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Rhinoplasty

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https://www.readbyqxmd.com/read/27922895/a-systematized-strategy-in-corrective-rhinoplasty-for-the-asian-deviated-nose
#1
Yong-Ha Kim, Chang Young Jung, Kyu Jin Chung, Jun Ho Lee, Tae Gon Kim
BACKGROUND: A deviated nose is a common deformity encountered in rhinoplasty. Over the past several decades, a variety of rhinoplasty techniques have been described focusing on the classification of bony and cartilaginous deviation. Nevertheless, corrective rhinoplasty is still a challenging procedure even for experienced surgeons because of the high recurrence rate of deviation. In attempt to reduce the recurrence rate, the author systematized the complex procedures by using a single technique regardless of the classification of a deviation...
December 5, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27906082/secondary-correction-of-nasal-deformities-in-cleft-lip-and-palate-patients-surgical-technique-and-outcome-evaluation
#2
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/27896189/simple-correction-of-alar-retraction-by-conchal-cartilage-extension-grafts
#3
Yong Jun Jang, Sung Min Kim, Dae Hyun Lew, Seung Yong Song
BACKGROUND: Alar retraction is a challenging condition in rhinoplasty marked by exaggerated nostril exposure and awkwardness. Although various methods for correcting alar retraction have been introduced, none is without drawbacks. Herein, we report a simple procedure that is both effective and safe for correcting alar retraction using only conchal cartilage grafting. METHODS: Between August 2007 and August 2009, 18 patients underwent conchal cartilage extension grafting to correct alar retraction...
November 2016: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/27882312/supernumerary-nostril-a-case-report
#4
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
#5
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
#6
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
#7
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/27832272/use-of-costal-perichondrium-as-an-interpositional-graft-for-septal-perforation-closure
#8
Dean M Toriumi, Quintin M Cappelle, Victor Chung
Importance: Closure of septal perforations remains a technically difficult procedure to perform. Objective: To assess the use of costal perichondrium as an interpositional graft to enhance closure of septal perforations using bilateral mucosal flaps and the effectiveness of the procedure. Design, Setting, and Participants: This case series included all 51 consecutive patients presenting with septal perforations from January 1, 2006, to August 31, 2014, at a single institution...
November 10, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27832262/safety-of-simultaneous-lip-lift-and-open-rhinoplasty
#9
Louis Insalaco, Jeffrey H Spiegel
No abstract text is available yet for this article.
November 10, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27830140/failed-septal-extension-graft-in-a-patient-with-a-history-of-radiotherapy
#10
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/27826459/reinserting-the-hump-in-primary-rhinoplasty-the-gain-is-three-fold
#11
Jannis Constantinidis, Georgios Fyrmpas
BACKGROUND: Hump reduction in aesthetic rhinoplasty destabilizes the middle vault. Secondary maneuvers are necessary to avoid the long-term functional and aesthetic sequelae of middle vault collapse. We describe a new technique of reinserting the resected hump that combines (a) placement of the modified hump between the upper laterals and (b) bridging sutures between the upper laterals. METHODS: Retrospective review of patients undergoing primary aesthetic rhinoplasty with hump resection...
October 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27801699/quantitative-measurements-of-the-bulbous-tip-in-ethnic-rhinoplasty
#12
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
#13
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/27797290/an-effective-method-for-videorecording-the-nasal-dorsal-part-of-a-rhinoplasty-a-multiple-case-study
#14
M Mazhar Celikoyar, C Gaffar Aslan, Fikret Cinar
Rhinoplasty is a difficult procedure to record for several reasons which include the narrow, dark and deep surgical field cluttered with many instruments, and the heads and hands of the surgical team often blocking the view. This study discusses 13 rhinoplasty cases that were recorded using the authors' technique. A three-minute, unedited segment was extracted from the mid-portion of each surgical case, and that footage was evaluated by three specialist examiners. Results indicate that the authors' technique can offer a effective solution in the video recording of the nasal-dorsal part of a rhinoplasty...
October 31, 2016: Journal of Visual Communication in Medicine
https://www.readbyqxmd.com/read/27792829/subcutaneous-nasal-angioleiomyoma-case-of-a-rare-tumor-and-review-of-the-literature
#15
Robert Saadi, Benjamin S Oberman, Henry Crist, Jessyka Lighthall
We describe the case of a 46-year-old woman with a rare presentation of angioleiomyoma of the subcutaneous nasal tissue. The patient presented with pain and severe nasal obstruction. Her nasal deformity was sufficient to indicate an external rhinoplasty for both extirpation of the tumor and reconstruction of the defect with cartilage grafts. The procedure resulted in successful removal of the tumor and a satisfactory cosmetic outcome.
October 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27792103/intracranial-nasal-dermoid-sinus-cyst-transnasal-endoscopic-resection-by-open-rhinoplasty-approach-with-intraoperative-video
#16
David Ulrich Seidel, Andreas M Sesterhenn
Nasal dermoid sinus cysts are rare congenital lesions that may lead to recurrent soft tissue infections and severe intracranial complications. In case of an intracranial extension, the traditional surgical approach includes a frontal craniotomy with significant morbidity. As a less invasive alternative, a transnasal endoscopic approach has been recommended.This report describes the transnasal endoscopic resection of an intracranial nasal dermoid sinus cyst via an open rhinoplasty approach, which achieved a wide surgical exposure with minimal invasivity and ideal aesthetic results...
October 27, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27782995/the-indian-nose
#17
Purushottam Nagarkar, Ronnie A Pezeshk, Rod J Rohrich
Despite the growing number of rhinoplasty procedures being performed on Indian patients, there is a very limited body of literature regarding nuances of the Indian rhinoplasty. The authors review the spectrum of nasal phenotypes that fall under the category of the Indian nose; goals of rhinoplasty in these patients; operative techniques that can be used to address them; and, importantly, the specific pitfalls to be avoided in these groups.
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27782991/the-external-nose-the-nasal-arteries-and-their-course-in-relation-to-the-nasolabial-fold-and-groove
#18
Ulrike Pilsl, Friedrich Anderhuber
BACKGROUND: The blood supply to the external nose is poorly described. The aim of this study was to identify the different types of blood supply to the external nose and the course of the arteries in relation to the nasolabial fold and groove and to the facial muscles. METHODS: With 96 facial halves of 48 adult specimens, the arteries of the outer nose were dissected, and three-dimensional computed tomographic reconstructions and horizontal sections were made. RESULTS: Three main types of blood supply to the external nose were identified, associated with the different types of facial arteries...
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27763971/noses-of-the-middle-east-variety-of-phenotypes-and-surgical-approaches
#19
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
#20
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
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