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Rhinology

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51 papers 25 to 100 followers
By Mohammad Mahdi Salem Otolaryngologist and head and neck surgen
https://www.readbyqxmd.com/read/28034843/the-effect-of-nasal-tip-rotation-on-upper-lip-length
#1
Kevin Perkins, Ajul Shah, Anup Patel, Derek Steinbacher
BACKGROUND: Increasing the nasolabial angle (NLA) with tip rotation generates the appearance of a lengthened lower facial third. In particular, the upper lip show seems increased following elevation of the nasal tip. OBJECTIVES: The purpose of this study is to quantify the impact of tip rotation on upper lip length (ULL), and to establish a predictable correlation between the two. METHODS: A retrospective cohort study of rhinoplasty patients with increased tip rotation, using either caudal septal extension graft (CSEG) or columellar strut graft (CS), was performed...
December 29, 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28062967/septal-cartilage-ethmoid-bone-composite-graft-a-new-and-improved-method-for-the-correction-underdeveloped-nasal-septum-in-patients-with-short-noses
#2
Soo Hyang Lee, Mun Geun Koo, Eun Taek Kang
BACKGROUND: Septal extension grafts are an effective means of extending nasal length in patients with a short nose. However, such grafts can be challenging in patients who only have small quantities of weak septal cartilage, such as some East Asian patients. We developed a rhinoplasty technique using ethmoid bone to create a cartilage-bone complex to overcome this issue, allowing adequate nasal lengthening. METHODS: Sixty-four women with short noses and inadequate septal cartilage determined by preoperative computed tomography underwent septal extension grafting with a cartilage-bone complex between January 2009 and December 2014...
January 7, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28127664/soft-and-firm-alloplastic-implants-in-rhinoplasty-why-when-and-how-to-use-them-a-review-of-311-cases
#3
Nabil Fanous, Athanasios Tournas, Valérie Côté, Yaseen Ali, Patricia Berbari, Amanda Fanous, Maude Campagna-Vaillancourt
BACKGROUND: Modern rhinoplasty is not just a reduction procedure. An optimal nasal esthetic result occasionally requires augmenting the nasal tip, the dorsum or the lateral wall with autografts or alloplasts. A large number of nasal implant types have been reported in the medical literature. OBJECTIVE: The goal of this article is to demystify the role and indications of nasal implants in rhinoplasty. As well, it offers both the novice and experienced nasal surgeon a basic, simplified and organized approach to the use of soft and firm nasal implants in rhinoplasty...
January 27, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28145823/clinical-practice-guideline-improving-nasal-form-and-function-after-rhinoplasty
#4
Lisa E Ishii, Travis T Tollefson, Gregory J Basura, Richard M Rosenfeld, Peter J Abramson, Scott R Chaiet, Kara S Davis, Karl Doghramji, Edward H Farrior, Sandra A Finestone, Stacey L Ishman, Robert X Murphy, John G Park, Michael Setzen, Deborah J Strike, Sandra A Walsh, Jeremy P Warner, Lorraine C Nnacheta
Objective Rhinoplasty, a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway, ranks among the most commonly performed cosmetic procedures in the United States, with >200,000 procedures reported in 2014. While it is difficult to calculate the exact economic burden incurred by rhinoplasty patients following surgery with or without complications, the average rhinoplasty procedure typically exceeds $4000. The costs incurred due to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work...
February 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28168892/systematic-review-and-meta-analysis-of-studies-evaluating-functional-rhinoplasty-outcomes-with-the-nose-score
#5
Elizabeth Mia Floyd, Sandra Ho, Prayag Patel, Richard M Rosenfeld, Eli Gordin
Objective To provide aggregate data regarding the ability of functional rhinoplasty to improve nasal obstruction as measured by the Nasal Obstruction Symptom Evaluation (NOSE) score. Data Sources PubMed, EMBASE, Cochrane databases. Review Methods A search was performed with the terms "nasal obstruction" and "rhinoplasty." Studies were included if they evaluated the effect of functional rhinoplasty on nasal obstruction with the NOSE score. Case reports, narratives, and articles that did not use the NOSE score were excluded...
February 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27905114/is-sinus-surgery-indicated-for-recurrent-acute-rhinosinusitis
#6
Alexandra Michalowski, Ashutosh Kacker
No abstract text is available yet for this article.
December 1, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27216341/skin-diseases-of-the-nose
#7
REVIEW
Ayse Pelin Yigider, Fatma Tulin Kayhan, Ozgur Yigit, Ayse Kavak, Cemal Cingi
OBJECTIVES: The goal of this study was to review the main lesion types of the nasal skin and appropriate treatment strategies rather than to present a comprehensive list of all diseases that affect the skin that can involve the nose. METHODS: We reviewed the main nasal skin lesion types and available treatment strategies. Nasal skin lesions were classified as benign, premalignant, or malignant. RESULTS: Benign lesions of the nose include nonmalignant tumoral lesions (i...
May 2016: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/28152126/sinonasal-quality-of-life-in-children-after-outfracture-of-inferior-turbinates-and-submucous-inferior-turbinoplasty-for-chronic-nasal-congestion
#8
Brian Manzi, Kevin J Sykes, Julie L Wei
Importance: Chronic nasal congestion often persists in children despite empirical treatment using intranasal corticosteroids, systemic antihistamines, and/or leukotriene receptor antagonists. Symptoms are often reported even with negative results of skin or blood allergy testing. Inferior turbinoplasty has been effective in adults and children, but outfracture of inferior turbinates in children is rarely reported, as is use of validated quality-of-life measures to quantify improvements after intervention...
February 2, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28050215/rhinoplasty-complications-and-reoperations-systematic-review
#9
REVIEW
Paulo Fernando Tormin Borges Crosara, Flávio Barbosa Nunes, Danilo Santana Rodrigues, Ana Rosa Pimentel Figueiredo, Helena Maria Gonçalves Becker, Celso Goncalves Becker, Roberto Eustáquio Santos Guimarães
Introduction This article is related to complications of rhinoplasty and its main causes of reoperations. Objectives The objective of this study is to perform a systematic review of literature on complications in rhinoplasty. Data Synthesis The authors conducted a survey of articles related to key terms in the literature by using three important databases within 11 years, between January 2002 and January 2013. We found 1,271 abstracts and selected 49 articles to this review. Conclusion The main results showed that the number of primary open rhinoplasty was 7902 (89%) and 765 closed (11%) and the percentage of reoperations in primary open complete rhinoplasties was 2...
January 2017: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/28121862/does-the-effect-of-inferior-turbinate-outfracture-persist
#10
Dong Chang Lee, Sang-Gyun Jin, Boo Young Kim, Soonil Yoo, Sungwoo Han, Yong Joo Lee, Young Hoon Jung, Jeongmin Kim, Soo Whan Kim, Sung Won Kim
BACKGROUND: To resolve nasal obstruction in rhinoplasty, inferior turbinate outfracture is performed widely alone or combined with other procedures. There are conflicting reports on the effect of inferior turbinate outfracture. This study evaluated the persistence of morphologic changes after inferior turbinate outfracture. METHODS: This retrospective study enrolled 55 patients who underwent inferior turbinate outfracture without septal surgery to approach the sphenoid sinus for brain tumor removal...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28127662/an-effective-algorithm-for-management-of-noses-with-thick-skin
#11
Bahman Guyuron, Michelle Lee
BACKGROUND: Thicker nasal skin blunts the definition of the underlying osseocartilaginous frame and the delicate topography of the nose posing additional challenges in producing desirable tip definition. Despite the recognized challenge in this patient population, there is a paucity of literature on how to overcome this problem. PURPOSE: The goal of this article is to provide a systematic algorithm to manage patients with thick nasal skin. METHOD: Approach to the thick nasal skin patient begins with an evaluation of the etiology of their skin thickness...
January 27, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/26527752/clinical-consensus-statement-septoplasty-with-or-without-inferior-turbinate-reduction
#12
REVIEW
Joseph K Han, Scott P Stringer, Richard M Rosenfeld, Sanford M Archer, Dole P Baker, Seth M Brown, David R Edelstein, Stacey T Gray, Timothy S Lian, Erin J Ross, Allen M Seiden, Michael Setzen, Travis T Tollefson, P Daniel Ward, Kevin C Welch, Sarah K Wise, Lorraine C Nnacheta
OBJECTIVE: To develop a clinical consensus statement on septoplasty with or without inferior turbinate reduction. METHODS: An expert panel of otolaryngologists with no relevant conflicts of interest was assembled to represent general otolaryngology and relevant subspecialty societies. A working definition of septoplasty with or without inferior turbinate reduction and the scope of pertinent otolaryngologic practice were first established. Patients 18 years and older were defined as the targeted population of interest...
November 2015: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26284177/injectable-cartilage-shaving-an-autologous-and-long-lasting-filler-material-for-correction-of-minor-contour-deformities-in-rhinoplasty
#13
Ali Manafi, Zahra Sadat Hamedi, Amir Manafi, Afsaneh Rajabiani, Ahmadreza Rajaee, Farzad Manafi
BACKGROUND: Filler materials are gaining popularity in nonsurgical rhinoplasty the major advantages are the ability to camouflage the surface deformities, and also the soft and malleable consistency; while the major drawback of the safe fillers such as hyaluronic acid is short durability. In this study, we evaluated the injectable cartilage shaving as an autologous filler material for correction of minor contour deformities in rhinoplasty. METHODS: Injectable cartilage shaving was used for correction of surface irregularities in primary or secondary rhinoplasty, and long term results of 128 patients were evaluated...
July 2015: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/26208769/evidence-based-medicine-rhinoplasty
#14
REVIEW
Matthew K Lee, Sam P Most
Evidence-based medicine has become increasingly prominent in the climate of modern day healthcare. The practice of evidence-based medicine involves the integration of the best available evidence with clinical experience and expertise to help guide clinical decision-making. The essential tenets of evidence-based medicine can be applied to both functional and aesthetic rhinoplasty. Current outcome measures in functional and aesthetic rhinoplasty, including objective, subjective, and clinician-reported measures, is summarized and the current data is reviewed...
August 2015: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/26229125/complications-associated-with-the-use-of-autologous-costal-cartilage-in-rhinoplasty-a-systematic-review
#15
REVIEW
Kiran Varadharajan, Priya Sethukumar, Mohiemen Anwar, Kalpesh Patel
BACKGROUND: Autologous costal cartilage grafts are common in rhinoplasty. To date, no formal systematic review of complications associated with autologous costal cartilage grafting in rhinoplasty exists. OBJECTIVES: The authors review current literature to examine the rates of donor and recipient site complications associated with autologous costal cartilage in rhinoplasty. METHODS: Databases (EMBASE, PubMed, MEDLINE, and Cochrane Database of Systematic Reviews) and references of pertinent articles were searched between January 1980 to July 2014 to find studies evaluating rates of complications with autologous costal cartilage grafting in rhinoplasty...
August 2015: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/26313821/the-seesaw-technique-for-correction-of-vertical-alar-discrepancy
#16
Sang Min Hyun, Gaurav Shankar Medikeri, Dong-Hak Jung
Alar vertical discrepancy including alar base has been viewed as one of the most challenging reconstructive problems in rhinoplasty. The authors have created a simple technique that consistently gives aesthetically acceptable results. The authors have designed the seesaw technique to correct alar discrepancy (type 1 to 3). Type 1 has been used in 14 patients, type 2 has been used in three patients, and type 3 has been used in seven patients. Alar discrepancy was corrected satisfactorily in all cases, with good cosmetic outcome...
September 2015: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26163099/a-new-technique-to-correct-saddle-nose-deformity-in-failure-of-diced-cartilage-grafts-diced-cartilage-flap
#17
Süleyman Taş
BACKGROUND: To correct saddle nose deformity, diced cartilage grafts have been commonly used over the past decade. However, following the correction of saddle nose deformity with diced cartilage graft, some problems like graft absorption or displacement may occur, which require revision surgery. Here, a new technique is presented for correcting saddle nose deformity when diced cartilage graft fails. METHODS: Twelve cases were admitted to my clinic with complaints of nasal dorsal irregularity and depressions, asking for tertiary rhinoplasty...
October 2015: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/26180711/subcutaneous-nasolabial-flap-for-eliminating-depressed-nasal-floor-in-adult-cleft-rhinoplasty-technical-note
#18
Amin Rahpeyma, Saeedeh Khajehahmadi, Arman Torabizadeh Siraji
Depressed nasal floor extension into the nostril in cleft patients is difficult to solve. Suggested ways for solving this problem need skin incisions other than routine open rhinoplasty incisions. Nasolabia subcutaneous flap makes the infrastructure in depressed nasal floor in cleft patients. Alar advancement and medial nasal floor triangular flap cover it.
June 2015: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/26195129/the-soft-triangle-an-often-neglected-area-in-rhinoplasty
#19
COMPARATIVE STUDY
Gurkan Kayabasoglu, Alpen Nacar
BACKGROUND: This study aims to focus on one of the lesser mentioned topics in discussions of aesthetic nose operations, the soft triangle. In addition to outlining the characteristics of the area, the various complications specific to the soft triangle are discussed along with methods and techniques utilized by the authors to avoid such complications. METHODS: One hundred twenty-seven of 841 (15 %) patients who were assessed both preoperatively and intraoperatively for the presence of an anatomical issue of the soft triangle were included in the study...
October 2015: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/26207562/osteoectomy-in-rhinoplasty-a-new-concept-in-nasal-bones-repositioning
#20
Bars Çakr, Valerio Finocchi, Damiano Tambasco, Ali Rza Öreroğlu, Teoman Doğan
BACKGROUND: Modern techniques of osteotomy have evolved to take into account the effects of bony repositioning on functional as well as aesthetic outcomes. Although a variety of methods have been described to appropriately mobilize and reposition the bony nasal vault, there is still no single procedure that can successfully manage nasal bones in its entirety. MATERIAL AND METHODS: We present the bone chisel scraping osteoectomy technique for lateral and medial osteotomies with the aim of managing nasal bone deformities that can overcome diverse shortcomings of the conventional methods...
June 2016: Annals of Plastic Surgery
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