Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Dongjak-gu, Seoul, South Korea.
J Craniofac Surg. 2022;33(5):e503-e505. doi: 10.1097/SCS.0000000000008434. Epub 2021 Dec 10.
Barbed thread rhinoplasty for nasal tip projection, dorsal length elongation, and nostril correction is usually performed at private clinics. The procedure is minimally invasive and does not cause permanent external scarring, which is a common challenge in rhinoplasty. Limited studies have described the complications of this procedure, with no reports on its late complications. A patient presented to the authors' clinic with a nasal septal mass, which had developed 3 months before the visit. She had undergone rhinoplasty 10 years prior. During excisional biopsy, the authors found barbed threads impacted in the mass, which may have been inserted during the rhinoplasty. The mass was pathologically demonstrated as a chronic inflammatory lesion that may have originated due to the foreign body. The use of barbed threads in rhinoplasty can induce complications as late as 10 years after surgery; clinicians should consider this and explain the possible late complications to patients before surgery.
用于鼻尖突出度、鼻背长度延长和鼻孔矫正的倒刺线鼻整形术通常在私人诊所进行。该手术微创，不会造成永久性的外部疤痕，这是鼻整形术的常见挑战。有限的研究描述了该手术的并发症，但没有关于其晚期并发症的报告。一位患者因鼻中隔肿块就诊，肿块在就诊前 3 个月出现。她在 10 年前接受过鼻整形术。在切除活检过程中，作者发现有倒刺线嵌入肿块中，这些倒刺线可能是在鼻整形术中插入的。肿块的病理表现为慢性炎症性病变，可能是由异物引起的。在鼻整形术中使用倒刺线可能会在手术后 10 年引发并发症；临床医生应该考虑到这一点，并在手术前向患者解释可能出现的晚期并发症。
