For a week or two, rhinoplasty is a rhinoplasty operation with various implant materials as the main method and raising or raising the shape of the nose as the main purpose. Failure of rhinoplasty is not uncommon. Usually, the prosthesis may be displaced, infected, exposed, with excessive local tension and unsatisfactory shape.

Medical department

orthopedics

Common disease site

nose

Common etiology

Improper rhinoplasty materials, postoperative infection, hematoma, etc.

common symptom

Prosthesis floating, prosthesis displacement, etc.

transmissibility

not have

The cause of disease

1. Caused by inappropriate materials

Rejection occurred after augmentation rhinoplasty with solid silica gel, accounting for 2% ~ 3% according to statistics, showing swelling and redness of skin or mucosa on the side of nasal columella.

2. The patient's own conditions.

If the nasal bone or septum cartilage or the tip of the nose is skewed, the filled nasal prosthesis may also be skewed, and even if it is corrected by asymmetric carving, it is difficult to achieve satisfactory results. If one side of the nasal bone is high and the other side is low, the nasal prosthesis is also prone to skew.

3. Caused by improper operation

Hematoma (1): mostly caused by vascular injury. If left untreated, blood clots are easily infected or organized, which affects the appearance.

(2) Infection: due to non-compliance with hygiene standards, antibiotics should be used appropriately. In severe cases, the nasal prosthesis should be removed for drainage and antibacterial treatment.

(3) Nasal deviation: the tunnel of nasal prosthesis separated during operation is incorrect, or the prosthesis is not perfect.

clinical picture

1. Prosthesis displacement

It shows that the prosthesis deviates from the midline, local protrusion and bilateral asymmetry.

2. The local pressure is too high

The main reason is that the prosthetic column made to raise the tip of the nose is too long and the tension is too great. In addition, it is caused by improper tissue removal or improper suture when the nasal tip and alar assist orthopedic surgery.

3. Poor appearance

The prosthesis is not well made, which affects the shape. If it is too high, it looks stiff; If it is too low, the nose shape will not improve much; Too narrow to appear sharp; If it is too wide, the nose is not beautiful enough, and the forehead and nose lack radian.

4. Shadow of prosthesis contour

After operation, the contour shadow of the prosthesis appeared on the nose, and even the contour of the prosthesis was clearly visible on the appearance.

5. Prosthesis floating

It is that the prosthesis can be pushed left and right by hand, which makes people feel uncomfortable.

treat cordially

1. Prosthesis removal

Incision at the edge of nostril, subcutaneous separation, and removal of prosthesis.

2. Remove the factors that affect the position of the prosthesis.

The displacement of prosthesis may be caused by the skew of nasal bone at the base, or it may be caused by the asymmetry of both sides when the subfascial cavity of nasal dorsum is separated. Therefore, it is necessary to peel off this cavity again to achieve symmetry and correct the crooked nose as needed.

3. Prosthesis repair