| Penetration of Anterior Table of Frontal Sinus Due to Silicone Implant in Nasal Dorsum: A Case Report |
Ammar Hussain Habibullah1
, Won Ki Cho2
, Yong Ju Jang2
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1Departments of Otorhinolaryngology-Head and Neck Surgery, Makkah Health Cluster, Makkah, Saudi Arabia
2Departments of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
| 비배부 실리콘 임플란트로 인한 전두동 전벽 관통: 증례 보고 |
| Ammar Hussain Habibullah1
, 조원기2
, 장용주2
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1Departments of Otorhinolaryngology-Head and Neck Surgery, Makkah Health Cluster
2울산대학교 의과대학 서울아산병원 이비인후과학교실 |
| Correspondence |
Yong Ju Jang ,Tel: +82-2-3010-3712, Fax: +82-2-489-2773, Email: jangyj@amc.seoul.kr
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Received: 13 January 2025; Revised: February 14, 2025 Accepted: 20 February 2025. Published online: 14 May 2025.
*Ammar Hussain Habibullah and Won Ki Cho contributed equally to this work. |
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| ABSTRACT |
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A 33-year-old female with six prior augmentation rhinoplasties presented with a short, retracted nose and recurrent swelling over the nasal dorsum, without sinusitis symptoms. CT imaging revealed penetration of the anterior table of the frontal sinus by a silicone implant. Surgical intervention included implant removal, debridement of infected tissue, and reconstruction using the conchal cartilage and homologous fascia, tip grafting, and dorsum augmentation. Due to suspected infection, the planned costal cartilage reconstruction was postponed. In case of correcting the short nose resulting from silicone implantation, especially when infection is suspected, the risk of postoperative infection increases, potentially necessitating a second-stage operation. This case highlights the importance of comprehensive diagnostic methods, including CT imaging, and thorough preoperative consultation to ensure that patients understand potential surgical strategies and outcomes in revision rhinoplasty with complications from silicone implantation. |
| Keywords:
Frontal sinusㆍ Postoperative complicationsㆍ Rhinoplastyㆍ Silicones |
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