Rhinoplasty is a common and effective plastic surgery to improve the aesthetics of the nose and, in some cases, respiratory function. This surgery remodels nasal structures, not only visibly, but also affecting the nasal microbiota, a community of microorganisms. The objective of this study was to understand how rhinoplasty influences the nasal microbiota, focusing on the prevalence of pathogenic bacteria, as well as the clinical implications of these changes. To investigate these changes, the research was conducted in a private otorhinolaryngology hospital environment. Bilateral nasal swabs were collected and bacterial culture was performed. Statistical analysis was used to explore possible associations between altered nasal microbiota and postoperative complications, as well as the quality of healing and recovery time of patients undergoing rhinoplasty. In 8 patients, rhinoplasty showed an initial prevalence of Staphylococcus aureus (62.5%) and Klebsiella aerogenes (25%). After surgery, 66.7% presented undetected results, suggesting a potential improvement in the nasal microbiota. Individual variability highlights the need for personalized approaches in preventing post-surgical infections. No statistically significant correlation was observed between nasal microbiota and surgical complications. Other characteristics were not significant on the effect of surgery and culture results. This research deepened the understanding of the nasal microbiome in patients undergoing rhinoplasty. In total, data from 8 patients were analyzed, revealing intriguing microbiological patterns. The decrease in post-surgery bacterial detection suggests potential benefits in reducing infectious risks, pointing to practical implications in clinical practice. Although valuable, we recognize the limitations of the study, encouraging future expansive research to consolidate and expand this knowledge.
Silva M, Soares CM, Soares PA. Analysis of the nasal microbiome in patients pre and post rhinoplasty: exploring the possible clinical implications in a private hospital and otorhinolaryngology. 2023 May-Aug;2(2):44-50.
