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0 May 29, 2014

Autologous rib cartilage use in rhinoplasty associated with low rates of overall long-term complications

Using a patient’s own rib cartilage (autologous) for rhinoplasty appears to be associated with low rates of overall long-term complications and problems at the rib site where the cartilage is removed, according to a report published online by JAMA Facial Plastic Surgery. Autologous rib cartilage is the preferred source of graft material for rhinoplasty because of its strength and ample volume. However, using rib cartilage for dorsal augmentation to build up the bridge of the nose has been criticized for its tendency to warp and issues at the cartilage donor site, such as pneumothorax (a collapsed lung) and postoperative scarring. Jee Hye Wee, M.D., of the National Medical Center, Seoul, South Korea, and co-authors reviewed the available medical literature to evaluate complications associated with autologous rib cartilage and rhinoplasty. Authors identified 10 studies involving 491 patients with an average follow-up across all studies of 33.3 moths. Results indicate that combined complication rates from the studies were 3.08 percent for warping, 0.22 percent for resorption, 0.56 percent for infection, 0.39 percent for displacement, 5.45 percent for hypertrophic chest scarring (keloids), 0 percent for pneumothorax and 14.07 percent for revision surgery. “The overall l

0 April 29, 2014

Rhinoplasty / Nose Job

Rhinoplasty : is a surgical procedure that is usually carried out to reshape an individual’s nose for cosmetic purposes. It can also be done to make structural changes and improve health conditions, such as breathing difficulty. This very popular procedure can considerably enhance the appearance of an individual. The ‘Nose Job’ is usually carried out by a Plastic surgeon, a maxillofacial surgeon or an Otolaryngologist. It is important for the candidate desiring rhinoplasty to be at least 15 years old Some of the cosmetic improvements achieved by this surgery include decreasing or increasing nose size, altering the tip of the nose, altering the nose bridge and changing the shape /size of the nostrils. It can help provide proportion to a person’s face by improving the shape of the nose. Risks that are integral to rhinoplasty include, burst blood vessels that can cause red spots and tiny scars on the underside of the nose and, infection. It may also be necessary to repeat the surgeries to get the desired effects. It must be borne in mind that 5-20% of rhinoplasties do not have a satisfactory outcome. There may be swelling and pain for a few days after the surgery. Revision rhinoplasty, also called ‘secondary rhinoplasty’, is carried out to enhance or correct the outcome of a previous rhinoplasty. Sometimes there may be a need for three o

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