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https://www.readbyqxmd.com/read/27906082/secondary-correction-of-nasal-deformities-in-cleft-lip-and-palate-patients-surgical-technique-and-outcome-evaluation
#1
Gabor Vass, Gabor Mohos, Zsofia Bere, Laszlo Ivan, Janos Varga, Jozsef Piffko, Laszlo Rovo
BACKGROUND: Nasal deformity associated with cleft lip and palate is a highly challenging reconstructive problem in rhinoplasty. In the literature, several operative solutions and evaluation methods have been described, however these do not offer a standard procedure for the surgeon. Our aim was to standardize our surgical technique-as much as the uniqueness of each case allowed it-based on the most frequent deformities we had faced; and to evaluate our results via a postoperative patient satisfaction questionnaire...
December 1, 2016: Head & Face Medicine
https://www.readbyqxmd.com/read/27882312/supernumerary-nostril-a-case-report
#2
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/27879585/postoperative-edema-resolution-following-rhinoplasty-a-three-dimensional-morphometric-assessment
#3
Sabrina Pavri, Victor Z Zhu, Derek M Steinbacher
BACKGROUND: The final result of rhinoplasty may be masked for several months after surgery because of postoperative edema; however, no objective evidence supports this time estimate. The purpose of this study was to three-dimensionally quantify the decrease in postsurgical nasal edema following rhinoplasty over the first postoperative year. METHODS: This was a retrospective, three-dimensional, morphometric study of primary, open rhinoplasty patients. Subjects with at least three postoperative three-dimensional images up to 1 year were included...
December 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27876738/-treatment-with-the-use-of-microcurrent-lymphatic-drainage-physiotherapy-during-the-postoperative-period-following-rhinoplastic-surgery
#4
T A Aleksanyan, E V Kazantsev
The objective of the present study was to evaluate the effectiveness of the combined treatment of the patients who had undergone either primary or secondary rhinoplastic surgery with the use of photo- and magnetic therapy in comparison with the effectiveness of phototherapy in the combination with microcurrent therapy. The patients were divided into four groups depending on the type of the surgical intervention and the mode of the combined physiotherapeutic treatment. All the patients were given combined physiotherapeutic treatment in addition to the standard pharmacotherapy starting from the second day of the postoperative period...
2016: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/27845961/lateral-crural-reinforcement-in-secondary-cleft-lip-nasal-deformity-through-a-combined-lateral-crural-turn-over-flap-and-strut-graft
#5
Jihyeon Han, Rong-Min Baek, Baek-Kyu Kim
BACKGROUND: Secondary cleft lip nasal deformity is a complex deformity, and the variety of recommended techniques used to correct this deformity attests to it. Much of the nasal deformity can be attributed to an abnormal lower lateral cartilage. This study presents our experience with applying a lateral crural turnover flap with a sandwiched strut graft in adjunct with other procedures to correct unilateral secondary cleft lip nasal deformity. METHODS: A retrospective review was conducted of 20 cases of unilateral cleft lip patients undergoing secondary rhinoplasty with lateral crural turnover flap with strut graft...
November 15, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27830140/failed-septal-extension-graft-in-a-patient-with-a-history-of-radiotherapy
#6
Il Gyu Kang, Seon Tae Kim, Seok Ho Lee, Min Kwan Baek
BACKGROUND: This report describes the authors' experience of "melting" septal cartilage after placement of a septal extension graft in a nasopharyngeal cancer patient that had been previously undergone radiation therapy, and provides a review of the literature. METHODS: Electronic medical records were used to obtain details of the patient's clinical history. RESULTS: A 32-year-old woman, who had previously undergone radiotherapy for nasopharyngeal cancer, visited our department to for rhinoplasty...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27801699/quantitative-measurements-of-the-bulbous-tip-in-ethnic-rhinoplasty
#7
Oleh Slupchynskyj, Jeffrey Cranford
BACKGROUND: Refinement of the bulbous nasal tip continues to be one of the more challenging aspects of ethnic rhinoplasty. Better objective measures are necessary to quantitatively assess changes in surgery of the bulbous tip. We propose the use of a new nasal anatomic landmark in the subnasal vertex view, designated c, in conjunction with previously described landmarks to offer an improved means of characterizing the bulbous tip. Together, these landmarks form a pentagon, allowing for measurement of its angles and distances to quantitatively evaluate the nasal tip in the subnasal vertex view...
October 31, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27798735/a-systematic-review-of-patient-reported-outcome-measures-after-rhinoplasty
#8
REVIEW
M Barone, A Cogliandro, N Di Stefano, V Tambone, P Persichetti
The literature still lacks a review regarding PROs applied for rhinoplasty. Thus, we performed a systematic review of the literature to identify PROMs that assess patient satisfaction and quality of life after rhinoplasty. The aim of our study was to identify existing questionnaires and to summarize their development, psychometric properties, and content. A multi-step search of the web-based PubMed database from the National Library of Medicine was performed to identify PROMs that are designed to evaluate satisfaction and quality of life following rhinoplasty...
October 31, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27763971/noses-of-the-middle-east-variety-of-phenotypes-and-surgical-approaches
#9
Igor Niechajev
BACKGROUND: The Middle East (ME) proper, a vast area between the East coast of the Mediterranean Sea and Afghanistan, is populated by many nations and tribes. Several nose phenotypes are prevalent throughout the region, but there is no published study encompassing and exploring nose phenotypes encountered in the various countries and subregions of the ME. METHODS: The current study was based on the analysis of compiled data from 1207 patients of ME origin (53% of my total rhinoplasty patient cohort) operated by the author during the years 1985 to 2015...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27757343/reshaping-of-the-anterior-nasal-spine-an-important-step-in-rhinoplasty
#10
Tito M Marianetti, Armando Boccieri, Michele Pascali
: The importance of analysis of the nasal spine should not be underestimated in the correct planning of rhinoplasty. Deformations in position with respect to the midline and/or in size are often present, and their correction to ensure harmony between the spine and the other components of the nasal pyramid constitutes a key step in rhinoplasty that can lead to excellent results. METHODS: The study includes 160 patients who underwent surgical treatment of the anterior nasal spine with or without other techniques of nasal reshaping...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27748728/nasal-dorsum-reconstruction-with-alloplastic-material
#11
Domenico Scopelliti, Giulia Amodeo
The secondary nasal surgery represents a challenging surgical procedure. The difficulties in fact are several: the surgeon must make an effort to achieve the functional and aesthetic consequences of the previous surgical procedure, has to correct the aesthetic and functional imperfections, and has to work on a fibrotic and altered framework.The goal of the secondary nasal surgery is then to restore the normal nasal proportions correcting any functional inability unresolved by the previous surgery or determined by it...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27748725/postoperative-satisfaction-in-nasal-bone-fracture-patients-who-had-rhinoplasty
#12
Taewoon Yoon, Youngjoon Kim
PURPOSE: Nasal bone fracture is the most common type of facial bone fracture. There are 2 main reduction methods for treating nasal bone fractures: open reduction and closed reduction. A secondary operation was required when there was a deviation of shape after the operation, so there have been many studies conducted on patient satisfaction after reduction. However, there was few study on the satisfaction of nasal bone fracture patients with rhinoplasty depending on treatment modality...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27706909/repair-of-caudal-septal-deviation-the-fishing-line-technique
#13
Dan Yaniv, Tuvia Hadar, Roe Hod, Roee Lansberg, Ilan Koren, Eitan Yaniv
BACKGROUND: Repair of caudal septal deviation using currently described methods is challenging technically. The aim of this work is to describe a novel and simple technique for the treatment of caudal septal deviations that protects the nasal tip, by fixating of cartilage to the columella. METHODS: All patients with caudal septal deviation operated on between June 2008 to November 2013 in 2 major medical centers were operated using the "fishing line technique." Patient satisfaction was recorded by a standard questionnaire (16-item Sino-Nasal Outcome Test [SNOT-16]), before and after surgery...
October 5, 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/27703565/the-impact-of-the-nasal-trauma-in-childhood-on-the-development-of-the-nose-in-future
#14
Gabriela Kopacheva-Barsova, Slavica Arsova
AIM: To prevent and to treat nasal trauma in children properly, because it can lead to displacement or depression of the nasal bones or septum. Second, our aim was, for the patient to recognise and create a mature decision for eventual nose changes which will be made with the operative intervention or they are not mature enough and the decisions were made by their parents. MATERIAL AND METHODS: Our retrospective study was made at University Clinic for Ear, Nose and Throat, Faculty of Medicine, Ss Cyril and Methodius University of Skopje in the period of 6 years (2005-2016)...
September 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27703562/justification-for-rhinoseptoplasty-in-children-our-10-years-overview
#15
Gabriela Kopacheva-Barsova, Nikola Nikolovski
BACKGROUND: Nasal septal surgery and rhinoplasty are controversial in children. Traditionally, an attitude of restraint has been employed by most surgeons till an empirical age of 16 to 18 years. This is to avoid the possible adverse effects that the growth spurts may have on the nose and midface region. AIM: The aim of this paper was to present the results of rhinoplasty in children in order to restore the anatomy and function or to promote normal development and outgrowth of the nose...
September 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27692993/-craniofacial-strategy-for-syndromic-craniosynostosis
#16
E Arnaud, G Paternoster, S James, M-P Morisseau-Durand, V Couloigner, P Diner, C Tomat, V Viot-Blanc, B Fauroux, V Cormier-Daire, G Baujat, M Robert, A Picard, S Antunez, R Khonsari, L Pamphile-Tabuteau, C Legros, M Zerah, P Meyer
The complexity of treatment of faciocraniosynostosis justifies the treatment in a reference center for rare diseases. The growth disturbances in the skull and face being variable according to the type of mutation in the FGFr (Crouzon, Pfeiffer, Apert), the strategy is adapted to the phenotype according to the following principles: posterior expansion with or without distraction around 6 months to limit the descent of the cerebellum tonsils and to prevent the turricephalic development; fronto-facial monobloc advancement with internal distraction around the age of 18 months in case of severe exorbitism or breathing impairment...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27689053/rhinoplasty-education-using-a-standardized-patient-encounter
#17
Eric J Wright, Rohit K Khosla, Lori Howell, Gordon K Lee
BACKGROUND: Comprehensive aesthetic surgery training continues to be a challenge for residency programs. Our residency program developed a rhinoplasty-based objective structured clinical examination (OSCE) based upon validated methods as part of the residency education curriculum. We report our experience with the rhinoplasty-based OSCE and offer guidance to its incorporation within residency programs. METHODS: The encounter involved resident evaluation and operative planning for a standardized patient desiring a rhinoplasty procedure...
September 2016: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/27689046/informed-consent-as-a-litigation-strategy-in-the-field-of-aesthetic-surgery-an-analysis-based-on-court-precedents
#18
Bo Young Park, Jungwoo Kwon, So Ra Kang, Seung Eun Hong
BACKGROUND: In an increasing number of lawsuits doctors lose, despite providing preoperative patient education, because of failure to prove informed consent. We analyzed judicial precedents associated with insufficient informed consent to identify judicial factors and trends related to aesthetic surgery medical litigation. METHODS: We collected data from civil trials between 1995 and 2015 that were related to aesthetic surgery and resulted in findings of insufficient informed consent...
September 2016: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/27680520/surgical-nasal-implants-indications-and-risks
#19
Dane J Genther, Ira D Papel
Rhinoplasty often requires the use of grafting material, and the goal of the specific graft dictates the ideal characteristics of the material to be used. An ideal material would be biologically inert, resistant to infection, noncarcinogenic, nondegradable, widely available, cost-effective, readily modifiable, and easily removable, have compatible biomechanical characteristics, retain physical properties over time, and not migrate. Unfortunately, no material currently in existence meets all of these criteria...
October 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27652047/revision-rhinoplasty-measurement-of-patient-reported-outcomes-and-analysis-of-predictive-factors
#20
Ozan Luay Abbas
BACKGROUND: Considering that revision rhinoplasty is one of the most difficult plastic surgical procedures, evaluating patient satisfaction is fundamental in order to determine success and identify variables that may affect the outcomes. Our first study objective was to determine satisfaction levels in revision patients and to compare results with those obtained in primary rhinoplasty patients. Second, we sought to identify factors that may influence the degree of satisfaction. METHODS: Satisfaction was evaluated in 54 revision and 54 primary rhinoplasty patients using the rhinoplasty outcome evaluation questionnaire...
2016: SpringerPlus
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