Functional and Aesthetic Factors Associated with Revision of Rhinoplasty
Background:. Surgical revision rate of rhinoplasty is from 5% to 15% in literature. The aims of our study were to define the rate and the predictive factors for surgical revision of rhinoplasty. Methods:. We have realized a single-center case/control study including 62 patients who underwent surgica...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2018-09-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001884 |
| _version_ | 1818016353859141632 |
|---|---|
| author | Jebrane Bouaoud, MD Marine Loustau, MD Jean-Baptiste Belloc, MD |
| author_facet | Jebrane Bouaoud, MD Marine Loustau, MD Jean-Baptiste Belloc, MD |
| author_sort | Jebrane Bouaoud, MD |
| collection | DOAJ |
| description | Background:. Surgical revision rate of rhinoplasty is from 5% to 15% in literature. The aims of our study were to define the rate and the predictive factors for surgical revision of rhinoplasty.
Methods:. We have realized a single-center case/control study including 62 patients who underwent surgical revision among 732 patients who underwent closed rhinoplasty between 2005 and 2015. Data of each rhinoplasty were collected from medical records and photographs. Statistical analyses were used.
Results:. The surgical revision rate was 8.6%. After multivariate analysis, 4 factors were statistically significant and independently associated with surgical revision: “preexisting respiratory functional disorder” [odds ratio OR = 3.30; 95% CI (1.47–7.76); P = 0.004], “wide nasal bone and side walls” [OR = 3.94; 95% CI (1.49–11.25); P = 0.007], “deviated nasal bone and side walls” [OR = 2.68; 95% CI [1.14–6.58]; P = 0.02] and the use of camouflage grafts [OR = 0.26; 95% CI [0.07–0.89]; P = 0.04].
Conclusions:. Closed rhinoplasties have similar revision rate to open techniques. Revision surgeries are justified by functional or aesthetic disorders. The interests of this study are to better inform patients and to adapt operative management. We provide here some recommendations with focus on the keys to successful rhinoplasty surgery. |
| first_indexed | 2024-04-14T07:12:12Z |
| format | Article |
| id | doaj.art-1f402417685a4c83b89f0e10f14a9b43 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-14T07:12:12Z |
| publishDate | 2018-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-1f402417685a4c83b89f0e10f14a9b432022-12-22T02:06:24ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742018-09-0169e188410.1097/GOX.0000000000001884201809000-00007Functional and Aesthetic Factors Associated with Revision of RhinoplastyJebrane Bouaoud, MD0Marine Loustau, MD1Jean-Baptiste Belloc, MD2From the *Department of Otolaryngology and Head and Neck Surgery, Changeux Building, Simone Veil Hospital, Eaubonne, France†Department of Public Health and Social Medicine, Simone Veil Hospital, Eaubonne, France‡Department of Otolaryngology and Head and Neck Surgery, Changeux Building, Simone Veil Hospital, Eaubonne, France.Background:. Surgical revision rate of rhinoplasty is from 5% to 15% in literature. The aims of our study were to define the rate and the predictive factors for surgical revision of rhinoplasty. Methods:. We have realized a single-center case/control study including 62 patients who underwent surgical revision among 732 patients who underwent closed rhinoplasty between 2005 and 2015. Data of each rhinoplasty were collected from medical records and photographs. Statistical analyses were used. Results:. The surgical revision rate was 8.6%. After multivariate analysis, 4 factors were statistically significant and independently associated with surgical revision: “preexisting respiratory functional disorder” [odds ratio OR = 3.30; 95% CI (1.47–7.76); P = 0.004], “wide nasal bone and side walls” [OR = 3.94; 95% CI (1.49–11.25); P = 0.007], “deviated nasal bone and side walls” [OR = 2.68; 95% CI [1.14–6.58]; P = 0.02] and the use of camouflage grafts [OR = 0.26; 95% CI [0.07–0.89]; P = 0.04]. Conclusions:. Closed rhinoplasties have similar revision rate to open techniques. Revision surgeries are justified by functional or aesthetic disorders. The interests of this study are to better inform patients and to adapt operative management. We provide here some recommendations with focus on the keys to successful rhinoplasty surgery.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001884 |
| spellingShingle | Jebrane Bouaoud, MD Marine Loustau, MD Jean-Baptiste Belloc, MD Functional and Aesthetic Factors Associated with Revision of Rhinoplasty Plastic and Reconstructive Surgery, Global Open |
| title | Functional and Aesthetic Factors Associated with Revision of Rhinoplasty |
| title_full | Functional and Aesthetic Factors Associated with Revision of Rhinoplasty |
| title_fullStr | Functional and Aesthetic Factors Associated with Revision of Rhinoplasty |
| title_full_unstemmed | Functional and Aesthetic Factors Associated with Revision of Rhinoplasty |
| title_short | Functional and Aesthetic Factors Associated with Revision of Rhinoplasty |
| title_sort | functional and aesthetic factors associated with revision of rhinoplasty |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001884 |
| work_keys_str_mv | AT jebranebouaoudmd functionalandaestheticfactorsassociatedwithrevisionofrhinoplasty AT marineloustaumd functionalandaestheticfactorsassociatedwithrevisionofrhinoplasty AT jeanbaptistebellocmd functionalandaestheticfactorsassociatedwithrevisionofrhinoplasty |