Otolaryngology: Open Access
Open Access

Abstract

Natural sculpturing of the nose during secondary rhinoplasty is the goal of every rhinoplastic surgeon. The aim of this study is to assess secondary rhinoplasty on patients by presenting the functional and aesthetic techniques, and evaluating the results of the surgical interventions. Between January 2000 and January 2014, 1242 secondary rhinoplasties were performed on 162 males and 1080 females with a mean age of 26 years old. Open and closed rhinoplasties were performed on 1170 and 72 patients respectively. Local and general anaesthesia were applied on 108 and 1134 surgeries respectively with or without submucosal reduction of septal deviation and inferior turbinectomy. Septal, auricular or costal cartilage and fat graft reconstruction were also performed. The reconstructive and aesthetic techniques were performed on 13 different categories: 234 nasal tip deformities; 180 short or pig snout noses; 108 beak nose deformities; 126 nostril deformities; 198 saddle noses; 108 residuals cartilages or bone humps; 54 deviated noses; 36 pinched noses and fibrous prominent tips; 18 short, broad, oblique, showing columella; 36 flat noses; 36 inverted V; 108 over projected nose; 1 bilateral internal cantus tearing. The functional results were evaluated using a questionnaire that addressed the degree of nasal obstruction for respiration, the degree of aesthetic satisfaction and the odorant quality of pre and post operational procedure. An independent observer evaluated the aesthetic results based on pictures taken before and more than 6 months after Rhinoplasty. Highly satisfactory outcomes were reported in the majority of the cases, along with olfactory and respiratory improvements.

Biography

Ibrahim Elachkar has completed his studies from Saint Joseph University of Beirut and from Paris University School of Medicine. He invented ?EL ACHKAR Bone Injector? that is used in facial plastic surgery and published in the British Journal of Oral and Maxillofacial Surgery and The European Journal of Facial Surgery. He is a member of the French Society of Aesthetic Surgery, the French Society of ENT and head and Neck Surgery, The Lebanese Society of ENT and Head and Neck Surgery, The International Society of Lipolysistherapy, and The International ReCon Surgical.