University of Virginia, Department of Otolaryngology, Head and Neck Surgery, Facial Cosmetic and Reconstructive Surgery, Charlottesville, Virginia, USA.
Curr Opin Otolaryngol Head Neck Surg. 2022 Aug 1;30(4):241-248. doi: 10.1097/MOO.0000000000000818.
Nonsurgical rhinoplasty (NSR) continues to grow in demand and popularity. Consequently, there has been a rise in the number of reported complications. This review will summarize and discuss the current evidence for the prevention and management of adverse events related to NSR with a specific emphasis on practical clinical applications. The review is based on recent systematic reviews and multidisciplinary expert consensus recommendations.
First, NSR has overall favorable outcomes with rare complications. Second, vascular compromise is a rare event, but the number of reported severe complications is rising. Third, providers should be intimately familiar with preventive measures, early signs and symptoms, and appropriate management algorithms of all possible complications. Fourth, having a readily available 'toolbox' of recommended therapies may improve timely management of emergent complications.
The number of complications associated with NSR is expected to rise congruent with the increased demand for the procedure. Although NSR has a favorable safety profile, complications can occur in the best of hands even when using appropriate risk reduction strategies. Early detection and appropriate treatment of known complications may eliminate or minimize sequelae and allow providers to continue to safely perform NSR.
非手术性隆鼻（NSR）的需求和普及度不断增加。因此，报告的并发症数量也有所上升。本文将总结和讨论与 NSR 相关的不良事件的预防和管理的现有证据，特别强调实际的临床应用。该综述基于最近的系统综述和多学科专家共识建议。
首先，NSR 的总体结果良好，罕见发生并发症。其次，血管损伤是一种罕见事件，但报告的严重并发症数量正在增加。第三，医生应该非常熟悉所有可能并发症的预防措施、早期迹象和症状以及适当的管理方案。第四，随时准备好推荐的治疗“工具箱”，可能有助于及时处理紧急并发症。
随着 NSR 需求的增加，预计与之相关的并发症数量也会增加。尽管 NSR 具有良好的安全性，但即使在使用适当的降低风险策略的情况下，即使是最好的医生也可能会发生并发症。早期发现和适当治疗已知的并发症可能会消除或最小化后遗症，并使医生能够继续安全地进行 NSR。
