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https://www.readbyqxmd.com/read/29470562/association-of-nasal-tip-rotation-outcome-estimation-with-the-new-domes-technique-in-primary-rhinoplasty
#1
Fernando Pedroza, Edgar Eduardo Santos, Federico Espinosa, Claudia José Velásquez, Andrés Fernando Gutiérrez, Enrique Fernando Serrano-Cruz
Importance: The postoperative changes in the rotation of the nasal tip in rhinoplasty must be estimated for the surgical planning. Objective: To determine whether the outcome in the rotation angle of the nasal tip can be estimated in patients undergoing primary rhinoplasty with the new domes technique. Design, Setting, and Participants: This retrospective analytic cohort study included 323 patients undergoing primary rhinoplasty with the new domes technique in a private clinic in Bogotá, Colombia, by a single surgeon from January 1, 2011, through January 31, 2016...
February 22, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29470561/safety-and-efficacy-of-cosmetic-augmentation-of-the-nasal-tip-and-nasal-dorsum-with-expanded-polytetrafluoroethylene-a-randomized-clinical-trial
#2
Yifei Gu, Wenxin Yu, Yunbo Jin, Hui Chen, Gang Ma, Shih-Jen Chang, Xiaoxi Lin
Importance: Expanded polytetrafluoroethylene (ePTFE) is a widely used alloplast, but studies of augmentation of the nasal tip and nasal dorsum with ePTFE are lacking. Objective: To investigate whether attaching the conchal cartilage as shield grafts at the distal end of the graft can prevent extrusion and whether the use of ePTFE in the nasal tip can achieve a stable aesthetic outcome. Design, Setting, and Participants: A randomized clinical trial was performed from April 1, 2006, to October 31, 2008...
February 22, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29466810/three-dimensional-printed-facial-models-in-rhinoplasty
#3
Tristan Klosterman, Thomas Romo Iii
Digital patient photography and morphing software have become an important part of rhinoplasty over the past few decades. Presented is a novel technology incorporating 3D photography and printing to produce life-size models for use in patient evaluation and treatment. Surveys were conducted to assess patient response and were universally positive. Early surgeon experience also indicates benefit for intraoperative use. Three-dimensional printing and modeling is a new technology that has exciting applications for rhinoplasty and facial plastic surgery...
February 21, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29464385/prevention-of-emergence-agitation-with-ketamine-in-rhinoplasty
#4
Canser Yilmaz Demir, Nureddin Yuzkat
BACKGROUND: Emergence agitation (EA), defined as restlessness, disorientation, excitation, and/or inconsolable crying, is a common phenomenon during early recovery from general anesthesia. In this study, we aimed to determine the (1) EA incidence after rhinoplasty operations in adults; (2) the effects of ketamine administered at sub-anesthetic doses just 20 min before the end of the surgery in rhinoplasty operations on agitation level, postoperative pain, side effects, and complications; and (3) to determine the risk factors for EA in adults after rhinoplasty...
February 20, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29464170/adjuvant-therapy-for-revision-rhinoplasty-of-contracted-nose-using-polydeoxyribonucleotide-and-invasive-bipolar-radiofrequency
#5
Tae Hwan Ahn, Sung Bin Cho
Most cases of severely contracted nose require revision rhinoplasty and septoplasty, wherein preoperative and/or intraoperative expansion of nasal soft tissue is necessary for tension-free revision surgery. The present study aimed to evaluate the efficacy and safety of pre- and postoperative adjuvant therapy using polydeoxyribonucleotide (PDRN) and invasive, pulsed-type, bipolar, alternating current radiofrequency (RF) for revision surgery of a contracted nose. In total, 30 patients were treated with 16 sessions (8 preoperative sessions and 8 postoperative sessions) of intralesional injection of PDRN and invasive RF treatment using microneedle electrodes at 1-week intervals...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29461374/crushed-cartilage-a-rescue-procedure-in-rhinoplasty
#6
Armando Boccieri, Tito M Marianetti, Michele Pascali
While the use of crushed cartilage is now universally recognized as a valid procedure in rhinoplasty to mask irregularities and eliminate slight deficits, there is still no consensus as to the optimal degree of crushing and the rate of graft resorption over time. With a view to casting light on these 2 important aspects and providing some guidelines, the authors present a study of 123 patients subjected to grafts of cartilage with different degrees of crushing in the different areas of the nasal pyramid: upper third (45 patients), middle third (40), and lower third (38)...
February 14, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29456941/the-learning-curve-in-surgical-practice-and-its-applicability-to-rhinoplasty
#7
Aditya Yeolekar, Haris Qadri
The learning curve as a concept has been considered, discussed and debated in medical education and healthcare for over two decades. The precise usage has been recognised in surgical disciplines both broad specialties and sub-specialties. Rollin Daniel in his book stated that, rhinoplasty is the most difficult of all cosmetic operations for three reasons, (a) nasal anatomy is highly variable, (b) the procedure must correct form and function and (c) the final result must meet the patients expectations. With this in mind a study was carried on the perception of learning curve in rhinoplasty based on a surgeon questionnaire at Marien Hospital, Stuttgart, Germany under Prof...
March 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29451357/assessing-normal-values-for-the-face-q-rhinoplasty-module-an-observational-study
#8
Thomas Radulesco, Julien Mancini, Martin Penicaud, Patrick Dessi, Justin Michel
OBJECTIVES: The goal of this study was to determine normal values for the FACE-Q Rhinoplasty Module. DESIGN: A prospective monocentric observational cohort study. SETTING: We tested FACE-Q Satisfaction with Nose and Satisfaction with Nostrils in two groups of patients, seeking or not a rhinoplasty. PARTICIPANTS: One hundred and four patients were included in the study, fifty-two in each group. MAIN OUTCOME MEASUREMENTS: Primary outcome was to identify possible cutting scores to establish normal values for each of the FQRM questionnaires...
February 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29450446/association-between-mental-health-status-and-patient-satisfaction-with-the-functional-outcomes-of-rhinoplasty
#9
Erika Strazdins, Yu Feng Nie, Raziqah Ramli, Tom Palesy, Jenna M Christensen, Raquel Alvarado, George N Marcells, Richard J Harvey
Importance: Mental health can have an impact on patient satisfaction with rhinoplasty. However, the association between mental health and patient satisfaction with functional outcomes of rhinoplasty is poorly understood. Objective: To determine whether preoperative mental health is associated with satisfaction with functional outcomes of rhinoplasty. Design, Setting, and Participants: This case-control study assessed baseline nasal function and postsurgical functional outcomes for 88 consecutive patients undergoing rhinoplasty with both cosmetic and functional goals at 2 tertiary rhinologic centers in Sydney, Australia...
February 15, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29442083/cleft-rhinoplasty-columellar-lengthening-comparison-of-techniques
#10
S M Balaji
Background: Nasal deformity in bilateral cleft lip and palate (BCLP) correction is highly challenging. Several solution has been proposed. The aim of the present study is to assess qualitatively and quantitatively the results of Cronin's flap, Fork flap, and Abbe's flap for BCLP rhinoplasty at a follow-up period. Materials and Methods: : Records of all BCLP rhinoplasty performed between 2010 and 2016, fulfilling inclusion and exclusion criteria were collected. From records, qualitative improvement and previously described methods of quantification of columella length were performed...
January 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29432541/reassessing-surgical-management-of-the-bony-vault-in-rhinoplasty
#11
Olivier Gerbault, Rollin K Daniel, Peter Palhazi, Aaron M Kosins
No abstract text is available yet for this article.
February 8, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29409101/surgical-tips-for-the-management-of-the-wide-nasal-base
#12
Eric T Carniol, Peter A Adamson
Alar base reduction (ABR) was first described by Weir in 1892, but continues to be a controversial topic in rhinoplasty in terms of optimal techniques. The authors describe the techniques for ABR including internal, external and combined ABR, flare excisions, and alar hooding reductions. The techniques described have resulted in consistent outcomes with acceptable scarring and high patient satisfaction.
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409100/surgical-management-of-the-thick-skinned-nose
#13
Richard E Davis, Emily N Hrisomalos
When executed properly, open structure rhinoplasty can dramatically improve the consistency, durability, and quality of the cosmetic surgical outcome. Moreover, in expert hands, dramatic transformations in skeletal architecture can be accomplished with minimal risk and unparalleled control, all while preserving nasal airway function. While skeletal enhancements have become increasingly more controlled and precise, the outer skin-soft tissue envelope (SSTE) often presents a formidable obstacle to a satisfactory cosmetic result...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409099/reducing-periorbital-edema-and-ecchymosis-after-rhinoplasty-literature-review-and-personal-approach
#14
Abel-Jan Tasman
Postoperative periorbital edema and ecchymosis are most bothersome to rhinoplasty patients. The degree of swelling and bruising is influenced by several factors, and numerous prophylactic and therapeutic measures have been described in the literature. This article reviews the current literature and concludes with the author's suggestions on how to best minimize postoperative periorbital edema and ecchymosis.
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409098/use-of-5-fluorouracil-for-management-of-the-thick-skinned-nose
#15
Leslie E Irvine, Paul S Nassif
Patients with a thick nasal skin and soft tissue envelope can have unpredictable results and irregular scarring after rhinoplasty surgery. These patients typically have sebaceous tissue over the nasal tip and are particularly susceptible to soft tissue polly beak formation and excess scar tissue in the radix, tip, and septum. Targeted injections of 5-fluorouracil alone or mixed with low concentrations of steroid can be useful to prevent and treat excess postoperative scar tissue deposition. Ideally, four to six injections are performed every 1 to 4 weeks beginning 1 week postoperatively...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409097/integrated-management-of-the-thick-skinned-rhinoplasty-patient
#16
Roxana Cobo, Juan Gabrie Camacho, Jorge Orrego
Patients with thick skin are a challenge in facial plastic surgery. Rhinoplasty is still the most frequently performed facial plastic procedure worldwide and it becomes very difficult to obtain optimal consistent results in these patients. A systematic presurgical skin evaluation is performed dividing skin into type I-III depending on the elasticity, oiliness, presence of skin alterations, size of skin pores, and laxity. Depending on the skin type, presurgical, surgical, and postsurgical management of the epidermis and dermis is defined...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29398580/septum-pyramidal-adjustment-and-repositioning-a-conservative-and-effective-rhinoplasty-technique
#17
Vanessa Lunelli, Nedio Atoloni, Gustavo Pereira Lang, Luís Fernando Melotti, Tatiany Tiemi Yamamoto, Emílio Jonatas Munerolli
INTRODUCTION: In rhinoplasty, the nasal dorsum has important relevance regarding the esthetic and functional aspects of the surgery. Its reduction should be performed with maximum accuracy and controlled resection to prevent or minimize potential complications. The Septum Pyramidal Adjustment and Repositioning consists of a conservative surgical technique of the nasal dorsum, which does not require the detachment of the upper lateral cartilages of the nasal septum, allowing the remodeling of the nasal dorsum while maintaining esthetic lines and nasal function, potentially reducing frequent complications in more traditional surgeries...
December 26, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29398579/the-portuguese-version-of-the-utrecht-questionnaire-for-outcome-assessment-in-aesthetic-rhinoplasty-validation-and-clinical-application
#18
Francisco Rosa, Peter J F M Lohuis, João Almeida, Mariline Santos, Jorge Oliveira, Cecília Almeida E Sousa, Miguel Ferreira
INTRODUCTION: The evaluation of surgical outcomes 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 this study was to perform the translation, cross-cultural adaptation and validation of "The Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty" from English to Portuguese. METHODS: Retrospective study involving 50 patients undergoing to rhinoplasty comparing the preoperative period with the current postoperative situation (minimum 6 months and maximum 24 months postoperatively)...
December 26, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29396223/international-consensus-icon-on-functional-and-aesthetic-rhinoplasty
#19
S Albert, F Simon, A-J Tasman, D Chua, R Grigg, A Jaklis, T Wang, F Disant
During the 2017 IFOS international congress in Paris, a roundtable discussion on the topic of functional and aesthetic rhinoplasty was organised. Five experts, from the five continents and renown in the field of rhinoplasty, were brought together to discuss the issue from an international perspective and to put forward a consensus or on the contrary practical differences. Five questions were put to the experts beforehand to guarantee independent answers, which were then discussed during the roundtable. The questions were the following: - What are the age limits for achieving a rhinoplasty? - Do you use objective measurements before, during and after surgery? (facial landmarks, airflow, peroperative measurements) - How do you manage the preoperative general information and computer imaging of the patient? - What are the indications in your practice to perform a CT-scan or endoscopic examination before doing a rhinoplasty? - What kind of graft or prosthesis do you use for an augmentation rhinoplasty? This paper offers a synthesis of the roundtable based on the experts' answers to the different questions...
January 27, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29394321/treatment-of-nasal-deviation-with-underlying-bony-asymmetry-secondary-to-augmentation-rhinoplasty-in-asian-patients
#20
Po-Ching Lee, Ray-Hon Chang, Yean-Lu Chang
Background: In Asian patients, nasal deviation secondary to augmentation rhinoplasty may result from underlying bony asymmetry that was not corrected intraoperatively. Diagnosis and treatment of this condition are complicated by the masking effect of dorsal implants. Objectives: The authors applied computed tomography (CT) to examine the causes of nasal deviation after augmentation rhinoplasty. CT results were utilized in preoperative planning for revisional surgery...
January 11, 2018: Aesthetic Surgery Journal
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