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An Unexpected Occurrence of Acute Contact Dermatitis During Rhinoplasty
David C. Mabrie, MD;
Ira D. Papel, MD
The Johns Hopkins Medical Institutions, Baltimore, MD.
Arch Facial Plast Surg. 1999;1:320-321.
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A 36-year-old white woman presented with nasal obstruction and nasal deformity (Figure 1). She had undergone 4 previous rhinoplasties by 2 other surgeons. Her medical history was unremarkable and, other than her chief complaints, she had no complications from the previous surgeries. A revision rhinoplasty was performed via an open approach. A conchal cartilage graft was harvested from her right ear and along with a septal cartilage graft was used to create spreader grafts, alar buttresses, and a tip graft. No nasal packing was used. A preparation containing gum mastic (Mastisol; Ferndale Labs, Ferndale, Mich) and surgical adhesive strips (Steri-Strips; 3M Minnesota, Mining and Manufacturing Co, Minneapolis, Minn) were applied to the nose, as is the senior author's (I.D.P) usual practice. Five days after surgery, the patient complained of moderate to severe nasal tenderness and pain. The majority of the . . . [Full Text of this Article]
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