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Myeong Sang Yu, Moon Sik Jung, Bo-Hyung Kim, Sung-Ho Kang, Dae Jun Lim
PURPOSE: Fibrin sealant (FS) was approved as a hemostatic agent, sealant, and adhesive by the Food and Drug Administration in 1998. Our study sought to determine whether FS also reduced edema and pain in rhinoplasty without osteotomy. MATERIALS AND METHODS: We conducted a prospective randomized trial involving patients who underwent open rhinoplasty without osteotomy. The patients were randomly assigned to 1 of 2 groups: those treated with aerosolized FS (FS group) and those not treated (control group)...
May 26, 2018: Journal of Oral and Maxillofacial Surgery
Toby O Steele, Amarbir Gill, Travis T Tollefson
PURPOSE OF REVIEW: Characterize indications, perioperative considerations, clinical outcomes and complications for concurrent endoscopic sinus surgery (ESS) and rhinoplasty. RECENT FINDINGS: Chronic rhinosinusitis and septal deviation with or without inferior turbinate hypertrophy independently impair patient-reported quality of life. Guidelines implore surgeons to include endoscopy to accurately evaluate patient symptoms. Complication rates parallel those of either surgery (ESS and rhinoplasty) alone and are not increased when performed concurrently...
June 11, 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
E E Ross, S Anari
OBJECTIVE: Procedures of limited clinical value require pre-authorisation in the National Health Service, of which rhinoplasty and septorhinoplasty are two such operations. This study surveyed clinical commissioning groups within England to document the variable eligibility criteria for rhinoplasty and septorhinoplasty. METHODS: In February 2016, a letter was sent to 209 clinical commissioning groups requesting their rhinoplasty and septorhinoplasty commissioning criteria...
June 11, 2018: Journal of Laryngology and Otology
Cherian K Kandathil, Mikhail Saltychev, Sami P Moubayed, Sam P Most
Importance: Social perception by laypersons of people who have undergone rhinoplasty primarily for cosmetic purposes has not been fully described. Objective: To evaluate the social perception of patients who have undergone cosmetic rhinoplasty. Design, Setting, and Participants: Preoperative images of 4 patients with dorsal hump and tip ptosis were selected using the Delphi method. Computer simulations of dorsal hump reduction and tip rotation, alone or in combination, were performed...
June 7, 2018: JAMA Facial Plastic Surgery
Süleyman Taş
BACKGROUND: Hump removal frequently results in an open roof during rhinoplasty, which is conventionally closed with lateral osteotomies. However, if the patient has a narrow bony vault, then lateral osteotomies are problematic. Here, we present a new and practical approach to fix the open roof deformity. METHODS: A total of 240 patients (female, 187; male, 53) were enrolled and operated with the presented technique. This approach has four steps as follows: complete submembranous dissection, the preparation of spreader flaps, harvesting the bone dust from the bony hump, and the placement of the bone dust...
June 4, 2018: Plastic and Reconstructive Surgery
Fatih Irmak, Sevgi K Yazar, Selami S Sirvan, Memet Yazar, Semra Karsidag
BACKGROUND: Cartilage grafts are routinely used in secondary and post-traumatic rhinoplasty. However, in most cases, there are weak areas in the nasal bones and upper lateral cartilages. The purpose of this study was to seek a solution for keystone area and dorsum of the nose in revision and post-traumatic rhinoplasty cases, and reconstruction of saddle nose deformity including upper lateral cartilage with roof shaped graft. METHODS: A retrospective review of reconstructive rhinoplasties performed for saddle nose deformities was conducted...
March 26, 2018: Plastic and Reconstructive Surgery
Virna Patusco, Carla Karina Carvalho, Marcos Augusto Lenza, Jorge Faber
BACKGROUND: The aim of this study was to assess whether scores assigned to the eyes, nose, mouth, and chin regions work as predictors of full smiling face scores. METHODS: In this cross-sectional study, the authors used the facial photographs of 86 smiling men. Photographs yielded 5 components: 1 of the face itself and 4 subcomponents (eyes, nose, mouth, and chin region). Raters assigned the photographs beauty scores that the authors measured morphometrically. The authors analyzed the predictive ability of the subcomponents against that of the full face...
June 1, 2018: Journal of the American Dental Association
Abdoljalil Kalantar-Hormozi, Ali Abbaszadeh-Kasbi, Nazanin Rita Davai
In rhinoplasty, one of the most popular aesthetic surgical procedures worldwide, several different techniques are utilized when performing a rhinoplasty procedure. Many complications can arise postoperatively depending on the surgical approach and technique utilized. A method to reduce immediate postoperative complications has been identified. The use of different colored nasal splints for various surgical procedures could assist in identifying high-risk patients to the postsurgical recovery team and the clinical staff...
April 2018: Plastic Surgical Nursing
Vasileios Vasilakis, Richard G Reish
Late epistaxis after rhinoplasty is a rare but potentially life-threatening occurrence. This case report concerns a 20-year-old woman who had severe epistaxis 5 and 10 days after a closed rhinoplasty with internal osteotomies and who ultimately required transcatheter arterial embolization for definitive control of the hemorrhagic source. Arterial hypervascularity, with signs of arteriovenous malformation, of the midface at the level of the piriform aperture and maxilla was seen on angiography.
May 24, 2018: Annals of Plastic Surgery
Y W Xu, Y C Li, H Z Wei, Y N Zheng, C H Hu, S He
Objective: At different times and cultural background,people have different definition of beauty.With the improvement of economic level and culture quality,people are becoming more and more recognition of nasal appearance and function are equally important.Even the importance of the function of the nasal is higher than the importance of shape of the nose. Concurrent rhinoplasty (nasal dorsum and lateral nasal wall reduction) and functional sinus surgery (nasal septum reconstructory, middle turbinate,inferior turbinate surgery even extended to the nasal cavity expansion tecunhnique, sinusitis surgery) with endoscopic surgical surgical methods were discussed...
November 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
J Yuan, T Zheng, T Y Yang, T Li, W C Liu, L Wen, Y Shao
Objective: Observing the effect of maintain tension across suture between cartilages to fix new nasal structure on balance the asymmetric strength of the two sides of the cartilage and the recurrence of the postoperative crooked nose. Method: A L-shaped struct made of the nasal septum cartilage were fixed to maintain tension across structure between cartilage during rhinoplasty in 39 patients with crooked nasal deformity. Of 21 cases were type I deviation, of 12 cases were C-shaped deviation,and of 6 cases were S-shaped deviation...
October 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Thomas M Suszynski, Jose Maria Serra, Jason M Weissler, Bardia Amirlak
Rhinoplasty is considered one of the most challenging procedures in plastic surgery. The authors introduce a novel concept of translating three-dimensional photographic images into three-dimensionally-printed, patient-specific, life-size models that can be used in preoperative counseling or as an intraoperative reference during rhinoplasty. This article describes the authors' experience with this new application for three-dimensional printing, a technology that is overall garnering more widespread use and has prospective clinical and research applications in aesthetic surgery...
June 2018: Plastic and Reconstructive Surgery
Jae Yong Jeong, Yooseok Ha, Sungmin Kim, Ho Jik Yang, Sang-Ha Oh
OBJECTIVE: East Asians usually have short and flat noses and broad nasal bones. Therefore, rhinoplasty with dorsal augmentation and nasal osteotomy is often required. However, many surgeons are wary of performing nasal osteotomy in conjunction with augmentation with silicone. The authors sought to evaluate the availability and safety of osteotomy in esthetic rhinoplasty of East Asian patients. METHODS: In a clinical study, a retrospective chart review was performed for 227 patients who had undergone nasal osteotomy (paramedian oblique osteotomy plus percutaneous lateral osteotomy) and dorsal augmentation with silicone...
May 23, 2018: Annals of Plastic Surgery
Sarah Persing, Andrew Timberlake, Sarika Madari, Derek Steinbacher
PURPOSE: Computer imaging has become increasingly popular for rhinoplasty. Three-dimensional (3D) analysis permits a more comprehensive view from multiple vantage points. However, the predictability and concordance between the simulated and actual result have not been morphometrically studied. The purpose of this study was to aesthetically and quantitatively compare the simulated to actual rhinoplasty result. METHODS: A retrospective review of 3D images (VECTRA, Canfield) for rhinoplasty patients was performed...
May 22, 2018: Aesthetic Plastic Surgery
Ozan Bitik, Haldun Onuralp Kamburoglu, Hakan Uzun
Background: The effect of a spreader flap on the keystone area and the upper bony vault depends on the structural strength and cephalic extent of upper lateral cartilages, both of which can be significantly variable among individuals. Objectives: The authors present a novel cephalically extended osseocartilaginous composite spreader flap technique that was designed to overcome the limitations of a conventional spreader flap on the keystone area upper bony vault, in patients with cephalically short and structurally weak upper lateral cartilages and thin nasal bones...
May 19, 2018: Aesthetic Surgery Journal
Chin-Ho Wong
No abstract text is available yet for this article.
May 21, 2018: Aesthetic Surgery Journal
Claudio DeLorenzi
No abstract text is available yet for this article.
May 18, 2018: Aesthetic Surgery Journal
Sureyya Seneldir, Yusuf Muhammed Durna
Suture tip plasty is one the most used methods in nasal tip surgery. Transdomal suture (TDS) used for this purpose is utilized for providing the dome symmetry, thinning the nasal tip, and enhancing the nasal tip projection and rotation. However, there are not sufficient visual data on what the dome position should be during TDS. In this study, it was aimed to be directive in tip plasty and to define the convenient dome holding technique during TDS. Patients, 510 male and 621 female at the age of 18 to 50 years, who underwent the open technique septorhinoplasty between the years of 2003 to 2015 were included in the authors' study...
May 15, 2018: Journal of Craniofacial Surgery
Russell W H Kridel, Sean William Delaney
Septal perforation repair and septorhinoplasty (SRP) each present unique surgical challenges. However, in many instances, these procedures may be performed together successfully. In this study, the authors aim to determine the safety and effectiveness of combining primary or revision SRP and septal perforation repair via an open approach. A retrospective review was carried out of all consecutive patients who had SRP and septal perforation repair via an open approach between 1986 and 2017 in the senior author's practice...
May 15, 2018: Facial Plastic Surgery: FPS
Jiao Wei, Tanja Herrler, Ning Deng, Hua Xu, Bowen Shi, Chuanchang Dai
BACKGROUND: Short nose elongation is a relatively common rhinoplasty procedure, especially in Asia. The selection of the adequate graft material is challenging. Previous reports have described the application of expanded polytetrafluoroethylene (ePTFE) for dorsal augmentation rhinoplasty, but studies using ePTFE for nose elongation are lacking. We propose ePTFE as an alternative treatment for short noses, describe the technique, and discuss outcomes, patient selection, and complications based on our 14-year experience...
May 14, 2018: Annals of Plastic Surgery
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