Abstract

Septorhinoplasty revision considered as one of the most difficult operations especially if operated by an inexperienced surgeon ,post of the patient started to complain of worsening the condition regarding the shape in comparison with the preoperative more over started to complain of nasal obstruction and recurrent nasal bleeding ,by examination you find the nasal obstruction comes as a result of nasal valve collapse or the nasal septal perforation or both the perforation also leads to nasal bleeding and crusting , all these complications makes the situation is more complicated which explain the cause of rejection by most of the surgeons to revise these cases even the expert surgeons.

Methods:

As a government military hospital we accepted some cases to minimize their the post-operative complications also as a part of psychological support most of them done in the private secure , before we go for these cases we sign a clear consent with good explanation of the current situation and detailed clarification of the planned procedure as a trial to manage the complications and should be signed by 2 witnesses, we are doing the revision either by open or closed technique utilizing the conchal cartilage to repair the septal perforation and managing the nasal valve collapse in most of the cases Intra operative you may find an unnecessary work been done which may added this new deformity or an important step for managing the original deformity not been touched .which leads to worsening the condition.

Result:

We operated on 95 cases of revision SRPL with or without septal perforation In most of our revision cases we could gain good results and patient satisfaction regarding the shape and function confirmed by our psychiatrist feedback who referred some of our cases.