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Comment & Response
May/Jun 2015

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

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

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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