a constant challenge to the nasal surgeon aimed at rebuilding the dorsal and tip support
Variable degrees of nasal obstruction were found in 9 cases; this was mainly due to deviated nasal septum (45%), nasal valve problems (55%) and inferior turbinate hypertrophy (30%)
The correction of septal deviation was in 9 cases (60%), harvesting of cartilage for nasal grafting in 14 cases (93%)
Summary
Secondary rhinoplasty is basically a constant challenge to the nasal surgeon aimed at rebuilding the dorsal and tip support. Secondary rhinoplasty is by definition a reoperation of a nose was previously operated upon by a prior surgeon. It is distinguished from a “revision”, which is a reoperation by the same surgeon on his/her patient. Secondary problems can be classified as minor or major defects. Minor defects are often accepted by patients like minor dorsal irregularities or slight asymmetry of the nasal tip. Major defects may result from excessive and asymmetrical resections. The revision rhinoplasty is technically more demanding and its difficulties encouraged depend on the number of previous surgeries, the extent cartilage resections, excessive scarring, decreased vascularity and condition of soft tissue envelope
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