Literature Reviews
doi: 10.25005/2074-0581-2020-22-4-595-605
PROBLEMS OF SECONDARY RHINOPLASTY

K.P. Artykov1,2, K.N. Azizov2, E.Kh. Ismoilov2

1Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan

Every year, there has been a steady increase in the number of rhinoplasty. At the same time, the patient’s demands for these surgery are also increasing. Therefore, unsatisfactory functional and aesthetic results after rhinoplasty require repeated (revision) operations. The secondary rhinoplasty itself is more complex than the primary operation. Incorrectly performed rhinoplasty and iatrogenic tissue damage lead to deformities that require repeated reconstructive interventions. The reasons for the unsatisfactory results of rhinoplasty can be different. In assessing the results of rhinoplasty, the surgeon’s opinion may not be ambiguous with the patient. Often, when the surgeon considers the rhinoplasty result to be acceptable, the patient may be unhappy. In the postoperative period, deformities of the tissues of the nose may be due to the rough scars, and an infectious process. Еxcessive cartilage resection, insufficient or excessive osteotomy lead to deformities that require repeated reconstructive interventions. For secondary rhinoplasty, it is necessary to take into account all tissue deformations to eliminate them in one stage. Sometimes after the second, third or more operations performed, the result of revision rhinoplasty is difficult to predict, so the surgeon must predict the expected outcome result.

Keywords: Secondary rhinoplasty, nasal meatus, nasal septum deviation, septoplasty.

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Authors' information:

Artykov Karimdzhon Pulatovich
Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University; a Leading Specialist in the Training of Scientific Personnel, Republican Scientific Center for Cardiovascular Surgery
Scopus ID: 6506551678
ORCID ID: 0000-0002-6346-0851
SPIN: 2480-6526
Author ID: 909829
E-mail: artikov53@mail.ru

Azizov Kudratullo Nazrulloevich
Applicant of the Republican Scientific Center for Cardiovascular Surgery
Researcher ID: ABC-3121-2020
ORCID ID: 0000-0002-1731-6226
SPIN-код: 7417-8074
Author ID: 1087271
E-mail: kudratullo.azizov@bk.ru

Ismoilov Erkin Khabibulloevich
Surgeon of the Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: ABD-3790-2020
ORCID ID: 0000-0001-9363-4544
SPIN-код: 8474-2440
Author ID: 1088893
E-mail: erkin_ismoilov@bk.ru

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The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Artykov Karimdzhon Pulatovich
Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University; a Leading Specialist in the Training of Scientific Personnel, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (919) 401616

E-mail: artikov53@mail.ru

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