A RETROSPECTIVE ANALYSIS OF THE RESULTS OF 218 CONSECUTIVE RHINOPLASTIES

In a 7-year period, 218 consecutive rhinoplasties were performed withi n a joint rhinoplasty service comprising a plastic surgeon and an otor hinolaryngologist. Retrospective analysis of these procedures revealed a minor surgical complication rate of 5%, no major complications and requests for revisional surgery in 10% of patients after primary rhino plasty by the service. However when patients had not had their first o peration by our joint service, the revisional operation rate after our first operation was 19%. These results are discussed in relation to o ther published series. The data generated should enable more precise p reoperative patient counselling and act as a useful baseline for subse quent audit of performance. Specifically, patients should know that af ter rhinoplasty 1 in 10 patients may request revisional surgery. All t rainers and trainees should be aware of such data on their own patient s in order that standards be set and enhanced with time.