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KMID : 0361020150580010064
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Korean Journal of Otolaryngology - Head and Neck Surgery
2015 Volume.58 No. 1 p.64 ~ p.67
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A Case of Lagophthalmos after a Corrective Rhinoplasty
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Choo Oak-Sung
Hong Sang-Young
Yoon Seung-Hyun
Kim Hyun-Jun
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Abstract
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Corrective rhinoplasty, a commonly performed plastic surgery, is occasionally followed by numerous risks and complications. In this report, we present, with discussion of the causes and proper management, a case of lagophthalmos that occurred after a rhinoplasty. A 35-year-old female visited our outpatient clinic due to continuous nasal obstruction even after septoplasty. After thorough evaluation, corrective rhinoplasty was performed to release the patient’s nasal symptoms and manage the deviated external nose and nasal septum. During the surgery, we encountered excessive nasal bleeding after percutaneous osteotomy. In addition, immediate postoperative findings presented left periorbital edema without limited eye movement or reduced eye vision associated with the paralysis of the eyelid localized to the medial side of the left upper palpebra. Surgeons should be aware of rare but possible complications of corrective rhinoplasty such as lagophthalmos, and a rapid and intensive care is recommended for early management and better prognosis of postoperative complications.
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KEYWORD
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Ecchymosis, Facial paralysis, Lagophthalmos, Osteotomy, Rhinoplasty
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