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Cosmetic nasal surgery

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https://www.readbyqxmd.com/read/27893551/mid-face-degloving-an-alternate-approach-to-extended-osteotomies-of-the-midface
#1
Anantanarayanan Parameswaran, Naveen Kumar Jayakumar, Manikandhan Ramanathan, Hermann F Sailer
Extended osteotomies for mid-face advancement require generous exposure of the anterior maxilla, nasal bones, infraorbital rims, orbital floor, zygoma, and the anterior third of the zygomatic arches. This cannot be obtained with an exclusive transoral approach. Hence, the surgeon is usually compelled to utilize supplemental cutaneous incisions that are a compromise on the purpose behind a cosmetic surgery. In order to alleviate the need for such compromise, the authors advocate the mid face degloving approach for extended osteotomies at Lefort II and Lefort III levels...
November 23, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27888831/-extranasal-glioma-surgery-in-a-newborn-a-case-report
#2
Emel Cadallı Tatar, Gökçe Aksoy Yıldırım, Kemal Keseroğlu, Ali Özdek, Güleser Saylam, Mehmet Hakan Korkmaz, Reyhan Polat
Nasal gliomas are rarely seen, congenital, benign and nonhereditary lesions. These are not true tumors that occur due to extradural malposition of ectopic glial tissue during embryologic development. These are generally diagnosed during childbirth and may have an intracranial extension with fibrous stalk. Treatment of these masses that cause nasal obstruction and cosmetic deformity according to location, is total excision. In this case report, we present an extranasal glioma case whose surgery was done when she was 11 days old...
September 2016: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
https://www.readbyqxmd.com/read/27882312/supernumerary-nostril-a-case-report
#3
Bo-Eun Choi, Seung-O Ko, Hyo-Keun Shin
BACKGROUND: Supernumerary nostril is a congenital anomaly that contains additional nostril with or without accessory cartilage. These rare congenital nasal deformities result from embryological defects. Since 1906, Lindsay (Trans Pathol Soc Lond. 57:329-330, 1906) has published the first research of bilateral supernumerary nostrils, and only 34 cases have been reported so far in the English literature. CASE PRESENTATION: A 1-year-old female baby was brought to our department group for the treatment of an accessory opening above the left nostril which had been presented since her birth...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27846021/caudal-septum-surgery-techniques-reviewed
#4
Roxana Cobo, Angie Caldas
PURPOSE OF REVIEW: The caudal septum has important functional and aesthetic implications. Deviations in this area can result in important nasal obstruction due not only to blockage of the nasal passage but also to compromise of the internal nasal valve. Cosmetically, alterations in the caudal septum can result in a twisted nasal tip, loss of projection, rotation, and imbalance in the ala-columellar relationship. Contemporary surgical options will be discussed showing how to preserve, reshape, and reinforce the caudal septum to obtain a final looking nose that is not only functional but also aesthetically pleasing...
November 14, 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/27833286/diagnostic-tools-in-maxillofacial-fractures-is-there-really-a-need-of-three-dimensional-computed-tomography
#5
Sheerin Shah, Sanjeev K Uppal, Rajinder K Mittal, Ramneesh Garg, Kavita Saggar, Rishi Dhawan
INTRODUCTION: Because of its functional and cosmetic importance, facial injuries, especially bony fractures are clinically very significant. Missed and maltreated fractures might result in malocclusion and disfigurement of the face, thus making accurate diagnosis of the fracture very essential. In earlier times, conventional radiography along with clinical examination played a major role in diagnosis of maxillofacial fractures. However, it was noted that the overlapping nature of bones and the inability to visualise soft tissue swelling and fracture displacement, especially in face, makes radiography less reliable and useful...
May 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27666705/-simultaneous-repairing-defects-of-orbital-floor-and-palate-with-the-modified-temporalis-muscle-flap-after-the-maxillectomy
#6
Q Zhong, Z G Huang, J G Fang, X J Chen, X H Chen, L Z Hou, P D Li, H Z Ma, S Z He
Objective: To evaluate the outcome of one-stage reconstruction of maxillary and orbital defects with modified temporalis muscle flap (TMF) following the removal of malignant neoplasms. Methods: In this retrospective study, 15 patients underwent the reconstruction of defects of orbital floor and palate after maxillectomy for malignant tumor were included from June 2008 to June 2014. The modified temporalis muscle flap was used to repair the defects after surgery, and functional outcomes were analyzed. Results: All the patients were followed up for 12-81 months...
September 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27651480/primary-open-rhinoplasty
#7
Arash Momeni, Ronald P Gruber
Rhinoplasty is perhaps the most complex cosmetic surgery procedure performed today. It is characterized by an intricate interplay between form and function, with patient satisfaction being dependent not only on improvement of nasal appearance but also resolution of preexisting airway symptoms. The prerequisite for successful execution of this challenging procedure is a thorough understanding of nasal anatomy and physiology. Hence, a thorough preoperative evaluation is at least as important and the surgical skill in performing the operation...
October 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27633018/finite-element-model-and-validation-of-nasal-tip-deformation
#8
Cyrus T Manuel, Rani Harb, Alan Badran, David Ho, Brian J F Wong
Nasal tip mechanical stability is important for functional and cosmetic nasal airway surgery. Palpation of the nasal tip provides information on tip strength to the surgeon, though it is a purely subjective assessment. Providing a means to simulate nasal tip deformation with a validated model can offer a more objective approach in understanding the mechanics and nuances of the nasal tip support and eventual nasal mechanics as a whole. Herein we present validation of a finite element (FE) model of the nose using physical measurements recorded using an ABS plastic-silicone nasal phantom...
September 15, 2016: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/27585247/objective-comparison-of-nasal-tip-contours-in-the-basal-view-between-dome-binding-and-hemitransdomal-tip-suture-techniques-in-rhinoplasty
#9
Fernando Casanueva, Deniz Gerecci
Importance: The dome binding suture (DBS) used for nasal tip refinement creates the unwanted effects of nasal tip pinching owing to shadowing and loss of alar support. The hemitransdomal suture (HTS), however, refines the nasal tip while maintaining a natural contour between the nasal tip and the alar lobule. To our knowledge, no objective comparison between the DBS and HTS techniques has been described in the literature to date. Objective: To determine whether the DBS or HTS technique results in an objectively satisfactory outcome in nasal tip contouring when assessed from the perspective of the basal view...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27547650/assessment-of-nasal-base-morphology-using-new-proportion-indices-in-chinese
#10
Zhenyu Yang, Xiaoyan Tan, Jun Fang
OBJECTIVE: The aim of this study was to measure the soft tissue of the external nasal base in Han Chinese women and identify indices with which to simplify morphological assessment. METHODS: This study involved 155 Han women in China. The control group comprised 101 women, and the surgical group comprised 54 women. Using measurements and analytical software, we measured the nasal base on photographs in the two groups. The nasal base was also measured preoperatively and postoperatively in the surgical group...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27508134/uses-of-various-grafting-techniques-in-external-approach-rhinoplasty-an-overview
#11
Nazir A Khan, Ayaz Rehman, Rajshri Yadav
The surgeons performing rhinoplasty found Graft selection the greatest challenge. To avoid an immune response the preferred choice thus far for nasal reconstruction would be autograft compared to allograft due to its lower rate of rejection. We have evaluated 30 patients who underwent open rhinoplasty and We used conchal and septal cartilaginous grafts in various forms by the open approach to correct various nasal deformities compared our experience regarding the operative technique, graft availability, indications, and limitations...
September 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27494584/modern-rhinoplasty-is-there-a-place-for-the-closed-approach
#12
Alexander Berghaus
Rhinoplasty is one of the most commonly performed cosmetic surgeries and, in many cases, an elective procedure. Therefore, it is crucial to assess the functional and aesthetic issues of the patient accurately and devise the proper surgical strategy most beneficial to the patient. Modern rhinoplasties can be approached by two distinct techniques: the open technique or the closed, endonasal technique. While most rhinosurgeons today prefer the open procedure due its superior access to the nasal scaffold and overview over the surgical field in particular, we highlight in this article techniques and benefits of endonasal rhinoplasty and critically discuss situations where such an approach yields superior results...
August 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27490193/outcomes-of-open-approach-extracorporeal-septoplasty-without-simultaneous-rhinoplasty-effects-on-nasal-tip-projection-and-rotation
#13
Ozlem Unsal, Gulpembe Bozkurt, Meltem Akpinar, Pinar Akova, Bilge Turk, Berna Uslu Coskun
Importance: Performing an open-approach extracorporeal septoplasty (OAES) without simultaneous rhinoplasty could have adverse effects. We sought to understand the effects of OAES without simultaneous rhinoplasty on nasal tip projection and rotation in patients with severe septal deviation. Objectives: To evaluate the outcomes of OAES without simultaneous rhinoplasty in terms of nasal tip projection and rotation using objective measurements. Design, Setting, and Participants: This retrospective study was conducted at a training and research hospital using medical records of 32 adult patients who underwent OAES without simultaneous rhinoplasty between April 10, 2012 and June 12, 2015...
October 1, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27465172/methicillin-resistant-staphylococcus-aureus-infections-a-comprehensive-review-and-a-plastic-surgeon-s-approach-to-the-occult-sites
#14
Cedric Hunter, Lorne Rosenfield, Elena Silverstein, Panayiota Petrou-Zeniou
BACKGROUND: Up to 20 percent of the general population is persistently colonized with Staphylococcus aureus, and 1 to 3 percent of the population is colonized with community-acquired methicillin-resistant S. aureus. Currently, the knowledge of methicillin-resistant Staphylococcus aureus carriage sites other than the nose, and their effect on surgical site infections in cosmetic surgery, is lacking. METHODS: A comprehensive literature review using the PubMed database to analyze prevalence, anatomical carrier sites, current screening and decontamination protocols and guidelines, and methicillin-resistant S...
August 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27390095/modifications-to-the-butterfly-graft-used-to-treat-nasal-obstruction-and-assessment-of-visibility
#15
Myriam Loyo, Deniz Gerecci, Jess C Mace, Melynda Barnes, Selena Liao, Tom D Wang
Importance: Graft visibility in the supratip region has been the main criticism of the butterfly graft. Because of the graft location, slightly unfavorable supratip fullness can occur, resulting in patient dissatisfaction with the cosmetic result. Objective: To describe the clinical outcomes and visibility of the butterfly graft after technique modifications. Design, Setting, and Participants: In this retrospective review of adults who had undergone primary or secondary rhinoplasty with butterfly grafting from July 1, 2013, through July 31, 2014, at a tertiary care center at an academic institution, an operative log and photographs were reviewed in an effort to analyze outcomes of butterfly graft use in rhinoplasty...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27357633/topical-vasoconstrictors-in-cosmetic-rhinoplasty-comparative-evaluation-of-cocaine-versus-epinephrine-solutions
#16
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
https://www.readbyqxmd.com/read/27279165/-an-extremely-rare-case-of-penetrating-head-injury-caused-by-a-nasal-implant-made-of-an-ivory-chip-and-a-review-of-the-literature
#17
Makiko Miyahara, Koichiro Okamoto, Yuta Tamai, Kaoru Aishima, Masato Inoue, Hiroyasu Ohno, Tetsuo Hara, Shigemi Matsubayashi
Although penetrating head injuries are very rare in Japan, an extremely rare case is reported in which an ivory chip, embedded in the subcutaneous tissue by a cosmetic rhinoplasty, penetrated the cranium. A 69-year-old woman with a psychiatric disorder suddenly jumped down from a window and bruised her face. The ivory chip went into her left frontal lobe via the frontal sinus. At surgery, it was completely removed via the nasion. There were no postoperative complications after adequate frontal sinus repair and closure of dura mater with a piece of pericranium...
June 2016: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/27248029/anthropometric-analysis-of-the-south-indian-woman-s-nose
#18
Vasanthakumar Packiriswamy, Mounir Bashour, Satheesha Nayak
The normal values of nasal dimensions and position have been established for various racial and ethnic groups. Unfortunately, there is a dearth of information related to these values in South Indian females, leading to surgeons being forced to use statistical data from Caucasians in their decision making. The objective of the present study was to compare statistically the nasal anthropometric measurement of South Indian women (SIW) with published norms for North American white women (NAWW) using independent t-test...
June 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27239601/combined-external-and-endonasal-approach-to-fronto-ethmoidal-mucocele-involving-the-orbit
#19
Bijan Beigi, Deepak Vayalambrone, Mohsen Bahmani Kashkouli, Peter Prinsley, Jan Saada
PURPOSE: To present a technique to improve the surgical treatment of frontal sinus mucocele and its recurrence. METHODS: Nine procedures performed on eight patients by a team of ENT and Ophthalmic orbital surgeons. Data collected included patient demographics, surgical details, pathological findings and complications. The surgical technique involved an external approach via the upper eyelid skin crease combined with an internal approach with a rigid 4 mm endoscope described below...
March 2016: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/27218111/comparison-of-the-temperament-and-character-of-patients-referred-to-cosmetic-nasal-surgeon-in-shiraz-hospitals-2015
#20
Farkhondeh Sharif, Behnaz Anooshehpoor, Arash Mani, Ladan Zarshenas, Najaf Zare, Ali Haghighatian
BACKGROUND: Rhinoplasty is the most common cosmetic surgery which has been dramatically increasing in Iran. Currently, Iran is ranked the first in the world in rhinoplasty. In the present study, we aimed to assess the character and temperament traits of the applicants referred to rhinoplasty surgeons in Shiraz, southwest Iran in 2015. METHODS: In this cross-sectional study, we recruited 500 participants among rhinoplasty applicants for case and among students and clerks residing in Shiraz by convenience sampling method in 2015...
April 2016: International Journal of Community Based Nursing and Midwifery
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