OUR EXPERIENCE USING SILICONE IMPLANTS FOR VARIOUS NASAL DEFORMITIES

Annotation

Resume.To conduct a comparative analysis of the replacement of nasal bridge defects with autologous cartilage and silicone implants.

Goal. .

Material and methods. The study included 952 patients who underwent various methods to correct a sunken nasal dorsum. They presented between 2017 and 2024 to the Department of Reconstructive Surgery at the Republican Scientific Center for Cardiovascular Surgery, the ORMED Medical Center for Aesthetic and Laser Surgery, and the Akhvat Plastic Surgery Clinic

Results. Immediate postoperative complications were observed almost exclusively in the costal cartilage group. These complications involved the donor site. Hematomas at the donor site were observed in 12 cases, and severe pain (requiring strong analgesics) was observed in 7 patients. Longterm complications were observed in 32 patients in Group I. Patients complained of persistent odor, pain, and swelling. Fistulas were observed in 19 cases, which did not resolve with antibiotics or surgical debridement. Twentythree patients experienced intolerable discomfort with nagging pain in the implant site. All 32 cases required implant removal, including 5 years after surgery. In Clinical Group II, no patients required implant removal. No serious complications were observed in either the immediate or longterm periods. In clinical group III, Cshaped curvature of the transplanted autologous cartilage was observed in 19 cases. Isolated deformity of the nasal tip was observed in 14 cases. Partial lysis of the d

Conclusion. Thus, the data obtained demonstrate the need for a clear delineation of the indications for each type of nasal defect repair. Despite all the advantages of existing methods, they have significant drawbacks.

Keywords

nasal dorsum depression rhinoplasty nasal deformity autologous cartilage.

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