PRIMARY AND SECONDARY SEPTORHINOPLASTY

Abstract

Closed septorhinoplasty, performed through incisions in the nostrils, minimizes scarring and recovery time, making it suitable for less complex corrections (Hacker et al., 2021). Studies suggest that primary septorhinoplasty generally yields higher satisfaction rates due to the absence of pre-existing scar tissue and the surgeon’s ability to work with unchanged nasal anatomy (Patel et al., 2021). Strengthening or reconstructing the nasal valve with cartilage grafts or sutures provides improved airflow and structural integrity. Functional improvements often translate into improved quality of life, as patients experience relief from chronic symptoms such as sinusitis or nasal dryness (Toriumi, 2006). In revision cases, where the septal cartilage may be depleted, surgeons rely on cartilage from the ear or ribs. The choice of graft material and placement technique significantly affect the long-term success of the surgery (Most, 2008). Psychological aspects, such as the patient’s self-image and their motivation for seeking surgery, play a key role in the overall perception of success (Elsayed et al., 2021). The paper analyzes every septorhinoplasty procedure that occurred at the Skopje Clinic for Plastic and Reconstructive Surgery from 2017 to 2024. Using a combination of research and statistical methods, the study examines how surgeries change people based on anatomy, surgery, and personality traits. Additionally, the paper explores how surgical methods affect patient outcomes during primary and secondary septorhinoplasty procedures. The paper focuses on analyzing primary and secondary septorhinoplasty procedures performed at the Clinic for Plastic and Reconstructive Surgery in Skopje between 2017 and 2023 and their outcomes. The research will use data from the Clinic for Plastic and Reconstructive Surgery in Skopje, collected between 2017 and 2023. Statistical data include patient demographics (age, gender, and place of residence), type of procedure (primary or secondary), diagnoses, surgical techniques, and outcomes. The data will be analyzed using descriptive statistics, including mean and standard deviation to describe the age distribution, as well as frequency analysis to determine the most common diagnoses, surgical techniques, and complications. Analysis of the clinic data reveals important patient trends, such as their background information and treatment outcomes. The research shows that more patients are now seeking cosmetic facial surgery, making revision surgeries more common over time. At the same time, this research provides a new approach to Septorhinoplasty surgery by showing how to improve medical methods and patient treatment.