A Questionnaire About Revision Rhinoplasty Among Surgeons

Objective: Rhinoplasty is one of the most challenging facial aesthetics operations. Failure to meet patient expectations and the emergence of new deformities lead to the need for revision. This article presents the current revision surgery experiences of surgeons specialising in rhinoplasty.Material...

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Main Authors: Agah Yeniçeri, Oğuzhan Oğuz, Melih Çayönü
Format: Article
Language:English
Published: Istanbul University Press 2024-12-01
Series:The Turkish Journal of Ear Nose and Throat
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/707C41A640404E70A874915ACC522A25
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author Agah Yeniçeri
Oğuzhan Oğuz
Melih Çayönü
author_facet Agah Yeniçeri
Oğuzhan Oğuz
Melih Çayönü
author_sort Agah Yeniçeri
collection DOAJ
description Objective: Rhinoplasty is one of the most challenging facial aesthetics operations. Failure to meet patient expectations and the emergence of new deformities lead to the need for revision. This article presents the current revision surgery experiences of surgeons specialising in rhinoplasty.Material and Methods: A questionnaire was used to obtain the experiences with revision rhinoplasty of 130 surgeons specialising in rhinoplasty. The demographic characteristics of the surgeons and data regarding revision rhinoplasty were recorded. Statistical analyses were performed, and the results obtained were compared with the literature data.Results: Although 59% (n=77) of the surgeons stated that the revision rates after primary rhinoplasty were between 2% and 5%, the revision rate of 83% (n=108) of the surgeons was between 2% and 10%. The three most common reasons for revision were loss of nasal tip rotation (83%), inadequate hump resection (74%) and nasal axis deviation (71%). Rocker deformity (19.2%), step deformity (20%), skin problems (25%) and radix problems (27%) were less common. Concerning the timing of revision, most surgeons thought that at least one year should elapse after the first operation, and this did not vary according to the localisation of the deformity.Conclusion: The participants of this study reported revision rates between 2% and 10%. The most common reasons for revision were loss of nasal tip rotation, residual dorsal hump, and nasal axis deviation. Both surgeons and patients should accept that the need for revision may arise due to the unpredictability of recovery.
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spelling doaj-art-52f7337d97f94cde9ee53e248e56dcf62025-08-20T03:09:23ZengIstanbul University PressThe Turkish Journal of Ear Nose and Throat2602-48372024-12-0134412913410.26650/Tr-ENT.2024.1576541123456A Questionnaire About Revision Rhinoplasty Among SurgeonsAgah Yeniçeri0https://orcid.org/0000-0002-5024-4009Oğuzhan Oğuzhttps://orcid.org/0009-0002-7019-1386Melih Çayönü1https://orcid.org/0000-0001-5542-1898University of Health Sciences, İstanbul, TürkiyeUniversity of Health Sciences, İstanbul, TürkiyeObjective: Rhinoplasty is one of the most challenging facial aesthetics operations. Failure to meet patient expectations and the emergence of new deformities lead to the need for revision. This article presents the current revision surgery experiences of surgeons specialising in rhinoplasty.Material and Methods: A questionnaire was used to obtain the experiences with revision rhinoplasty of 130 surgeons specialising in rhinoplasty. The demographic characteristics of the surgeons and data regarding revision rhinoplasty were recorded. Statistical analyses were performed, and the results obtained were compared with the literature data.Results: Although 59% (n=77) of the surgeons stated that the revision rates after primary rhinoplasty were between 2% and 5%, the revision rate of 83% (n=108) of the surgeons was between 2% and 10%. The three most common reasons for revision were loss of nasal tip rotation (83%), inadequate hump resection (74%) and nasal axis deviation (71%). Rocker deformity (19.2%), step deformity (20%), skin problems (25%) and radix problems (27%) were less common. Concerning the timing of revision, most surgeons thought that at least one year should elapse after the first operation, and this did not vary according to the localisation of the deformity.Conclusion: The participants of this study reported revision rates between 2% and 10%. The most common reasons for revision were loss of nasal tip rotation, residual dorsal hump, and nasal axis deviation. Both surgeons and patients should accept that the need for revision may arise due to the unpredictability of recovery.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/707C41A640404E70A874915ACC522A25revisionrhinoplastynasaldeformitysurgeon
spellingShingle Agah Yeniçeri
Oğuzhan Oğuz
Melih Çayönü
A Questionnaire About Revision Rhinoplasty Among Surgeons
The Turkish Journal of Ear Nose and Throat
revision
rhinoplasty
nasal
deformity
surgeon
title A Questionnaire About Revision Rhinoplasty Among Surgeons
title_full A Questionnaire About Revision Rhinoplasty Among Surgeons
title_fullStr A Questionnaire About Revision Rhinoplasty Among Surgeons
title_full_unstemmed A Questionnaire About Revision Rhinoplasty Among Surgeons
title_short A Questionnaire About Revision Rhinoplasty Among Surgeons
title_sort questionnaire about revision rhinoplasty among surgeons
topic revision
rhinoplasty
nasal
deformity
surgeon
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/707C41A640404E70A874915ACC522A25
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