Revision Rates and Risk Factors of 175 842 Patients Undergoing Septorhinoplasty

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Abstract
In the current facial plastic surgery literature, published rates for revision septorhinoplasty procedures are limited to a small number of retrospective studies,1-12 often focused on specific surgical techniques from a single institution or single surgeon. Many of these studies1-11 are also limited by small sample sizes and short duration of follow-up time, making it difficult to draw clinical conclusions. The most generalizable studies1,5 available in the rhinoplasty literature focus on cosmetic rhinoplasties from surgeons in a single practice or institution, with revision rates of 9.8% and 11%. One single-surgeon, single-institution study2 published a revision rate of 4% with a sample size of 1524 patients undergoing cosmetic and noncosmetic rhinoplasty. In the literature focusing on specific rhinoplasty techniques, the revision rate varied from 4% to 15.5%.3,4,7,8 In the septoplasty literature, a large study9 of 2168 septoplasties by any technique showed a revision rate of 3.2% among experienced surgeons, while studies10,11 focusing on specific septoplasty techniques showed higher revision rates of 7% to 8%.9-11 In addition, there may be an underestimation of the revision rates reported in the literature because the authors of single-surgeon or single-institution studies1-11 review their own respective data and do not include patients who seek revision surgery at another institution, thereby lowering the reported revision rates.

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