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Rhinology

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67 papers 100 to 500 followers
By Mohammad Mahdi Salem Otolaryngologist and head and neck surgeon
https://www.readbyqxmd.com/read/29756407/a-prospective-study-for-treatment-of-nasal-valve-collapse-due-to-lateral-wall-insufficiency-outcomes-using-a-bioabsorbable-implant
#1
Pablo Stolovitzky, Douglas M Sidle, Randall A Ow, Nathan E Nachlas, Sam P Most
OBJECTIVE: To examine 6-month outcomes for treatment of lateral nasal wall insufficiency with a bioabsorbable implant. STUDY DESIGN: Prospective, multicenter, nonrandomized, single-blinded study. METHODS: One hundred and one patients with severe-to-extreme class of Nasal Obstruction Symptom Evaluation (NOSE) scores were enrolled at 14 U.S. clinics (September 2016-March 2017). Patients were treated with a bioabsorbable implant designed to support lateral wall, with or without concurrent septoplasty and/or turbinate reduction procedure(s)...
May 14, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29568974/the-cartilage-warp-prevention-suture
#2
Bahman Guyuron, Derek Z Wang, David E Kurlander
BACKGROUND: Costal cartilage graft warping can challenge rhinoplasty surgeons and compromise outcomes. We propose a technique, the "warp control suture," for eliminating cartilage warp and examine outcomes in a pilot group. METHODS: The warp control suture is performed in the following manner: Harvested cartilage is cut to the desired shape and immersed in saline to induce warping. A 4-0 or 5-0 PDS suture, depending the thickness of the cartilage, is passed from convex to concave then concave to convex side several times about 5-6 mm apart, finally tying the suture on the convex side with sufficient tension to straighten the cartilage...
June 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29506052/the-risk-of-skin-necrosis-following-hyaluronic-acid-filler-injection-in-patients-with-a-history-of-cosmetic-rhinoplasty
#3
Reza M Robati, Fatemeh Moeineddin, Mina Almasi-Nasrabadi
Background: As the number of patients using dermal filler for face augmentation increases, the number of adverse events associated with injection may increase. Unpredictable repositioning of blood vessels and a more tenuous blood supply in the operated nose may increase the risk of ischemia, necrosis and vascular embolism following the filler injection. Objectives: To highlight the importance of the patient's history of previous cosmetic procedures including rhinoplasty in the emergence of vascular complications...
January 11, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29114890/total-septal-perforation-repair-with-a-pericranial-flap-radio-anatomical-and-clinical-findings
#4
Isam Alobid, Cristóbal Langdon, Mauricio López-Chacon, Joaquim Enseñat, Ricardo Carrau, Manuel Bernal-Sprekelsen, Alfonso Santamaría
OBJECTIVES/HYPOTHESIS: Endonasal surgeries are the primary cause of septal perforation (SP). However, trauma, inflammation, infections, neoplasms, or abuse of inhaled drugs can also cause SP. Septal repair is indicated in patients who experience nasal obstruction, crusting, intermittent epistaxis, purulent discharge, or nasal whistling and in those who fail conservative treatment. Multiple approaches have been suggested to repair the SP; however, none has been universally adopted. This study explores the feasibility of repairing a total SP using the pericranial flap (PCF)...
November 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29450450/technique-to-repair-total-septal-perforation-with-a-pericranial-flap-the-money-box-approach
#5
Isam Alobid, Cristobal Langdon, Alfonso Santamaría
No abstract text is available yet for this article.
February 15, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29409098/use-of-5-fluorouracil-for-management-of-the-thick-skinned-nose
#6
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/29340598/the-risk-of-skin-necrosis-following-hyaluronic-acid-filler-injection-in-patients-with-a-history-of-cosmetic-rhinoplasty
#7
Reza M Robati, Fatemeh Moeineddin, Mina Almasi-Nasrabadi
Background: As the number of patients using dermal filler for face augmentation increases, the number of adverse events associated with injection may increase. Unpredictable repositioning of blood vessels and a more tenuous blood supply in the operated nose may increase the risk of ischemia, necrosis and vascular embolism following the filler injection. Objectives: To highlight the importance of the patient's history of previous cosmetic procedures including rhinoplasty in the emergence of vascular complications...
January 11, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29470562/association-of-nasal-tip-rotation-outcome-estimation-with-the-new-domes-technique-in-primary-rhinoplasty
#8
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/29389706/management-of-the-cleft-nasal-tip-an-overview-of-classic-techniques-and-strategies
#9
Peter J Nicksic, Miles J Pfaff, Julia R Ayeroff, Justine C Lee
The challenges of cleft reconstruction have been present for centuries. However, understanding of the cleft nasal tip and the evolution of techniques decidedly began in the 20th century and refinement continues into the present day. Although a multitude of technical descriptions and case series have been published, a compendium of seminal techniques, which have shaped modern thought, has not been compiled in the literature. In this review, we discuss the anatomical disturbances in the cleft nasal tip anomaly, the timing and strategy of tip correction, and the major classic techniques for management of the cleft nasal tip...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28418453/association-of-increasing-nasal-tip-projection-with-lip-position-in-primary-rhinoplasty
#10
Eric W Cerrati, Steven H Dayan
Importance: The effects of rhinoplasty maneuvers on adjacent facial features are an important component in preoperative planning and patient counseling. Tip projection modifications are commonly performed in both cosmetic and reconstructive rhinoplasty. Objective: To evaluate the subsequent change in lip projection that results from increasing nasal tip projection. Design, Setting, and Participants: In this case series, 20 patients underwent primary rhinoplasty with the objective of increasing tip projection during the period from October 1, 2014, to September 25, 2015...
July 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28520827/surgical-outcomes-of-bony-batten-grafting-to-correct-caudal-septal-deviation-in-septoplasty
#11
Do-Youn Kim, Sung Hoon Nam, Sami E Alharethy, Yong Ju Jang
Improtance: Correction of caudal septal deviation with a batten graft has been popularized recently. However, few reports have documented the surgical outcomes of this technique, especially the use of bony batten grafts in septoplasty. Objective: To evaluate the surgical outcomes of bony batten grafting for the management of caudal septal deviation in endonasal septoplasty. Design, Setting, and Participants: This retrospective cohort study evaluates the medical records of 141 patients with caudal septal deviation who underwent septoplasty using bony batten grafts from September 1, 2011, through February 29, 2016, at a tertiary referral hospital...
December 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28687819/association-of-lateral-crural-overlay-technique-with-strength-of-the-lower-lateral-cartilages
#12
Louis Insalaco, Emma R Rashes, Samuel J Rubin, Jeffrey H Spiegel
Importance: The lateral crural overlay technique is a powerful technique for altering nasal tip projection and rotation. By overlapping and thus shortening the lateral crura, the nasal tip is shortened and rotated upward, thus decreasing projection and increasing rotation. There is no data to show the association of this technique with the strength of the lower lateral cartilage. Strengthening of the lower lateral cartilages would presumably lead to resistance to external nasal valve collapse and improved airway...
December 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28750132/association-of-skin-thickness-with-alar-base-reduction-in-patients-undergoing-lateral-crural-repositioning-and-strut-grafting
#13
A Emre Ilhan, Tevfik Sozen, Basak Caypinar Eser, Betul Cengiz
Importance: Knowing the operation plan is important for rhinoplasty surgeons to prevent unpredictable results. Objectives: To investigate the frequency of alar base resection in patients with different skin thickness who underwent lateral crural repositioning and lateral crural strut graft and to evaluate the results in the context of the current literature. Design, Setting, and Participants: This retrospective case series study included 621 patients who underwent primary open septorhinoplasty by the same surgeon between January 1, 2012, and June 30, 2015...
December 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28508726/does-the-timing-of-middle-turbinate-resection-influence-quality-of-life-outcomes-for-patients-with-chronic-rhinosinusitis
#14
MULTICENTER STUDY
George A Scangas, Aaron K Remenschneider, Benjamin S Bleier, Eric H Holbrook, Stacey T Gray, Ralph B Metson
Objective To evaluate the impact of bilateral middle turbinate resection (BMTR) on patient-reported quality of life following primary and revision endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS). Study Design Prospective cohort study. Setting Tertiary care center. Subjects and Methods Patients with CRS who were recruited from 11 otolaryngologic practices completed the Sino-Nasal Outcome Test-22, Chronic Sinusitis Survey, and EuroQol 5-Dimension questionnaires at baseline, as well as 3 and 12 months after ESS...
November 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28449210/middle-meatal-packing-in-endoscopic-sinus-surgery-to-pack-or-not-to-pack-a-decision-analysis-model
#15
REVIEW
Sagit Stern-Shavit, Yuval Nachalon, Moshe Leshno, Ethan Soudry
BACKGROUND: Packing of the middle meatus and ethmoid cavities is a common practice in endoscopic sinus surgery (ESS), but its necessity recently has been challenged. The aim of this study was to formulate a decision-analysis model to determine the need for packing in ESS and identify variables affecting the decision. METHODS: A systematic review of the literature was conducted for all randomized control trials comparing packing to no packing in ESS, and a decision-analysis model was generated...
July 2017: Laryngoscope
https://www.readbyqxmd.com/read/28278341/association-of-oral-antireflux-medication-with-laryngopharyngeal-reflux-and-nasal-resistance
#16
Elif Dagli, Alper Yüksel, Mesut Kaya, Kadriye Serife Ugur, Fatma Cansel Turkay
Importance: Laryngopharyngeal reflux (LPR) is thought to be a potential exacerbating factor in upper airway diseases. Objective: To describe the effect of pharmacologic therapy of laryngopharyngeal reflux on nasal resistance. Design, Setting, and Participants: Prospective observational study performed between August 30, 2014, and October 1, 2015, at a tertiary care academic center including 50 patients with Reflux Symptom Index higher than 13 and Reflux Finding Score higher than 7 and 50 controls with no history of LPR and nasal disease...
May 1, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28034843/the-effect-of-nasal-tip-rotation-on-upper-lip-length
#17
COMPARATIVE STUDY
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...
May 1, 2017: 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
#18
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...
April 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
#19
REVIEW
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...
April 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28145823/clinical-practice-guideline-improving-nasal-form-and-function-after-rhinoplasty
#20
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
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