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Plastic Surgery Nose Rhinoplasty

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https://www.readbyqxmd.com/read/29537996/comparative-outcomes-in-functional-rhinoplasty-with-open-vs-endonasal-spreader-graft-placement
#1
Jason Talmadge, Robin High, William Wesley Heckman
IMPORTANCE: Spreader grafts are commonly used for nasal valve stenosis. There is debate among practitioners regarding the optimal approach for spreader graft placement. OBJECTIVE: This study aimed to determine whether an endonasal spreader graft placement leads to equivalent postoperative outcomes using a standardized nasal obstruction symptom score and whether there is a significant difference in operative time between the 2 approaches. DESIGN: A retrospective review of functional rhinoplasties by a single facial plastic surgeon over a 2-year period was conducted...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29392070/assessment-of-approaches-of-otorhinolaryngologists-in-facial-plastic-and-nasal-surgery-a-survey-study
#2
Ahmet Altıntaş, Yakup Yeğin, Mustafa Çelik, Tevfik Sözen, Gürkan Kayabaşoğlu, Ömer Taşkın Yücel, Fazıl Apaydın
Objective: To assess approaches and experiences of otorhinolaryngologists in facial plastic and nasal surgery. Methods: In total, 234 surgeons (191 males and 43 females; average age, 37.22±8.4 years; age range, 26-63 years) were included. All participants were given a questionnaire comprising 22 multiple choice and closed-ended questions. All responses to the questionnaires were analyzed. Results: Of 234 participants, 42 (17.9%) were residents and 192 (82...
September 2017: Turkish Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29274005/ethnic-rhinoplasty
#3
REVIEW
R Cobo
Rhinoplasty is one of the main facial plastic procedures performed worldwide. Ethnic patients today are mainly mixed-race patients. Diagnosis is based on anatomical findings and surgery should be planned based on patients' needs and what they define as beautiful. Different surgical techniques are presented where a structural approach to rhinoplasty is explained. Very little tissue is resected and support structures of the nose are strengthened with sutures and grafts. A gradual approach to the nasal tip is also presented progressing from simple predictable techniques to more complex unpredictable ones...
January 2018: HNO
https://www.readbyqxmd.com/read/29150922/prospective-evaluation-of-a-nonsurgical-device-for-rhinoplasty
#4
RANDOMIZED CONTROLLED TRIAL
M A Deggeller, D Holzmann, M B Soyka
BACKGROUND: Rhinoplasty represents one of the most challenging and frequently performed procedures in plastic surgery and non-surgical rhinoplasty is rarely considered. The aim of this study was to investigate whether the Nasella Nose Former (NNF), a newly developed non-surgical rhinoplasty device, could improve objective and subjective results following surgical rhinoplasty and even correct the shape of the nose without any surgery at all. METHODOLOGY: In this prospective, monocentric, two-armed, non-blinded randomized, controlled clinical trial, a total of 43 participants were included...
March 1, 2018: Rhinology
https://www.readbyqxmd.com/read/29049586/rhinoplasty
#5
Shannon F Rudy, Sam P Most
No abstract text is available yet for this article.
October 10, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28923458/does-self-consciousness-of-appearance-influence-postoperative-satisfaction-in-rhinoplasty
#6
J M Herruer, J B Prins, N van Heerbeek, G W J A Verhage-Damen, K J A O Ingels
BACKGROUND: Facial plastic surgeons and patients benefit from knowledge about how psychological aspects can influence the outcome of cosmetic surgery. The influence of preoperative self-consciousness of appearance and its effect on benefit after surgery in rhinoplasty patients has not been explored before in other studies. METHOD: A prospective study was conducted on patients undergoing (septo)rhinoplasty for a combination of cosmetic and functional problems. Before the operation subjects were asked to complete two questionnaires, the Derriford Appearance Scale (DAS59) to measure distress associated with self-consciousness of appearance and the Rhinoplasty Outcome Evaluation (ROE) to measure satisfaction with their nose...
January 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28549044/a-modified-suction-assisted-technique-of-transfer-of-diced-cartilage-graft-to-carrier-material-and-outcome-of-direct-injection-of-unwrapped-diced-cartilage-in-rhinoplasty
#7
Muhammad Mustehsan Bashir, Muhammad Sohail, Farid Ahmad Khan, Sadia Nosheen Jan, Hamid Hussain Ansari, Umer Nazir, Zohaib Hidayat
OBJECTIVE: To describe a modified suction-assisted technique (MSAT) of transfer of diced cartilage (DC) graft to a carrier material and to determine the clinical outcome of direct injection of unwrapped diced cartilage (UDC) in rhinoplasty. PLACE AND DURATION OF STUDY: Department of Plastic Surgery, KEMU, Mayo Hospital, Lahore from February 2011 to January 2015 METHODS:: Forty-seven patients of both genders with types 0 to 3 saddle nose deformity were included. Patients with types 4 and 5 saddle nose deformity, diabetes, hypertension, hepatic or renal disorders were excluded...
June 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28499134/digit-ratio-2d-4d-and-postoperative-pain-perception
#8
Anna Kasielska-Trojan, Piotr Stabryła, Bogusław Antoszewski
BACKGROUNDS: It has not been established whether sex differences in pain perception are influenced by prenatal sex hormones. Digit ratio as an indicator of prenatal hormone exposure can be used as a simple measure of the influence of prenatal hormones on pain sensitivity or perception in adulthood. OBJECTIVE: The aim of this study was to determine a correlation between the 2D:4D ratio and pain perception in the postoperative period after rhinoplasty. METHOD: A prospective cohort study of 100 patients (50 women of the mean age of 30...
July 2017: Early Human Development
https://www.readbyqxmd.com/read/28340656/advances-in-technology-for-functional-rhinoplasty-the-next-frontier
#9
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/28226375/trends-in-nasal-subunit-reconstruction-by-facial-plastic-and-reconstructive-surgeons
#10
Yuna C Larrabee, David J Phillips, Anthony P Sclafani
To determine if facial plastic and reconstructive surgeons still adhere to the classic nasal subunit principle as described by Burget and Menick. Observational survey. A Weill Cornell Medicine institutional review board approved electronic survey that was sent via e-mail to active members of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). The survey consisted of 32 multiple-choice questions pertaining to the operative management of small (22-30%), medium (50-58%), and large (75-81%) defects of each subunit of the nose, as well as demographic, provider, and practice characteristics...
February 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28226368/local-cutaneous-flaps-in-nasal-reconstruction
#11
REVIEW
Guanning Nina Lu, J David Kriet, Clinton D Humphrey
Facial plastic surgeons use a variety of reconstruction techniques to overcome challenges in restoring the function, structural integrity, and intricate nasal contour in nasal reconstruction. Local cutaneous flaps provide excellent skin texture, thickness, and color match in nasal reconstruction. They offer an excellent cosmetic appearance for small- to medium-sized defects and are preferentially utilized when feasible. This article aims to provide an updated review of local cutaneous flaps for nasal defect repair and describe the major principles related to flap selection...
February 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28091484/-aesthetic-and-functional-rehabilitation-of-a-patient-presenting-with-the-consequences-of-congenital-cleft-lip-and-palate-performed-taking-into-consideration-the-specific-ethnic-features-of-the-external-nose-a-case-report
#12
E A Makhambetova, Yu Yu Rusetsky, I V Reshetov, L S Karapetyan, D E Makhambetova
The article demonstrates the method for reconstructive rhinoplasty used to treat a patient who underwent multiple cheiloplastic surgical interventions taking into consideration ethnic characteristics of the external nose. The operative technique involved the formation of lower lateral cartilage on the side of deformation and medial crura support, dorsum augmentation, and tip projection with the use autological cartilage and an implant. As a result, a significant improvement of the nose function was achieved in the combination with the good aesthetics outcome of the surgery...
2016: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/28027226/base-nasal-bone-resection-versus-oblique-nasal-bone-resection-a-comparative-study-of-the-outcomes-for-the-deviated-nose
#13
RANDOMIZED CONTROLLED TRIAL
Bilsev Ince, Mehmet Dadaci
BACKGROUND: The aim of this study was to compare the techniques used for resection of the long side of the base and the top of the bone based on the patient's perspective, surgeon's approach, aesthetic results, complications, and need for secondary surgery in patients with asymmetric nasal bones. This study also aimed to determine the perspective of another plastic surgeon who did not perform rhinoplasty in comparison with the perspective of the primary plastic surgeon. METHODS: One hundred sixty-six patients with nasal bone asymmetry between 2010 and 2015 were included in this study...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27470497/evaluation-of-aesthetic-and-functional-outcomes-in-rhinoplasty-surgery-a-prospective-study
#14
Sara Sena Esteves, Miguel Gonçalves Ferreira, João Carvalho Almeida, José Abrunhosa, Cecília Almeida E Sousa
INTRODUCTION: Evaluation of surgery outcome measured by patient satisfaction or quality of life is very important, especially in plastic surgery. There is increasing interest in self-reporting outcomes evaluation in plastic surgery. OBJECTIVE: The aim of our study was to determine patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire, before and after rhinoplasty surgery. METHODS: A prospective study was realized at a tertiary centre...
September 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27186871/piezotome-rhinoplasty-reduces-postsurgical-morbidity-and-enhances-patient-satisfaction-a-multidisciplinary-clinical-study
#15
Angelo Troedhan
PURPOSE: Experimental and clinical studies in various fields of oral and maxillofacial surgery suggest the use of piezotomes to reduce postsurgical morbidity and enhance healing. The aim of the study was to investigate if rhinoplasty surgery with piezotomes might decrease postsurgical morbidity and increase overall patient satisfaction when compared with rhinoplasty with traditional instruments and protocols. MATERIALS AND METHODS: In this prospective clinical study, patients in a cosmetic surgery department, ear-nose-throat (ENT) department, and the department for maxillofacial surgery, scheduled for cosmetic reductive rhinoplasty, underwent rhinoplasty with traditional instruments or an ultrasonic surgical device called a "piezotome...
August 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26818321/bergamo-3d-rhinoplasty-software-select-store-and-share-surgical-maneuvers-in-a-three-dimensional-nasal-model
#16
Denis Codazzi, Stefano Bruschi, Riccardo F Mazzola, Maria Alessandra Bocchiotti, Paolo Bogetti, Luca Ortelli, Enrico Robotti
BACKGROUND: Rhinoplasty is considered the most challenging chapter of plastic surgery due to its variability and the continuing evolution of surgical maneuvers. Worksheets became essential to unequivocally record surgical steps and to demonstrate their reciprocal effects/interactions during the follow-up period. After 1989, no other software was created to upgrade the Gunter Rhinoplasty Diagrams, the forefather and benchmark of the rhinoplasty "virtual" worksheet maker. METHODS: The authors built a new standard three-dimensional nasal framework model in STL format...
February 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26727835/-how-i-treat-nasal-reconstruction
#17
L Renwart, J-L Nizet
Reconstruction of the nose is a common condition in plastic surgery, mainly after skin cancer excision. Outcomes must meet high aesthetic and functional requirements. This necessitates a thorough analysis of the defect to assess the anatomical and aesthetic deficits. Any loss of bone, cartilage or mucosa needs to be replaced. Small defects can be resurfaced by local flaps. The forehead flap remains the gold standard for complex defect.
October 2015: Revue Médicale de Liège
https://www.readbyqxmd.com/read/26648806/asian-rhinoplasty-with-rib-cartilage
#18
Myung Ju Lee, Hyung-Min Song
An Asian rhinoplasty is one of the most popular procedures in plastic surgery. The anatomical characteristics of the Asian nose are quite different from those of other races, including low dorsum height, short columella, a thick soft tissue covering on the tip with flaccid lower lateral cartilage, and a sunken midface with relative protrusion of the mouth due to maxilla or premaxillary retrusion. For augmentation and lengthening of the nose, a silicone implant has been commonly used in Asian countries. However, many patients suffer from silicone-related complications, which induce soft tissue contraction and deform the already fragile nasal structure...
November 2015: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/26648800/milestones-of-asian-rhinoplasty
#19
Abdulla Fakhro, Ryan D Wagner, Yong Kyu Kim, Anh H Nguyen
The field of plastic surgery originally developed out of the necessity to reconstruct the human body after the destruction of war. However, injured soldiers were not the only people who desired a change in appearance. After World War II, many people in Asian countries sought to attain a more Western look through surgery. Along with eyes, the nose was the main focus for these cosmetic procedures. In this article, the authors examine the evolution of Asian rhinoplasty from its original description in 1964 to the present...
November 2015: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/26605889/development-and-psychometric-evaluation-of-the-face-q-scales-for-patients-undergoing-rhinoplasty
#20
Anne F Klassen, Stefan J Cano, Charles A East, Stephen B Baker, Lydia Badia, Jonathan A Schwitzer, Andrea L Pusic
IMPORTANCE: Rhinoplasty continues to rank among the most popular cosmetic surgical treatments. Measuring what the nose looks like has typically involved the use of observer-reported or physician-reported outcome measures (eg, photographs). While objective outcomes are important, facial appearance is subjective, and asking patients what they think about the appearance of their nose is of paramount importance. The patient perspective can be measured using patient-reported outcome instruments...
January 2016: JAMA Facial Plastic Surgery
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