Miriam Boenisch, MD PhD
Medicent Linz
Untere Donaulaende 21-25
4020 Linz
Austria
Mail: Miriam.boenisch@rhinoplasty.at
Phone: +43 699 1180 6949

Abstract

What holds true for every surgery is also essentially true of rhinoplasty. Knowledge about and awareness of complications and the possible means to handle them is essential for every rhinoplasty surgeon. Referring to the time of occurrence, complications can be divided into early and late complications. Early complications such as bleeding or infection are rare; late complications related to postoperative failure to achieve the desired aesthetic or functional objectives are much more common. In this chapter the author will give an overview of the most frequent complications after rhinoplasty and describe prevention and techniques to correct the complication.

Joanne Rimmer, FRCS (ORL-HNS)
Specialist Registrar in Otolaryngology
39 Handforth Road
London SW9 0LL
jrimmer@doctors.org.uk
0044 207 967 0999

Hesham Saleh, FRCS (ORL-HNS)
Consultant Rhinologist & Facial Plastic Surgeon
Department of Otolaryngology and Head & Neck Surgery
Charing Cross Hospital
Fulham Palace Road
London W6 8RF
h.saleh@imperial.ac.uk

Conflict of interest
The authors have nothing to disclose.

ABSTRACT
Correction of the severely twisted nose is one of the greatest challenges in septorhinoplasty. Both functional and aesthetic problems arise, and standard septoplasty and/or rhinoplasty techniques are rarely successful for such severe deviations'. We describe our technique for extracorporeal septoplasty, which may or may not be combined with rhinoplasty techniques. We use polydioxanone foil, an absorbable material, to support the reconstructed septal cartilage, and discuss the evidence for its use.

Alireza Mesbahi M.D.
Otorhinolaryngologist
Facial Plastic Surgeon
Head of the international commitee of
Iranian Rhinologic Society
Secretary of Fars Rhinologic society
Director of ENT & facial plastic surgery
department of khodadoust hospital 
Shiraz - Iran
www.drmesbahi.com

Septorhinoplasty surgery is considered as one of the most common surgical procedure in all medical centers around the world. Although today the possibility of side effects from this type of surgery has decreased due to an unbelievable level of sophisticated finesse of the surgery, but still we can see specific complications after this type of surgery in all centers. In this regard perhaps due to the specific dermal characteristics of each individual we come across the occasional post-operative soft-tissue problem which of course is most commonly seen in the supratip area. Now, Problems in the supratip area are considered as one of the most frequent complications especially in patients with thick nasal skin. Supratip deformity is generally referred to as any fullness located immediately cephalic to the nasal tip after rhinoplasty surgery. Since the profile of the lower 2/3 of the nose in these patients resembles that of a parrot hence the term Polly beak deformity is used in these cases (1).