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Clinical and Experimental Otorhinolaryngology > Accepted Articles
doi: https://doi.org/10.21053/ceo.2022.00101    [Accepted]
Presentation Patterns and Surgical Management of the Complications of Thread Rhinoplasty
Hong Ryul Jin1 , Su Jin Kim2
1Dr. Jin’s Premium Nose Clinic, Seoul, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, National Medical Center, Seoul, Korea
Correspondence  Su Jin Kim ,Tel: +82-2-2260-7244, Fax: +82-2-2276-0534, Email: ent.sujinkim@gmail.com
Received: January 13, 2022; Revised: March 21, 2022   Accepted: March 22, 2022.  Published online: April 8, 2022.
ABSTRACT
Objectives.
Nonsurgical rhinoplasty using threads has gained popularity in recent years. While the benefits of this procedure are being emphasized, possible complications and their management are not well-known. This study aimed to present the surgical management and results of the complications of thread rhinoplasty.
Method.
We retrospectively reviewed the medical records of seven patients who underwent revision rhinoplasty due to the complications of thread rhinoplasty from January 2018 to May 2021. The presentation of complications, detailed surgical procedure, and the outcomes of revision rhinoplasty were reviewed.
Results.
Visible or extruded threads at the tip were the most common complication, followed by dorsum irregularity. All the threads were not absorbed and intact in shape, even several years after insertion. Thread removal required careful tissue dissection, resulting in the loss of tip support and dorsal irregularity. To restore the tip support and camouflage the dorsum shape, an autologous tissue graft was required.
Conclusion.
Removal of threads at the tip and dorsum accompanied structural weakening and partial tissue loss, which required tip support restoration and dorsum camouflage.
Keywords: Rhinoplasty; Minimally Invasive Surgical Procedures; Polydioxanone; Complications; Revision Surgery
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