비배부 실리콘 임플란트로 인한 전두동 전벽 관통: 증례 보고
Penetration of Anterior Table of Frontal Sinus Due to Silicone Implant in Nasal Dorsum: A Case Report
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A 33-year-old female with six prior augmentation rhinoplasties presented with a short, retractednose and recurrent swelling over the nasal dorsum, without sinusitis symptoms. CT imagingrevealed penetration of the anterior table of the frontal sinus by a silicone implant. Surgical in-tervention included implant removal, debridement of infected tissue, and reconstruction usingthe conchal cartilage and homologous fascia, tip grafting, and dorsum augmentation. Due tosuspected infection, the planned costal cartilage reconstruction was postponed. In case of cor-recting the short nose resulting from silicone implantation, especially when infection is sus-pected, the risk of postoperative infection increases, potentially necessitating a second-stageoperation. This case highlights the importance of comprehensive diagnostic methods, includ-ing CT imaging, and thorough preoperative consultation to ensure that patients understandpotential surgical strategies and outcomes in revision rhinoplasty with complications from sil-icone implantation.
Abstract
A 33-year-old female with six prior augmentation rhinoplasties presented with a short, retractednose and recurrent swelling over the nasal dorsum, without sinusitis symptoms. CT imagingrevealed penetration of the anterior table of the frontal sinus by a silicone implant. Surgical in-tervention included implant removal, debridement of infected tissue, and reconstruction usingthe conchal cartilage and homologous fascia, tip grafting, and dorsum augmentation. Due tosuspected infection, the planned costal cartilage reconstruction was postponed. In case of cor-recting the short nose resulting from silicone implantation, especially when infection is sus-pected, the risk of postoperative infection increases, potentially necessitating a second-stageoperation. This case highlights the importance of comprehensive diagnostic methods, includ-ing CT imaging, and thorough preoperative consultation to ensure that patients understandpotential surgical strategies and outcomes in revision rhinoplasty with complications from sil-icone implantation.