A retrospective study was performed in 36 patients who underwent rhinoplasty at our institute from January of 1993 through August 1994. Although most of the patients were satisfied with the surgical results, revision surgery was performed in two
cases
due to unsatisfactory aesthetic appearance. Postoperative complications included temporary dislocation of the implants in three cases, and extrusion of the implants, abscess formation and pneumothorax in one case respectively.
We preferred the external approach to the intranasal approach because former provides wide operative field and more complete correction with acceptable scar. In the cases of simple aesthetic procedure. The local anesthesia seems to be superior to
the
general anesthesia because in case of local anesthesia, the operator can communicate with the patient during the operation. Although the silastic block is known to have some benefits, we had more complications in using it. Instead, more
satisfactory
results were obtained with the allograft material such as septal or tragal cartilage. This result, however, need more long term follow up, and further studies empolying various implant materials will contribute to better surgical outcome.
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