Korean J Otorhinolaryngol-Head Neck Surg.  2015 Jan;58(1):64-67. 10.3342/kjorl-hns.2015.58.1.64.

A Case of Lagophthalmos after a Corrective Rhinoplasty

• Choo OS
• Hong SY
• Yoon SH
• Kim HJ

• KMID: 2277935
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.1.64

Abstract

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.

Keyword

Ecchymosis; Facial paralysis; Lagophthalmos; Osteotomy; Rhinoplasty

MeSH Terms

Adult
Ambulatory Care Facilities
Ecchymosis
Edema
Epistaxis
Eye Movements
Eyelids
Facial Paralysis
Female
Humans
Critical Care
Nasal Obstruction
Nasal Septum
Nose
Osteotomy
Paralysis
Postoperative Complications
Prognosis
Rhinoplasty*
Surgery, Plastic