Contemporary Augmentation Rhinoplasty with Autogenous Cartilage Grafts after Removal of Nasal Paraffinoma

Objectives：Nasal paraffinoma originating from the liquid paraffin injected for the purpose of augmentation rhinoplasty has many complications such as itching sensation, pain and tenderness, hardness, erythema and telangiectasia, protrusion of lump and even psychologic problems. The only method of improvement is surgical removal of paraffinoma and reconstructive rhinoplasty. The aim of this study is to investigate patients’ satisfaction about symptoms and signs in aesthetic aspects through analyzing survey papers following surgery. Materials and Method：We have treated 11 cases of nasal paraffinoma by contemporary augmentation rhinoplasty with autogenous cartilage grafts after removal of nasal paraffinoma from October, 1996 to May, 2000. The patients’ ages ranged from 36 to 62 years and all were women. Patients’ satisfaction about symptoms and signs in aesthetic aspects was investigated through analyzing survey papers at 6 months after surgery. We also have observed changes after surgery by conducting serial photographic documentation. Results：All patients were satisfied with the results about symptoms and signs in aesthetic aspects. Serial photographic documentation showed the subsided skin lesion and nasal dorsum narrowing. Conclusion：Our results indicated that contemporary augmentation rhinoplasty with autogenous cartilage grafts after removal of nasal paraffinoma is one of the effective treatment for nasal paraffinoma. (Korean J Otolaryngol 2003;46:752-7)