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Immediate re-insertion of non-autologous materials in revision augmentation rhinoplasty

 Yoo Suk Kim  ;  Dong Woo Hyun  ;  Sang Yeob Seong  ;  Do Yang Park  ;  Chang-Hoon Kim  ;  Joo-Heon Yoon 
 Annals of Plastic Surgery, Vol.74(5) : 524-527, 2015 
Journal Title
 Annals of Plastic Surgery 
Issue Date
Adult ; Esthetics ; Female ; Follow-Up Studies ; Foreign-Body Reaction/etiology ; Foreign-Body Reaction/surgery ; Humans ; Male ; Middle Aged ; Outcome Assessment (Health Care) ; Polytetrafluoroethylene* ; Postoperative Complications/surgery* ; Prosthesis Failure ; Reoperation/methods ; Retrospective Studies ; Rhinoplasty/instrumentation* ; Rhinoplasty/methods ; Silicones*
OBJECTIVE: This paper aims to study whether immediate re-insertion of non-autologous augmentation material in revision augmentation rhinoplasty is a safe surgical strategy creating a successful and functional aesthetic outcome. STUDY DESIGN: Retrospective review and analysis of medical records. SETTING: Tertiary referral hospital. SUBJECTS AND METHODS: A retrospective analysis of 11 consecutive patients who had undergone removal of previous augmentation material and immediate re-insertion of non-autologous material in revision augmentation rhinoplasty was performed. Demographics, surgical approaches, augmentation materials, material-related complications, time interval between surgeries, surgical outcome, and follow-up period were included in the analysis to evaluate our surgical strategy. RESULTS: A successful surgical outcome with respect to both functional and aesthetic aspects was obtained in nine of the 11 enrolled patients. In 1 patient, there was a recurrence of material-related complication, while another patient experienced unsatisfactory graft displacement. The unsuccessful cases had 2 common features in that silicone and endonasal approaches were used in the primary and revision surgeries, respectively. CONCLUSION: Removal of previous augmentation material and immediate re-insertion of non-autologous material for dorsal augmentation in revision rhinoplasty is feasible with respect to functional and aesthetic aspects of patient outcome.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Yoon, Joo Heon(윤주헌)
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