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Non surgical rhinoplasty

Danielle L Sobol, Alexander C Allori, Anna R Carlson, Irene J Pien, Stephanie E Watkins, Arthur S Aylsworth, Robert E Meyer, Luiz A Pimenta, Ronald P Strauss, Barry L Ramsey, Eileen Raynor, Jeffrey R Marcus
BACKGROUND: The aesthetic aspects of the cleft lip nasal deformity have been appreciated for over a century, but the functional implications of the deformity have remained largely misunderstood or underappreciated. This study aims to describe the frequency and severity of nasal obstructive symptoms among children and adolescents with cleft lip and/or palate (CL/P), addressing the hypotheses that age and cleft type/severity are associated with the development of nasal obstructive symptoms...
August 15, 2016: Plastic and Reconstructive Surgery
Sergio Fernández-Cossío, María Jesús Rodríguez-Dintén, Francisco Gude, José Manuel Fernández-Álvarez
BACKGROUND: The use of topical vasoconstrictors is a common practice in nasal surgery. These agents reduce bleeding and enable a good surgical field. Topical cocaine and epinephrine, which are frequently used in cosmetic rhinoplasty, are considered safe and effective, but secondary effects have been described. The aim of the present study was to evaluate and compare the benefits and risks of epinephrine and cocaine employed as topical vasoconstrictive agents in cosmetic rhinoplasty. METHODS: This prospective non-randomised study included 65 consecutive female patients undergoing primary closed rhinoplasty...
October 2016: Aesthetic Plastic Surgery
Steven Liew, Terrence Scamp, Mauricio de Maio, Michael Halstead, Nicole Johnston, Michael Silberberg, John D Rogers
BACKGROUND: There is increasing interest among patients and plastic surgeons for alternatives to rhinoplasty, a common surgical procedure performed in Asia. OBJECTIVES: To evaluate the safety, efficacy, and longevity of a hyaluronic acid filler in the correction of aesthetically detracting or deficient features of the Asian nose. METHODS: Twenty-nine carefully screened Asian patients had their noses corrected with the study filler (Juvéderm VOLUMA [Allergan plc, Dublin, Ireland] with lidocaine injectable gel), reflecting individualized treatment goals and utilizing a standardized injection procedure, and were followed for over 12 months...
July 2016: Aesthetic Surgery Journal
Steven H Dayan, Nazanin Ashourian
IMPORTANCE: The caudal septal extension (CSE) graft maneuver commonly is used to adjust the nasal tip projection. It can, however, be difficult to stabilize and straighten the CSE graft, especially when the procedure is performed through an endonasal approach. Because the stabilization and correct positioning of the CSE graft are vital for achievement of the desired outcome, new approaches must be found that facilitate the technical ease of this procedure. OBJECTIVE: To assess the safety and efficacy of the polydioxanone (PDS) absorbable plate in CSE graft procedures performed via an endonasal approach...
January 2016: JAMA Facial Plastic Surgery
Fatih Ozdogan, Halil Erdem Ozel, Erkan Esen, Turgut Yuce, Serdar Baser, Cem Sefa Yavuz
UNLABELLED: The nasolabial cyst also known as Klestadt's cyst is a rare non-odontogenic soft tissue lesion of the nasal alar region. Aetiopathogenesis of the nasolabial cysts is controversial. Embryonic and developmental theories were considered at pathogenesis of the nasolabial cyst. In addition, surgical or non-surgical trauma is one of the possible theories. This paper reports a case of a 33-year-old male patient that presented with bilateral nasolabial cysts after rhinoplasty and alar base reduction...
December 2015: Aesthetic Plastic Surgery
J Hendry, A Chin, I R C Swan, M A Akeroyd, G G Browning
BACKGROUND: The Glasgow Benefit Inventory (GBI) is a validated, generic patient-recorded outcome measure widely used in otolaryngology to report change in quality of life post-intervention. OBJECTIVES OF REVIEW: To date, no systematic review has made (i) a quality assessment of reporting of Glasgow Benefit Inventory outcomes; (ii) a comparison between Glasgow Benefit Inventory outcomes for different interventions and objectives; (iii) an evaluation of subscales in describing the area of benefit; (iv) commented on its value in clinical practice and research...
June 2016: Clinical Otolaryngology
Hakan Uzun, Ozan Bitik, Haldun Onuralp Kamburoğlu, Mehmet Dadaci, Mert Çaliş, Engin Öcal
BACKGROUND: Basal and squamous cell carcinomas are the most common malignant cutaneous lesions affecting the nose. With the rising incidence of skin cancers, plastic surgeons increasingly face nasal reconstruction challenges. Although multiple options exist, optimal results are obtained when "like is used to repair like". We aimed to introduce a simple algorithm for the reconstruction of nasal defects with local flaps, realizing that there is always more than one option for reconstruction...
June 2015: Journal of Craniofacial Surgery
Parit A Patel, Marcie S Rubin, Sean Clouston, Frank Lalezaradeh, Lawrence E Brecht, Court B Cutting, Pradip R Shetye, Stephen M Warren, Barry H Grayson
The present study aims to determine the risk of early secondary nasal revisions in patients with complete unilateral and bilateral cleft lip and palate (U/BCLP) treated with and without nasoalveolar molding (NAM) and examine the associated costs of care. A retrospective cohort study from 1990 to 1999 was performed comparing the risk of early secondary nasal revision surgery in patients with a CLP treated with NAM and surgery (cleft lip repair and primary surgical nasal reconstruction) versus surgery alone in a private practice and tertiary level clinic...
June 2015: Journal of Craniofacial Surgery
Ozan Kuduban, Selma Denktaş Kuduban
BACKGROUND: Septorhinoplasty is a frequent surgical procedure used for both cosmetic and functional purposes. The technique varies from surgeon to surgeon and according to which suture material is used. While some surgeons prefer non-absorbable sutures, others prefer sutures with delayed absorption. These materials sometimes protrude from the skin and they may cause skin reactions. While these reactions are common in the late period, a skin reaction in the early period because of polydioxanone suture is extremely rare and to the best of our knowledge, this is the first such reported case in the literature...
2015: American Journal of Case Reports
Janan Al Abduwani, Amar Singh
The aim of this study was to analyze the long term impact of different surgical techniques especially osteotomies and structural grafts especially spreader grafts in terms of functional and aesthetic outcomes in cases of severely deviated nose deformities using open structure rhinoplasty. Retrospective chart reviews of two hundred consecutive patients who underwent corrective rhinoplasty during the period between January 2009 and December 2010 for deviated nasal deformity were performed. Those cases which were done with closed approach (21) were excluded from the study...
March 2015: American Journal of Otolaryngology
T K Hoffmann, M Scheithauer, R Koenig, P J Schuler
BACKGROUND: After tumor surgery or traumatic defects the anterior skull base needs sufficient closure in order to prevent rhinoliquorrhea, ascending infection and brain tissue prolaps. Small defects are sufficiently closed by non-vital tissue, e. g. mucosa, muscle, fat, fascia, bone, allogenic, xenogenic or alloplastic material. Larger defects of the skull base often require more extensive surgery, including transfer of local or distal vascularized flaps. The current article presents a stepwise tutorial for reconstruction of the skull base and by a large case series focuses on the interdisciplinary therapy of complex (size, recurrence, after radiotherapy) skull base defects...
November 2014: Laryngo- Rhino- Otologie
Myeong Sang Yu, Yong Ju Jang
BACKGROUND: Preoperative computer simulation (PCS) is a tool for demonstrating potential rhinoplasty results to patients and determining the patient's preferred external nasal appearance. OBJECTIVES: The authors evaluated the effectiveness of PCS in Asian rhinoplasty patients. METHODS: The records of 224 patients who underwent rhinoplasty were reviewed. Sixty-eight (30.4%) of these patients had received PCS. To evaluate the accuracy of PCS in predicting postoperative results, postoperative photographs and PCS images were graded on a 4-point scale by a panel of 3 otolaryngologists...
November 2014: Aesthetic Surgery Journal
C Vinciullo
The skin of the nasal dorsum and bridge is more forgiving in terms of reconstructive options. Individual differences in skin laxity, nasal length and sebaceous composition impact on reconstructive choice as do the size, depth and exact location of the surgical defect. For many, if not all, defects in this area there are multiple different reconstructive options available all of which can result in equivalent and excellent results. Oftentimes there is no clear advantage of one repair over another and the choice becomes one of personal preference based on experience...
September 2014: British Journal of Dermatology
M Reichert, M Scheithauer, T K Hoffmann, P Hellings, V Picavet
Body dysmorphic disorder (BDD) is a psychiatric disorder characterized by an excessive concern with a non-existing or slight defect in physical appearance. BDD patients frequently show impaired judgment regarding the psychiatric origin of their concerns and often seek aesthetic treatment to resolve their appearance concerns. The central position of the nose in the face makes the nose one of the most common areas of concern in patients with BDD. Thus, aesthetic rhinoplasty is suspected to be one of the most frequently requested and performed surgical procedures in this population...
August 2014: Laryngo- Rhino- Otologie
Yoo Suk Kim, Dong Woo Hyun, Sang Yeob Seong, Do Yang Park, Chang-Hoon Kim, Joo-Heon Yoon
OBJECTIVE: This paper aims to study whether immediate re-insertion of non-autologous augmentation material in revision augmentation rhinoplasty is a safe surgical strategy creating a successful and functional aesthetic outcome. STUDY DESIGN: Retrospective review and analysis of medical records. SETTING: Tertiary referral hospital. SUBJECTS AND METHODS: A retrospective analysis of 11 consecutive patients who had undergone removal of previous augmentation material and immediate re-insertion of non-autologous material in revision augmentation rhinoplasty was performed...
May 2015: Annals of Plastic Surgery
Marten N Basta, Jesse A Goldstein, Anthony J Wilson, Jesse A Taylor
BACKGROUND: Secondary cleft nasal deformity is a combination of the inherent cleft defects and the effects of operations to address the primary nasal deformity. The authors revisited a modified V-Y chondromucosal flap to restore symmetric nostril shape and balanced tip projection. METHODS: A retrospective case-control study of the senior author's (J.A.T.) experience with secondary cleft tip rhinoplasty using the V-Y chondromucosal flap was conducted. Preoperative and postoperative anteroposterior and worm's-eye photographs were compared by means of photogrammetric analysis...
July 2014: Plastic and Reconstructive Surgery
Gudrun Helml, Henning Freiherr von Gregory, Amro Amr, Helmut Fischer, Wolfgang Gubisch
Because of better public education and earlier diagnosis of skin tumors, the number of soft tissue defects of the nose with limited size and depth after tumor resection is increasing. A variety of surgical methods such as skin grafts, regional flaps such as forehead flap, and local flaps have been described. The method of choice is dependent on the defect size, localization, skin structure and the wishes and expectations, and general condition of the patient. Nasal reconstruction for soft tissue defects in the supratip area, dorsum, and sidewalls using local rotation and/or advancement flaps is our primary option...
June 2014: Facial Plastic Surgery: FPS
Alexander Rivkin
BACKGROUND: Nonsurgical rhinoplasty involves the use of injectable fillers to improve the contours of the nose. It has become a widely practiced procedure since this author first popularized it in 2003. The use of permanent fillers in nonsurgical rhinoplasty has not been well documented, especially in this country. OBJECTIVES: To demonstrate the safety and effectiveness of a polymethylmethacrylate (PMMA)-based filler for nonsurgical rhinoplasty. METHODS AND MATERIALS: Eligible subjects underwent up to three injection sessions with a commercially available PMMA product and were followed for 1 year...
March 2014: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Federico Maria Gioacchini, Matteo Alicandri-Ciufelli, Shaniko Kaleci, Giuseppe Magliulo, Massimo Re
Both systemic antibiotic therapy and nasal packing are used frequently in septoplasty. Nevertheless, there is still great disagreement among authors around the real advantages with regard to the efficacy of both of these procedures in septal surgery. The aim of the present review was to evaluate the more recent data published on this topic. One appropriate string was run on PubMed to retrieve articles dealing with the topics mentioned above. A double cross-check was performed on citations and full-text articles found using the selected inclusion and exclusion criteria...
May 2014: European Archives of Oto-rhino-laryngology
M Foucher, S Quenin, F Disant
INTRODUCTION: Gummy smile and labial incompetence are frequent for consultation in plastic surgery. We wanted to show that rhinoplasty and genioplasty should correct these anomalies. PATIENTS AND METHODS: Profiloplasty was performed on 20 patients. Aesthetic and functional items were evaluated. RESULTS: There is a correlation between aesthetic and functional results. Results seem to be better for patients having an important labial incompetence without gummy smile...
2012: Revue de Laryngologie—Otologie—Rhinologie
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