Abstract
Rhinoplasty is one of the oldest known surgeries to the human kind. However, being a cosmetic of surgery of utmost importance, it has been an attractive and fascinating surgery for the otolaryngologists and plastic surgeons. Along with the evolution of improved techniques and better surgical modalities, this surgery has been growing in panorama including its indications, needs and techniques. We present our experience with rhinoplasty in a tertiary care center of north India. We have included all cases operated with septorhinoplasty from 2001 to 2014 by the senior author in the manuscript. We reviewed their presentations, investigations, preoperative counselling records, operative details and post-operative clinical records to audit our results and hence to document our experiences in septorhinoplasties. A total of 53 cases including 37 males and 16 females had undergone rhinoplasty surgeries. The most common reason of disfigurement was road traffic accident (58.5%). All these patients included different deformities and required varied corrections. There were no major post-operative complications except persistent edema with longest lasting for 23 weeks. Thermal splints gave a better patient satisfaction in post-op compared to POP splints. Results were completely and partially satisfying for 50 patients and not satisfying for three. Unrealistic expectations from the procedure might be the reason for non-satisfactory results in rhinoplasty. Rhinoplasty is a delicate procedure and has greater aesthetic implications in planning surgical techniques and approaches. For better satisfaction of patients, adequate preoperative counseling and realistic expectations are warranted. Skillful surgical techniques null chances of complications.
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This study is a retrospective chart review and was not funded by any funding agency. There are no financial disclosures to be made by the authors.
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We the authors namely, Prof Jaimanti Bakshi and Dr. Sourabha K. Patro declare that we have no conflicts of interests among ourselves.
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This study being a retrospective chart review of our experience this work is exempted from the ethical committee approval required for any trial on humans. For this type of retrospective study formal consent of institute ethical committee is not required.
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Written informed consent for treatment purposes were obtained from all individual participants who presented to our OPD for rhinoplasty during treatment and surgeries. Additional informed consents were obtained from all individual participants whose identifying information such as photographs have been included in this article.
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Bakshi, J., Patro, S.K. Septorhinoplasty: Our Experience. Indian J Otolaryngol Head Neck Surg 69, 385–391 (2017). https://doi.org/10.1007/s12070-017-1127-0
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DOI: https://doi.org/10.1007/s12070-017-1127-0