RESUMO
Corrective rhinoplasty, a commonly performed plastic surgery, is occasionally followed by numerous risks and complications. In this report, we present, with discussion of the causes and proper management, a case of lagophthalmos that occurred after a rhinoplasty. A 35-year-old female visited our outpatient clinic due to continuous nasal obstruction even after septoplasty. After thorough evaluation, corrective rhinoplasty was performed to release the patient's nasal symptoms and manage the deviated external nose and nasal septum. During the surgery, we encountered excessive nasal bleeding after percutaneous osteotomy. In addition, immediate postoperative findings presented left periorbital edema without limited eye movement or reduced eye vision associated with the paralysis of the eyelid localized to the medial side of the left upper palpebra. Surgeons should be aware of rare but possible complications of corrective rhinoplasty such as lagophthalmos, and a rapid and intensive care is recommended for early management and better prognosis of postoperative complications.
Assuntos
Adulto , Feminino , Humanos , Instituições de Assistência Ambulatorial , Equimose , Edema , Epistaxe , Movimentos Oculares , Pálpebras , Paralisia Facial , Cuidados Críticos , Obstrução Nasal , Septo Nasal , Nariz , Osteotomia , Paralisia , Complicações Pós-Operatórias , Prognóstico , Rinoplastia , Cirurgia PlásticaRESUMO
The solitary fibrous tumor (SFT) is an uncommon benign tumor, which is usually found in the pleura. Even though SFTs have been reported in various areas including the head and neck these days, laryngeal SFT is very rare, not to mention the bilateral vocal fold. Here, we report a new case of bilateral laryngeal SFT with a review of related literature. A 67-year-old male patient was admitted to our institution because of husky voice he experienced for several months. Endoscopic examination revealed a bilateral vocal folds swelling. The lesion was removed with CO2 laser under direct suspension laryngoscope. The pathological diagnosis was made by various immunohistochemical stainings including vimentin, Bcl-2, CD99 and CD34. During the 24 months follow-up after the surgery, there was no sign of recurrence.