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Sevgi Kurt Yazar, Merdan Serin, Ibrahim Taskin Rakici, Selami Serhat Sirvan, Fatih Irmak, Memet Yazar
BACKGROUND: Osteotomy is a crucial step in rhinoplasty, which can have a significant impact on the outcome. In addition to previous percutaneous (external perforating) and endonasal (internal) approaches, piezosurgery has been used in rhinoplasty practice since 2007. This experimental model was planned to compare the three osteotomy techniques. MATERIALS AND METHODS: This study was performed on a caprine skull osteotomy model. Three groups were created from 12 animals, namely, endonasal continuous, external perforating, and piezosurgery groups...
September 4, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Cemal Cingi, Nuray Bayar Muluk, Andrew Winkler, J Regan Thomas
OBJECTIVES: The nasal tip is the most prominent part of the nose. The aim of this paper is to review nasal tip grafts with detailed explanation and figures. METHODS: The authors searched PubMed, Google, Google Scholar, and Proquest Central database of the Kirikkale University. Search was performed with the key words of "nasal," "tip," "graft." The indications and grafting techniques were presented. RESULTS: The external shape of the nasal tip is determined by the curves and contours of the lower lateral cartilages and their interactions with the surrounding tissues...
September 17, 2018: Journal of Craniofacial Surgery
Soo Hyang Lee, Han Byul Lee, Eun Taek Kang
BACKGROUND: In Asian rhinoplasty, a septal extension graft can be used for both tip projection and derotation of the alar cartilage. However, patients often do not have enough harvestable septal cartilage to create the septal extension graft. We therefore devised a method with which to fix the derotated alar cartilage with a small amount of septal cartilage. METHODS: From January 2012 to December 2016, 23 patients underwent short nose correction with a septal half extension graft made of septal cartilage and were postoperatively monitored for at least 6 months...
September 14, 2018: Aesthetic Plastic Surgery
Emily A Spataro, Sam P Most
A key concept in successful rhinoplasty surgery is maintaining or increasing tip support, and addressing tip projection and rotation. The tongue-in-groove (TIG) technique is a method to achieve this goal using sutures to create a strong connection between the septum and medial crura to change tip rotation and projection. Criticisms of this method include that it may cause stiffness of the nasal tip and columellar retraction. TIG is routinely used by the authors during anterior septal reconstructions (a modified extracorporeal septoplasty technique), as well as in primary and revision aesthetic and functional rhinoplasties...
September 14, 2018: Facial Plastic Surgery: FPS
Mimis N Cohen
No abstract text is available yet for this article.
September 13, 2018: Cleft Palate-craniofacial Journal
Billur Sezgin, Kirdar Guney, Ismail Lazoglu, Sedat Tatar, Ehsan Layegh, Melis Ozel, Selahattin Ozmen, Reha Yavuzer
BACKGROUND: Although columellar strut grafts (CSGs) are considered among the fundamental steps for providing nasal tip support, a downward rotation of the nasal tip in patients with strut grafts can still be encountered. Patient-related factors such as nasal skin thickness can allow the plastic surgeon to anticipate certain drawbacks that can be encountered in the healing phase, but patient-based differences of nasal cartilage and the resulting impact have yet to be investigated. The purpose of this study was to evaluate the effect of the biomechanical properties of CSGs on late postoperative nasal tip position and support...
September 11, 2018: Annals of Plastic Surgery
Connie J Oh, Prem B Tripathi, Jeffrey T Gu, Pamela Borden, Brian J-F Wong
OBJECTIVE: Surgical simulators aimed at mimicking elements of rhinoplasty surgery, specifically those aimed at improving cartilage suturing, are not available. Here, we present a surgical simulator for spreader graft placement that uses cartilage rather than synthetic materials and gauge improvement using objective measures for suture placement accuracy, speed, and efficiency of hand motion. METHODS: Twenty-two otolaryngologists in two groups (residents [10] and experts [12]) were instructed to secure the two spreader graft specimen into position with three mattress sutures on a nose model that used porcine septal cartilage as a proxy for the human counterpart...
September 8, 2018: Laryngoscope
Prem B Tripathi, Pejman Majd, Tuan Ngo, Jefferey T Gu, Giriraj K Sharma, Christopher Badger, Naveen D Bhandarkar, Brian J F Wong
Importance: Postoperative packing in nasal surgery often results in nasal obstruction and discomfort. Commercially available silicone intranasal airways (IAs) serve as dual-nasal airway tubes aimed at alleviating this process, but the safety and efficacy of these devices are unknown. Objective: To evaluate the safety and efficacy of an intraoperatively placed IA device in rhinoplasty and nasal surgery. Design, Setting, and Participants: In this retrospective record review, the medical records of patients undergoing nasal surgery with insertion of the IA at a single institution from 2012 to 2017 were reviewed...
September 6, 2018: JAMA Facial Plastic Surgery
Rosh K V Sethi, Linda N Lee, Olivia E Quatela, Kayla G Richburg, David A Shaye
No abstract text is available yet for this article.
September 6, 2018: JAMA Facial Plastic Surgery
Kathak Vachhani, Pierre Lapaine, Saeid Samiezadeh, Cari M Whyne, Jeffrey A Fialkov
BACKGROUND: Cephalic trimming of the alar (or lower lateral) cartilage may cause weakening leading to external nasal valve collapse. Numerous methods have been proposed to combat this weakening in order to maintain lateral crural stiffness. The purpose of this study was to quantify the effect of mucosal stripping, cephalic trimming, cephalic turn-in flap, and lateral crural strut grafting on lateral crural stiffness. METHODS: In situ cyclic compressive loading was performed on eight lateral crura in 4 fresh frozen cadaveric specimens...
August 8, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
F Riedel, M Wähmann, G M Bran, M Conder, O C Bulut
BACKGROUND: Subjective assessments of quality of life (QOL) as an important aspect of outcome research have gained in importance over the past few decades. The number of prospective studies on postoperative QOL in septorhinoplasty using disease-specific instruments is sparse. The aim was to assess and compare patient QOL after primary and revision septorhinoplasty performed by a single surgeon in an ENT center. MATERIAL AND METHODS: All patients completed two disease-specific QOL instruments preoperatively and at least 1 year postoperatively: the Rhinoplasty Outcome Evaluation (ROE) and the Nasal Obstruction Symptoms Evaluation (NOSE) scores...
August 21, 2018: HNO
Paul N Afrooz, Jourdan A Carboy, Bernardino M Mendez, Rod J Rohrich
The position of the nasal tip holds important aesthetic significance. Cephalic rotation of the nasal tip is a frequent motivating factor for patients seeking rhinoplasty. The position of the nasal tip is a complex interplay of the size, morphology, and position of several anatomic components of the lower one-third of the nose. Cephalic rotation can be achieved by way of six different methods. The indirect methods promote passive cephalic rotation and include cephalic trim of the lower lateral cartilages, caudal trim of the upper lateral cartilages, and caudal septal trim...
August 11, 2018: Plastic and Reconstructive Surgery
Süleyman Tas
Background: The cephalic trimming of the lower lateral cartilage (LLC) is an attempt to reduce tip bulbosity; unfortunately, it has the potential to cause a pinched nose deformity and valve collapse. Objectives: To use the superior-based transposition (ST) flap to reshape, relocalize, and reinforce the LLC as a support material for both internal and external valves with aesthetic corrections, leaving the scroll area untouched. Methods: A total of 367 patients (female, 215; male, 152) were operated with the presented technique...
August 10, 2018: Aesthetic Surgery Journal
Sara Juliana de A de Vasconcellos, Edmundo M do Nascimento-Júnior, Marcel Vinícius de Aguiar Menezes, Mário Luis Tavares Mendes, Rafael de Souza Dantas, Paulo Ricardo Saquete Martins-Filho
Importance: Evidence has emerged on the efficacy of tranexamic acid to control blood loss and postoperative complications after rhinoplasty. Objective: To investigate the results of tranexamic acid use to reduce intraoperative bleeding, postoperative eyelid edema, and periorbital ecchymosis in rhinoplasty. Data Sources and Study Selection: For this systematic review of randomized clinical trials, searches were performed in PubMed, Cochrane Central Register of Controlled Trials, Web of Science, SCOPUS, Science Direct, Google Scholar, OpenThesis, and ClinicalTrials...
August 9, 2018: JAMA Otolaryngology—Head & Neck Surgery
Jong Woo Choi, Min Ji Kim, Woo Shik Jeong
BACKGROUND: A severely crooked nose due to trauma or other causes is difficult to correct. Although various nasal osteotomy techniques have been suggested, satisfactory outcomes have not always been achieved especially in centrally deviated noses. Definite correction of the midline and shape of the bony framework is necessary. We aimed to investigate a novel one-piece nasal bone osteotomy approach consisting of transverse osteotomy continued with bilateral lateral osteotomies for the correction of a centrally deviated nose...
August 10, 2018: Aesthetic Plastic Surgery
Mehmet Çelik, Kadir Serkan Orhan
No abstract text is available yet for this article.
September 14, 2018: Aesthetic Surgery Journal
Franco Bassetto, Vincenzo Vindigni, G Tanzillo
In the last years, number of rhinoplasty operations is ever increasing, but what can be done when there is a contraindication to use a vasoconstrictor?2 In our case, we presented our perioperative management of a female patient, epinephrine intolerant, who was arranged for rhinoplasty.
May 2018: World Journal of Plastic Surgery
Amir Ali Mafi, Reza Shahverdiani, Parviz Mafi
BACKGROUND: Proper pre-operative facial analysis that includes a thorough evaluation of both the bony and soft tissue anatomy is paramount to success in performing aesthetic surgery of the face. Ethnic variations in soft tissue profile add an important variable to pre-operative facial analysis. The aim of our study was to determine the role of ethnic variations in soft tissue facial profiles through profile analysis of Iranian male and female patients. METHODS: Photographs of 100 Iranian males and 100 Iranian females (16 to 40 years old) were carried out...
May 2018: World Journal of Plastic Surgery
Yong Ju Jang
No abstract text is available yet for this article.
August 2018: Facial Plastic Surgery Clinics of North America
Marcelo Paulo Vaccari Mazzetti, Nivaldo Alonso, Ryane Schmidt Brock, Alexandre Ayoub, Sally Mizukami Massumoto, Lilian Piñero Eça
Cleft lip and palate is a congenital malformation that requires a multidisciplinary treatment that evolves pediatrician, obstetrics, fetal medicine, genetics, plastic surgery, orthodontics, speech therapist, nursery, and psychology. Actually, the authors believe that it could be possible to ad protocols to use stem cells.The intrauterine diagnosis leads to preborn parental orientation and better parental collaboration to accept a precocious multidisciplinary treatment. After birth the authors' protocol is: orthodontic devices, phonoaudiology, and surgical procedures...
July 31, 2018: Journal of Craniofacial Surgery
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