Foreign Body Reactions Due to Non-Dissolvable Suture Materials and Skin Fistula After Rhinoplasty Operation
Skin Reactions After Rhinoplasty Due to Permanent Sutures
In the above video, a patient who had undergone nose job surgery surgery 4 times previously and was injected with local anesthetic drug at the tip of the nose before the operation of the patient with complaints of recurrent skin infections, outflow, skin collapse and nasal breakdown, seems to have gone out.
The mechanism of throwing out seams that are not absorbed through the skin of the nose is roughly two shapes:1. foreign body reactions
2. during the healing, the movement of the layer with the underlying seam towards the surface
Before the surgery, the injected local anesthetic drug is seen to come out of the skin from different areas on the nose ...
Non-absorbable (permanent) suture materials in nasal surgery can be used for many different purposes, such as fixing cartilage grafts together, sewing skin cross-sectional areas, and shaping cartilages.
Nondissolvable or nonresorbable sutures are used in nose aesthetic operations to fixing the some cartilage grafts and they permanently implanted in the nose.
Depending on the non-dissolvable stitches, the following problems can sometimes occur:• foreign body reactions
• recurrent subcutaneous infections
• skin color changes
• opening at the bottom and throwing the stitch out
• areas of roughness or sagging on the skin surface
These suture materials are also sometimes used for aesthetic suturing of skin incision areas and are removed after a certain time. These products can be used to strongly fix the cartilage grafts under the skin in rhinoplasty operations. It is important to minimize the use of suture materials that do not dissolve in the body as much as possible in order to reduce the reactions related to these materials. If it is used just under the skin and close to the surface, the possibility of these suture materials coming out of the skin increases. In patients who have previously developed various skin reactions due to these suture materials, the use of these products should be avoided as much as possible during the rhinoplasty operation.
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| In the photograph above, permanent suture materials in blue color, which were fixed in the deep cartilage tissues and covered with granulation due to chronic infection, are seen. |
It is appropriate to use less permanent suture materials when possible in rhinoplasty operations!
Similar to the patient I shared with you in the video above, I came across many patients with complaints such as local skin infections and skin abscesses, roughness or suture materials coming out of the skin after rhinoplasty. Long-term repetitive local small abscesses and skin infections can be seen due to the effort of the permanent sutures used here to be thrown out by the body and fixation of these sutures by knotting them in the skin tissues. While suture reactions due to dissolvable suture materials are quite rare; The risk of tissue reaction due to permanent and non-absorbable suture materials is much higher. For this reason, it is the most ideal practice to use self-melting suture materials as much as possible during rhinoplasty operations.
Can there be such reactions in your rhinoplasty?
Do not worry, many physicians today try to use the suture materials that do not dissolve in the body as much as possible. The patient that I have shared with you here had undergone surgery in a different clinic and applied to us when the discharges on the skin and the inflammation did not improve with medical treatment. I generally prefer to use such suture materials once or twice at most during the rhinoplast operation, only during the detection of deep cartilage refluxes. So far, I have not seen such a suture reaction in any patient I have operated on. However, gynoplasty operation is also a surgical procedure, and as in every surgical procedure, there is a possibility of reactions related to all the suture materials used during this operation, depending on the materials used, as well as subcutaneous infections. The use of appropriate and quality products and the use of appropriate surgical technique reduce these risks.
You can browse the link to read the articles about rhinoplasty risks that I have prepared before on this website (you can click more posts at the bottom of the page) >> https://www.ent-istanbul.com/search?q=rhinoplasty+risks
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
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