keyword
https://read.qxmd.com/read/38483551/the-trick-tip-rhinoplasty-tip-of-the-nose-preservation-using-the-combined-synergy-of-open-and-closed-approaches
#1
JOURNAL ARTICLE
Francisco Villegas-Alzate
BACKGROUND: This study introduces and assesses the outcomes of a novel rhinoplasty technique, TRICK-TIP (Transcolumellar and Inter Cartilaginous Keystoning with Tip preservation), employing a combined open and closed approach with tip anatomy conservation and structured tip support. METHODS: The procedure involves a low stairstep columellar sectioning, followed by transmembranous and intercartilaginous incisions without skin dissection in the columella or tip. Elevating the entire mobile nose as a three-layered flap provides extensive access to the entire nasal pyramid and septum...
March 14, 2024: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38279564/non-surgical-rhinoplasty-through-minimal-invasive-nose-thread-procedures-adverse-effects-and-prevention-methods
#2
REVIEW
Soo Yeon Park, Soo-Bin Kim, Atchima Suwanchinda, Kyu-Ho Yi
BACKGROUND: This review addresses the intricacies of non-surgical rhinoplasty, particularly focusing on the utilization of absorbable sutures known as "Volumizing threads" in combination with fillers. The aim is to explore the enhanced precision of nasal contouring offered by these combined procedures compared to sole filler injections. METHODS: Through comprehensive clinical cases, this article scrutinizes the landscape of adverse effects and their prevention strategies associated with minimal invasive nose thread procedures...
February 2024: Skin Research and Technology
https://read.qxmd.com/read/38262616/low-strip-unifying-hybrid-rhinoseptoplasty-luhrs-a-novel-classification-in-dorsal-preservation-surgery
#3
JOURNAL ARTICLE
Salvatore Taglialatela Scafati, Mario Rasulo, Abdülkadir Göksel
BACKGROUND: Preservation rhinoplasty techniques continue to evolve. Suture tip-plasty with minimal resection and grafting, lateral crural tensioning, minimal excision from the lateral crura, dorsal preservation, subperichondral dissection, and preservation of the ligaments have become the milestones of modern rhino-surgery. However, every time the dorsal frame is modified by means of rasping, shaving, or osteotomy or the nasal tip is structured using grafts, we are essentially applying structural concepts to our technique...
January 23, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38232752/doxycycline-sclerodesis-rhinodesis-for-enhanced-soft-tissue-adhesion-in-rhinoplasty-a-preliminary-study
#4
JOURNAL ARTICLE
Milos Kovacevic, Aaron M Kosins, Richard E Davis, Salwa Al Maamari, Alwyn D'Souza
The use of doxycycline as a sclerosing agent is well-established.(1,2,3) Given the clinical efficacy of doxycycline sclerosant therapy, we embarked upon a study to evaluate the efficacy of small-volume liquified doxycycline particularly in thick skinned rhinoplasty patients to promote re-adhesion of the nasal skin-soft tissue envelope (SSTE) thereby minimizing surgical dead space and enhancing surface contour, to improve the eventual outcome of surgery. We present 2 clinical case series using rhinodesis. All patients were treated with the same rhinodesis protocol that included conventional splinting and taping...
January 17, 2024: Facial Plastic Surgery: FPS
https://read.qxmd.com/read/38148359/comparison-of-polypropylene-and-polydioxanone-in-the-hemitransdomal-suture-a-novel-rabbit-ear-cartilage-model
#5
JOURNAL ARTICLE
Ayhan Işık Erdal, Serhat Şibar, Duygu Şibar, Gökhan Doğan, Süheyla Esra Özkoçer
BACKGROUND: Lower lateral cartilage reshaping is one of the basic steps in rhinoplasty. Hemitransdomal suture is frequently used for dome narrowing. Different suture materials can be used for hemitransdomal suture. In this study, we investigated the effectiveness of polypropylene and polydioxanone in hemitransdomal suture by designing a new experimental model in the rabbit ear cartilage. METHODS: Twelve young adult male New Zealand White rabbits were used. The bipedicled inverted-U-shaped cartilage was elevated in each ear of the rabbits...
December 26, 2023: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38101140/cog-graft-a-new-septal-extension-graft-for-designing-nasal-tip-rotation-and-projection-in-rhinoplasty
#6
JOURNAL ARTICLE
Erkan Soylu, Alper Yenigun, Orhan Ozturan
BACKGROUND: Adjusting the nasal tip rotation and tip projection according to the patient's face and wishes is a very important stage in rhinoplasty with the use of a cog graft positioning the tip point in the appropriate place is possible by adjusting the nose length, tip projection and tip rotation together. OBJECTIVE: The aim of this study is to facilitate positioning the tip rotation and projection in the appropriate place according to the patient's needs in rhinoplasty with Cog graft...
December 9, 2023: American Journal of Otolaryngology
https://read.qxmd.com/read/38081987/unilateral-fixation-of-the-bony-pyramid-in-deviated-nose-correction
#7
JOURNAL ARTICLE
Yury Rusetsky, Zhanna Mokoyan, Olga Chernova
Deviated nose correction is one of the most challenging procedures in rhinoplasty. Recent studies proposed effectiveness of preservation techniques even for patients with crooked nose deformity, although the long-term results are still controversial. Obviously, only addressing the blocking points is not enough to achieve stable midline position in crooked nose. To ensure consistent long-term results, we proposed a unilateral suturing of the bony pyramid along with unilateral resection of the excessive bone along the lateral osteotomy line...
December 11, 2023: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38079313/simplified-septal-stabilization-in-closed-approach-low-septal-resection-dorsal-preservation-rhinoplasty
#8
JOURNAL ARTICLE
Ayhan Işik Erdal, Serhat Şibar
BACKGROUND: Septal fixation is a basic step in low-septal-resection dorsal preservation rhinoplasty. Inadequate septal stabilization can lead to supratip depression or more severe saddle nose deformity. This paper presents a simple surgical maneuver to stabilize quadrangular septal cartilage instead of suture fixation to the anterior nasal spine. METHODS: Thirty patients who underwent closed-approach low-septal-resection dorsal preservation rhinoplasty between July and December 2021 were included in this retrospective study...
December 1, 2023: Annals of Plastic Surgery
https://read.qxmd.com/read/38042760/-analysis-of-the-postoperative-outcome-of-81-cases-of-nasal-reconstruction-with-direct-closure
#9
JOURNAL ARTICLE
Nawa Arif, Svetlana Hetjens, Corinne Hübers, Moritz Felcht
BACKGROUND: Direct wound closure (side-to-side closure) for closing nasal defects, is controversially discussed. Yet, data supporting one or the other are lacking. MATERIAL AND METHOD: An explorative, partly retrospective, partly prospective observational study including 81 patients was carried out for assessment of the operative results of after direct wound closure stretching rhinoplasty. The occurrence of complications, the esthetic result and influencing factors were examined...
December 2, 2023: Dermatologie (Heidelb)
https://read.qxmd.com/read/37973060/a-novel-technique-for-septal-perforation-repair-fascia-lata-graft
#10
JOURNAL ARTICLE
Deniz Hanci, Öykü İzel Onaran, Hüseyin Altun, Yavuz Uyar
BACKGROUND: Nasal septal perforation (NSP) is an anatomical defect involving the mucosa, cartilage/bone of the nasal septum, most commonly caused by septoplasty. Spontaneous healing of a perforated septum is rare; instead, it tends to worsen over time. Several surgical approaches have been described for NSP repair. In this study, the authors present a novel technique using only fascia lata graft for repairing NSP of various sizes. METHODS: The authors conducted a retrospective study, including 23 patients who underwent NSP repair between January 2020 and January 2022...
November 16, 2023: Journal of Craniofacial Surgery
https://read.qxmd.com/read/37910207/internal-suspension-sutures-in-tip-rhinoplasty
#11
JOURNAL ARTICLE
Andrés Alvo
BACKGROUND: Achieving an aesthetically pleasant tip rotation is paramount in rhinoplasty, and these results should be long-lasting. However, even powerful structural techniques such as septal extension grafts can lose rotation over time, as most support depends on the attachment of the graft to the septal cartilage. METHODS: We describe a simple suture technique to strengthen tip support in rhinoplasty, by suspending it to the cartilaginous dorsum, providing additional support to the tip against forces, such as gravity, scar contraction and muscle tension...
November 1, 2023: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/37869943/are-preservation-rhinoplasty-techniques-safer-than-structural-ones
#12
JOURNAL ARTICLE
S A Bafaqeeh, N Bayar Muluk, C Cingi
This narrative review paper evaluates the preservation rhinoplasty (PR) technique in all aspects. The literature survey was performed in PubMed, EBSCO, UpToDate, and Proquest Central databases of Kırıkkale University, Google and Google Scholar databases. The advent of the preservation rhinoplasty (PR) approach has led to a radical shift in the mindset surrounding rhinoplasty procedures. K-area (keystone region) loss, lateral cartilage collapse, and nasal stenosis are all avoidable with preservation measures...
October 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/37869941/applied-surgical-methods-and-outcomes-in-crooked-nose-rhinoplasty
#13
JOURNAL ARTICLE
E Azizli, O Oğuz, N Bayar Muluk, H Sarı, M Dilber, Y Uyar, C Cingi
OBJECTIVE: In this retrospective and multicentric study, we investigated applied surgical methods in rhinoplasty for crooked nose deformity. PATIENTS AND METHODS: The retrospective data for 300 crooked nose deformity cases (191 males and 109 females) were used in our study. Classification of the initial deformities was performed as (1) I-shaped crooked nose deformity, (2) C-shaped crooked nose deformity, (3) Reverse C-shaped crooked nose deformity, and (4) S-shaped crooked nose deformity...
October 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/37798507/a-new-classification-of-pollybeak-deformity-and-its-treatment-in-asian-rhinoplasty
#14
JOURNAL ARTICLE
Xiancheng Wang, Hongli Zhao, Yang Sun, Xiang Xiong, Xianxi Meng, Wenbo Li, Zhihua Qiao, Weiliang Zeng, Kai Yang, Yi Tian
BACKGROUND: Supratip deformity, also known as pollybeak deformity, is a common complication of primary and secondary rhinoplasty, characterized by fullness in the supratip region. The correction of pollybeak deformity is a challenging procedure, and its management requires a thorough understanding of the pathogenic mechanism of pollybeak deformity. OBJECTIVES: This study aimed to evaluate the effectiveness of surgical methods for correcting pollybeak deformity in Asian rhinoplasty...
October 5, 2023: Aesthetic Plastic Surgery
https://read.qxmd.com/read/37716252/sutures-positioning-technique-enhances-the-predictability-and-concordance-between-preoperative-simulation-and-actual-outcomes-in-rhinoplasty
#15
JOURNAL ARTICLE
Hong Gao, Gan Shen, Hao Hu, Zhangxiang Lin, Hanli Yuan, Defeng Lin, Xiaohai Zhu, Hua Jiang, Antang Liu
BACKGROUND: The predictability and concordance between simulated and actual outcomes in rhinoplasty are uncertain. Here, we introduce a suture positioning technique (SPT), a simple and low-cost method to minimize the gap between the simulated and actual outcomes of rhinoplasty. METHODS: Seventy patients were enrolled in this study between January 2018 and January 2021. Preoperative simulations were performed using Adobe Photoshop. The control group underwent surgery using simulation and intuition...
August 20, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/37437336/vertical-alar-lengthening-technique-in-correcting-short-noses
#16
JOURNAL ARTICLE
Erkan Soylu, Alper Yenigun, Orhan Ozturan
BACKGROUND: It is crucial that the nose length must be compatible with the face in order to obtain beautiful results that suits the face. Shorter and upturned noses appear as if the tip of the nose is cut from the front and gives a piggy appearance to the patient's face. OBJECTIVE: The aim of this study is to obtain longer noses with increased tip definition by effectively lengthening the medial and lateral crura's in patients with short nose and Asian noses. MATERIALS AND METHODS: Vertical Alar Lengthening (VAL) technique was applied to 17 revision and 12 primary Asian noses...
July 7, 2023: American Journal of Otolaryngology
https://read.qxmd.com/read/37433310/rhinoplasty-considerations-for-the-patient-with-facial-paralysis
#17
JOURNAL ARTICLE
Aishwarya Shukla, Guanning Nina Lu
Nasal obstruction is a common sequela of flaccid facial paralysis but one that is often under addressed surgically. Weakness of nasal musculature on the paralyzed side of the face leads to nasal valve narrowing through loss of static and dynamic nasal side wall tone as well as inferomedial displacement of the alar base. Standard rhinoplasty techniques such as alar batten grafts or flaring sutures may be used to support the nasal side wall in facial paralysis. However, to address the inferomedial alar displacement, suspension techniques are often required...
July 11, 2023: Facial Plastic Surgery: FPS
https://read.qxmd.com/read/37389649/correction-of-short-nose-using-m-shaped-cartilage-in-asian-patients-finite-element-analysis-and-recommendations-for-surgery
#18
JOURNAL ARTICLE
Chong Zhang, Guanhuier Wang, Yonghuan Zhen, Haibo Xiang, Yang An
BACKGROUND: Using M-shaped cartilage grafts is a new method for the correction of short nose deformity with good effect for Asians. Although the basic approach to M-shaped cartilage surgery is well understood, there is a great deal of uncertainty when plastic surgeons perform the procedure, and still a lack of standard guidance on the specific details. METHODS: In this study, the authors used finite element analysis to explore and compare postoperative cartilage stability of different fixing methods, different suturing positions, and different sizes of M-shaped cartilage...
June 30, 2023: Aesthetic Plastic Surgery
https://read.qxmd.com/read/37365306/the-comprehensive-evaluation-of-the-pinch-deformity-due-to-concave-alar-cartilages-and-its-management
#19
JOURNAL ARTICLE
Aret Çerçi Özkan, Erol Kozanoğlu
INTRODUCTION: Acute angle between dome and ala causes alar concavity/pinch deformity. Breathing problems may accompany pinching. Here, pinch deformities were classified according to their severity and treatment modalities discussed. MATERIALS AND METHODS: Rhinoplasty patients with pinch deformities were included in study. Pinching without external nasal valve blockage (ENVB) was classified mild, pinching with ENVB was classified moderate, and extreme pinching and ENVB were classified severe deformity...
June 26, 2023: Aesthetic Plastic Surgery
https://read.qxmd.com/read/37335118/primary-cleft-rhinoplasty-with-custom-suture-needle-for-alar-cartilage-repositioning-in-unilateral-cleft-lip-patients-3d-nasal-analysis
#20
JOURNAL ARTICLE
Young Chul Kim, Inah Yoon, Jae Cheong Min, Soo Hyun Woo, Soon Man Kwon, Tae Suk Oh
OBJECTIVE: Primary nasal correction has been demonstrated to be a beneficial practice for patients with unilateral cleft lip and palate. However, there is currently no consensus among cleft surgeons regarding the ideal approach to addressing the malpositioned cartilages. This study aims to introduce a new surgical technique for repositioning deformed lower lateral cartilage during primary cleft rhinoplasty, which involves using a customized suture needle. DESIGN: Retrospective cohort study...
June 19, 2023: Cleft Palate-craniofacial Journal
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