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Comment & Response |

Post–Rib Harvesting Pain Should Be Considered as a Potential Significant Morbidity in Reconstructive Rhinoplasty

Philip Michael, FRCSEd(ORL-HNS)1; Matthew M. Kwok, MBBS2
[+] Author Affiliations
1Department of Otolaryngology–Head and Neck Surgery, Royal Victorian Eye and Ear Hospital, Victoria, Australia
2Department of Otolaryngology–Head and Neck Surgery, Western Health, Victoria, Australia
JAMA Facial Plast Surg. 2015;17(3):226. doi:10.1001/jamafacial.2014.1592.
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To the Editor Complications such as pneumothorax have been acknowledged as being one of the most serious risks of autologous rib harvesting.1 Although this may be presented to patients as being a clinically significant risk associated with the procedure, its rate is very low (0% [95% CI, 0%-0.35%]), as highlighted by Wee et al2 in their recent article. The reported low frequency may be due to awareness of this complication mitigating its risk of occurrence through considered surgical technique rather than a bias in reporting.

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May 1, 2015
Jee Hye Wee, MD; Min-Hyun Park, MD, PhD; Hong-Ryul Jin, MD, PhD
1Department of Otorhinolaryngology–Head and Neck Surgery, National Medical Center, Seoul, South Korea
2Department of Otorhinolaryngology–Head and Neck Surgery, Boramae Medical Center, Seoul National University College of Medicine, Seoul, South Korea
JAMA Facial Plast Surg. 2015;17(3):226. doi:10.1001/jamafacial.2015.1.
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