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Facial Plastic Surgery Clinics of North America

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https://www.readbyqxmd.com/read/28340657/crafting-a-functional-nose
#1
EDITORIAL
Benjamin C Marcus
No abstract text is available yet for this article.
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340656/advances-in-technology-for-functional-rhinoplasty-the-next-frontier
#2
REVIEW
Sachin S Pawar, Guilherme J M Garcia, John S Rhee
Advances in computer modeling and simulation technologies have the potential to provide facial plastic surgeons with information and tools that can aid in patient-specific surgical planning for rhinoplasty. Finite element modeling and computational fluid dynamics are modeling technologies that have been applied to the nose to study structural biomechanics and nasal airflow. Combining these technologies with patient-specific imaging data and symptom measures has the potential to alter the future landscape of nasal surgery...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340655/revision-functional-surgery-salvaging-function
#3
REVIEW
Sahar Nadimi, David W Kim
Reduction rhinoplasty techniques include maneuvers that weaken the nasal osseocartilaginous framework. The structurally compromised anatomy remaining after reductive surgery may be left with inadequate strength to withstand postoperative contractile forces. Significant aesthetic and functional deformities requiring revision rhinoplasty may develop. This article reviews common causes of nasal obstruction after primary rhinoplasty. The discussion of etiology is based on both the anatomic description of nasal subsites (middle vault and lateral walls) as well as an explanation of why certain techniques lead to functional problems in these areas...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340654/the-saddle-deformity-camouflage-and-reconstruction
#4
REVIEW
Jon Robitschek, Peter Hilger
This article presents a comprehensive review of past and present modalities in the surgical management of saddle nose deformities. Various surgical techniques, including allograft materials, are systematically reviewed. The senior author's surgical experience and current management approach are highlighted.
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340653/cleft-septorhinoplasty-form-and-function
#5
REVIEW
Tsung-Yen Hsieh, Raj Dedhia, Drew Del Toro, Travis T Tollefson
Nasal deformity associated with typical cleft lip can cause aesthetic and functional issues that are difficult to address. The degree of secondary nasal deformity is based on the extent of the original cleft deformity, growth over time, and any prior surgical correction to the nose or lip. Repair and reconstruction of these deformities require comprehensive understanding of embryologic growth, the cleft anatomy, as well as meticulous surgical technique and using a spectrum of structural grafting. This article reviews cleft lip nasal deformity, presurgical care, primary cleft rhinoplasty, and definitive cleft septorhinoplasty with a focus on aesthetics and function...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340652/management-of-pediatric%C3%A2-nasal-surgery-rhinoplasty
#6
REVIEW
Matthew D Johnson
Nasal surgery in children, most often performed after trauma, can be performed safely in selected patients with articulate, deliberate, and conscientious operative plan. All nasal surgery in children seeks to avoid disruption of the growth centers, preserving and optimizing nasal growth while improving the form and function of the nose. A solid appreciation of long-term outcomes and effects on growth remain elusive.
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340651/osteotomies-demystified
#7
REVIEW
Kyle K VanKoevering, Andrew J Rosko, Jeffrey S Moyer
Osteotomies are critical techniques in rhinoplasty. There are a variety of approaches, trajectories, and tools used with no widely standardized classification or nomenclature. Percutaneous osteotomies are gaining in popularity, and picture framing the nasomaxillary bone is crucial for predictable fracture and reproducible results. This is best accomplished with medial, lateral, and transverse osteotomies. Intermediate osteotomies are used less frequently, but provide more mobility. With a detailed understanding of anatomy and a thorough approach to nasal osteotomies, the contour and function of the bony vault can be reshaped with a successful outcome for both the surgeon and patient...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340650/functional-rhinoplasty
#8
REVIEW
Oren Friedman, Erdinc Cekic, Ceren Gunel
Understanding nasal anatomy and physiology are the most important points for successful functional rhinoplasty. Anatomic structures playing major roles in nasal breathing functions include the septum, and internal and external nasal valves, so physical examination of these regions is essential. Planning for functional rhinoplasty involves the identification of the sites of nasal airway obstruction or old trauma, and addressing those regions during the operation with a number of different techniques that have been described...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340649/the-external-nasal-valve
#9
REVIEW
Grant S Hamilton
The external nasal valve is a complex entity comprised of multiple structures and tissue types. As such, there is no single operation that can address all problems of the external valve. This article reviews the relevant anatomy, pathologic conditions, and treatments for external nasal valve dysfunction, including a detailed review of the nasal muscles and their contribution to external nasal valve patency. Surgical and nonsurgical options for treatment and the evidence supporting the importance of proper external nasal valve function on quality-of-life measures are discussed...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340648/the-inferior-turbinate-in-rhinoplasty
#10
REVIEW
Brian W Downs
There is controversy regarding optimum treatment of the hypertrophied inferior turbinate. Patients undergoing rhinoplasty will likely need treatment of bony hypertrophy as well as possibly soft tissue hypertrophy. Although inferior turbinate hypertrophy is a heterogeneous entity, future studies should standardize outcome measures and compare treatment methods with rigorous clinical trials.
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340647/septoplasty-basic-and-advanced-techniques
#11
REVIEW
Sam P Most, Shannon F Rudy
Nasal septal deviation is a prevalent problem that can have significant quality of life ramifications. Septoplasty is commonly performed to provide qualitative and quantitative benefit to those with nasal obstruction owing to septal deviation. Although a standard, basic technique is often adequate for individuals with mild to moderate mid to posterior septal deviation, unique challenges arise with caudal septal deviation. Herein, multiple strategies that attempt to address anterior septal deviation are discussed...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28340646/essential-anatomy-and-evaluation-for-functional-rhinoplasty
#12
REVIEW
Justin C Sowder, Andrew J Thomas, Preston Daniel Ward
The nose, a prominent facial feature in defining facial beauty, is responsible for the fundamental physiologic functions of heating, humidifying, and filtering inspired air. When the normal balance of laminar and turbulent airflow become disturbed due to anatomic abnormalities, nasal obstruction may result. To successfully restore these basic physiologic functions, the surgeon must have a detailed understanding of the nasal anatomy and be able to successfully identify the specific cause of the nasal obstruction...
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888899/facial-scar-management
#13
EDITORIAL
David B Hom
No abstract text is available yet for this article.
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888898/treating-scars-to-the-neck
#14
REVIEW
Richard D Gentile
Scarring of the neck affects millions of people every year. The appearance of neck scarring can be disturbing both physically and psychologically. Scarring of the neck can be accompanied by morbidities because of the limitation of functional motion of the neck. Treatment options and modalities for reduction and prevention of scar formation include topical steroids, intralesional steroids, interferon, 5-fluorouracil, silicone gel, radiation, laser therapy, and surgeries. There is no general consensus in the literature as to the optimal treatment of neck scarring...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888897/treating-scars-on-the-oral-mucosa
#15
REVIEW
Erik William Evans
Mucosal wounds tend to heal more rapidly than skin wounds and with minimal to no scar formation and hence have a minimal impact on function or aesthetics. This is likely due to differences in the magnitude and timing of the various factors that contribute to wound healing. Some examples of these differences are fibroblast proliferation, transforming growth factor-╬▓, macrophages, neutrophils, and T cells. Other factors, such as the moist environment, contribute to the favorable wound-healing characteristics of mucosa...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888896/treatment-of-scalp-scars
#16
REVIEW
John Kim
The scalp presents many challenges to the reconstructive surgeon given its visible nature and the various considerations that must be given for optimal reconstruction. In this article, we review the anatomy of the scalp, the various options for reconstruction, and important considerations for improving the chances of optimal reconstruction of scalp defects.
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888895/treating-scars-in-the-auricle-region
#17
REVIEW
Deborah Watson, Bharat Panuganti
This article provides a review of the surgical and nonsurgical options available to manage a variety of auricular scars. The basics of wound healing are discussed in addition to the etiology of keloids and the cauliflower ear. Many auricular scars can be revised with scar excision techniques, but separate discussions for the treatment of keloids and the cauliflower ear are provided. The management plan for auricular scarring requires appropriate patient counseling regarding the risk of recurrence in keloids, regrowth of scar tissue in cauliflower ears, scar hypertrophy at the line of closure, widening of the scar, and persisting ear contour deformities...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888894/treating-scars-of-the-chin-and-perioral-region
#18
REVIEW
Jessyka G Lighthall, Fred G Fedok
Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Scar revision and reconstruction is ideally performed with a subunit approach, placing scars along aesthetic borders and performing subunit reconstruction to camouflage scars. Surgical techniques include direct excision, scar reorientation, local flap rearrangement, pedicled flaps, and regional or free flaps...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888893/unique-clinical-aspects-of-nasal-scarring
#19
REVIEW
Benjamin P Caughlin, Christian Barnes, J Stuart Nelson, Brian J F Wong
Various methods are available for refining scars of the external nose and optimal scar revision frequently requires the utilization of multiple techniques. Differing anatomy of nasal subunits and their underlying structural framework limit surgical options in nasal scar revision compared with other areas of the face. An understanding of a variety of laser technologies and their specific applications can vastly aid in fine, controlled scar revision. Achieving optimal scar reduction regularly requires multiple stages of intervention, close follow-up, and repeat procedures...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888892/treating-scars-of-the-cheek-region
#20
REVIEW
Kofi Derek Boahene, James A Owusu
Scars of the cheek resulting from all causes can extol significant psychological toll. The cheek is the largest facial subunit and visually and aesthetically prominent making scars in this region difficult to ignore. An approach to scar management that targets specific characteristics of a scar using a combination of surgical and nonsurgical modalities can significantly improve the appearance of most scars. The ideal time to revise a scar should be based on the extent of scar maturation and presence or absence of any functional distortion...
February 2017: Facial Plastic Surgery Clinics of North America
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