Author/Authors :
Mohajerani, Hassan Department of Oral and Maxillofacial Surgery - School of Dentistry - Shahid Beheshti University of Medical Sciences, Tehran , Karimi, Fatemeh graduate , Mohajerani, Alireza Tehran University of Medical Sciences, Tehran , Rakhshan, Vahid Department of Dental Anatomy and Morphology - Dental Branch - Islamic Azad University, Tehran
Abstract :
Background: Although esthetic rhinoplasty has many advantages, it might lead to some
complications as well. The literature includes scarce and severely controversial studies on these
issues, and there is no research on complications of cosmetic closed rhinoplasty. In addition, some
complications are not assessed after any rhinoplasty types. Besides, there is no investigation on
the outcome of rhinoplasty carried out by graduate students. The purpose of this study was to
determine these.
Materials and Methods: In this preliminary prospective cohort study, 96 healthy patients
underwent closed esthetic rhinoplasty by senior residents of otolaryngology and maxillofacial surgery
at Taleghani Hospital (Tehran, 2004-2006). Afterward, at 11 follow‑up sessions (the 1st, 2nd, 3rd, 4th, 6th,
8th, 10th, 12th, 16th, 20th, and 24th postoperative weeks), five functional complications (hyposmia/anosmia,
nasal obstruction, unpleasant voice changes, recurrent colds, and synechiae) were questioned/
examined. The presence of a symptom during at least four subsequent sessions (without elimination
until the sixth postoperative month) and the appearance of synechiae in any session were regarded
as positive. The data were assessed using Spearman’s correlation coefficient (α = 0.05).
Results: The incidence rates of synechiae, nasal obstruction, unpleasant voice changes, hyposmia/
anosmia, and recurrent colds were 56.25%, 37.5%, 0%, 1.04%, and 29.17%, respectively. No statistically
significant relationship was found between the complications with age, gender, or the surgeon’s
specialty (P > 0.05), but the correlation with home care compliance was significant (r = −0.29, P = 0.01).
Conclusions: High complication rates were observed in both residency programs. Failure to
follow home care instructions might prevent/delay recovery. Further in‑depth studies are needed
to assess this.
Keywords :
Nasal obstruction , patient compliance , postoperative complications , rhinoplasty
