RESUMO
A rare complication of iliac bone graft procurement is described, in which the lateral femoral cutaneous nerve can be injured during the procedure, or it can be entrapped in healing scar after the closure. The surgical anatomy of this nerve is described, as is the pathophysiology and the treatment of the lesion. Suggestions are made as to means to avoid this complication.
Assuntos
Nervo Femoral , Ílio/transplante , Síndromes de Compressão Nervosa/etiologia , Complicações Pós-Operatórias , Feminino , Humanos , Pessoa de Meia-Idade , Parestesia/etiologia , Rinoplastia , Coxa da Perna , Transplante AutólogoRESUMO
Revisionary rhinoplasty is discussed in terms of conceptual organization. Its scope is greater than primary rhinoplasty in that it contains elements of augmentation and reconstruction not seen in the usual primary rhinoplasty. A better general understanding of the relationship of the structural elements to the appearance and the structural elements to the lining is required. Defects encountered in revisionary rhinoplasty reflect the contribution of the three nasal elements, which are the cover, lining, and support. Success depends on accurate evaluation of the distortion produced by each element and their correction. Correction implies maintenance of correct position.