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Side Effects, Risks and Revisions
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This demands a careful preoperative examination,
a meticulous intraoperative technique, and a careful postoperative monitoring of the patient.
The complications of Rhinoplasty have been classified into infectious, traumatic, hemorrhagic,
systemic, and miscellaneous groups. The pertinent literature is reviewed, as well as cases of inclusion
cyst formation, disturbance of eye closure, local activation of systemic disease, and fatalities from
intracranial injury with brain laceration and pneumocephalus.
Any type of surgery carries a degree of risk. There is always the possibility
of unexpected events. There are several complications that can arise in Rhinoplasty, although it is usually
considered to be safe and successful:
- Post operative bleeding is uncommon and often resolves without needing treatment.
- Infection is rare and can occasionally progress to an abscess that requires surgical
drainage under general anesthetic.
- Adhesions, which are scars that form to bridge across the nasal cavity from the septum to the
turbinates, are also rare but cause nasal obstruction to breathing and usually need
to be cut away.
- A hole can be inadvertently made at the time of surgery in the septum, called a septal
perforation. This can cause chronic nose bleeding, crusting, difficult breathing and
whistling with breathing.
- When the nose is reshaped or repaired from inside, the scars are not visible.
If the surgeon needs to make the incision on the outside of the nose,
there will be some slight scarring.
- In addition, tiny blood vessels may burst, leaving small red spots on the skin.
These spots are barely visible, but may be permanent.
- Dilated blood vessels (telangiectasias) are a minor skin complication.
- Necrosis (death) of the nose skin is a rare but devastating risk.
- Cosmetic complications include saddle-nose deformity (sunken bridge), knob-like protuberances
(called bossae), polybeak formation (excessive fullness of the tip), and excessive scarring.
- Revisions are needed in 5-10% of cases.
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