2,636 results match your criteria Complications of Rhinoplasty


Non-surgical rhinoplasty using hyaluronic acid dermal fillers: A systematic review.

J Cosmet Dermatol 2021 Apr 26. Epub 2021 Apr 26.

Department of Facial Plastic & Facial Cosmetic Surgery, The Esthetic Clinics, Mumbai, India.

Background: Non-surgical rhinoplasty using hyaluronic acid dermal fillers is a cosmetic procedure that has been becoming increasingly popular among patients wanting to correct nasal deformities or nasal irregularities, in the recent years.

Aim: This systematic review aims to provide quality evidence about the success of non-surgical rhinoplasty procedures in terms of patient satisfaction and complications.

Methods: A systematic electronic literature search using keywords and MESH search terms over the PubMed/Medline, Cochrane Central, Scopus, and EBSCO online databases was conducted from November 2005 to February 2021. Read More

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Surgical Burr-Assisted Lateral Osteotomy Technique in Septorhinoplasty.

J Craniofac Surg 2021 Apr 15. Epub 2021 Apr 15.

Department of Otorhinolaryngology and Head and Neck Surgery; Health Sciences University Bozyaka Training and Research Hospital Department of Plastic, Reconstructive and Aesthetic Surgery; Izmir Bakircay University Cigli Training and Research Hospital Department of Otorhinolaryngology and Head and Neck Surgery, Izmir Bakircay University Cigli Training and Research Hospital, Izmir, Turke.

Abstract: Achieving aesthetic and functional results in rhinoplasty requires meticulous techniques, and postoperative edema, ecchymosis, and pain can deteriorate the desired outcomes. Different osteotomy techniques are defined to have optimal outcomes while reducing edema, ecchymosis, and pain. In this study, the authors compared conventional and power-assisted surgical burr osteotomy techniques in terms of early postoperative complications. Read More

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Classification and Treatment of Glabella-Radix Deficiency in Primary Augmentation Rhinoplasty.

Aesthet Surg J Open Forum 2020 Jun 18;2(2):ojaa016. Epub 2020 Apr 18.

Background: A systematic approach to treating glabella-radix deficiency is lacking, and the management of brow-tip aesthetic lines remains technically challenging.

Objectives: The authors describe implantation of a customized Gore-Tex prosthesis combined with primary augmentation rhinoplasty to address the glabella-radix deficiency.

Methods: Fifty Asian patients with glabella-radix deficiency who received implantation and primary augmentation rhinoplasty were retrospectively evaluated in an 8-year period. Read More

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Comparison of Changes in Nasal Skin Sensation After Primary and Revision Rhinoplasty Procedures Using Semmes-Weinstein Monofilament Testing.

Aesthet Surg J 2021 Mar 19. Epub 2021 Mar 19.

Otorhinolaryngology, Elazig Fethi Sekin City Hospital, Clinic of Otorhinolaryngology, Elazig, Turkey.

Background: Numbness of the nasal skin is one of the most common complications following rhinoplasty.

Objectives: The present study investigates postoperative changes in nasal skin sensation among primary and revision rhinoplasty patients, and evaluates the recovery outcomes for both groups.

Methods: A prospective, randomized blinded study was undertaken involving 100 primary and 34 revision open rhinoplasty patients, and 50 volunteers as control group. Read More

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[Application of septal extension graft with autogenous septal cartilage and auricular cartilage in rhinoplasty].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Mar;56(3):242-248

Head and Neck Cosmetic Surgery Center of Beijing Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China.

To explore the feasibility of reconstruction of nasal tip with septal cartilage and auricular cartilage. From September 2018 to October 2019, 17 patients (two males and fifteen females) with low noses underwent rhinoplasty under general anesthesia. The age of the patients ranged from 19 to 39, with an average of 27 years old. Read More

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Perception of Risk Among Aesthetic Plastic Surgeons.

Aesthet Surg J 2021 Mar 16. Epub 2021 Mar 16.

Department of Surgery, Section of Plastic Surgery, University of Michigan, Ann Arbor, MI.

Background: With continuous innovation in Plastic Surgery, new procedures are constantly being introduced. A number of these procedures are generally safe but have the potential for rare yet serious complications. Many surgeons stray away from these procedures due to safety concerns. Read More

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[Epistaxis and arterial hypertension: a pathogenic link].

Authors:
N V Boiko

Vestn Otorinolaringol 2021 ;86(1):72-77

Rostov State Medical University, Rostov-on-Don, Russia.

The Aim Of This Research: Was to study changes in the nasal mucosa vessels in hypertensive patients suffering from recurrent epistaxis.

Patients And Methods: 78 hypertensive patients aged between 50 and 70, admitted due to epistaxis were studied. Diabetic, coagulopathic patients and those taking anticoagulants were excluded from the research. Read More

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Indications for Preservation Rhinoplasty: Avoiding Complications.

Facial Plast Surg 2021 Feb 14;37(1):45-52. Epub 2021 Mar 14.

Curso de Medicina, UniCesumar Curso de Medicina, Maringa, Paraná, Brazil.

Nasal dorsal preservation surgery was described more than 100 years ago, but recently has gained prominence. Our objective is to show the surgical technique, the main indications and counterindications, and the complications. It is a technique that does not cause the detachment of the upper lateral cartilage (ULC) from the nasal septum, and has the main following sequence: preparation of the septum and its resection can be at different levels (high or low, i. Read More

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February 2021

Optimal harvest and efficient use of septal cartilage in rhinoplasty.

Arch Craniofac Surg 2021 Feb 20;22(1):11-16. Epub 2021 Feb 20.

Department of Plastic and Reconstructive Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Background: Nasal septal cartilage is used to obtain favorable aesthetic and functional outcomes in rhinoplasty, but is often difficult to harvest or the harvested amount is insufficient. Therefore, the objective of this study is to introduce how to harvest septal cartilage optimally without losing and use harvested cartilage efficiently.

Methods: From March 2015 to January 2020, we tried to harvest as much septal cartilage as possible while maintaining the L-strut in 30 patients. Read More

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February 2021

Specific complications associated with non-surgical rhinoplasty.

J Cosmet Laser Ther 2020 Jul 12;22(4-5):171-173. Epub 2021 Mar 12.

Department of Dermatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Non-surgical rhinoplasty is becoming an increasingly common procedure to alter the appearance and cosmesis of the nose. Although rare, complications with this procedure do exist, some of which can be devastating. Major complications include infection, vascular compromise, skin necrosis, and blindness. Read More

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Nasal Dorsum Reduction Simultaneous to Orthognathic Surgery: A Proof-of-Concept Report.

Facial Plast Surg 2021 Mar 11. Epub 2021 Mar 11.

Facial Plastic Surgery, Private Practice, Barcelona, Spain.

This report describes a technique to reduce nasal dorsum excess simultaneously to orthognathic surgery (OS) through a Le Fort I osteotomy. It avoids the need to change from endonasal intubation to intraoral intubation. It also eliminates the need to open the dorsum, preserving the integrity of the triangular cartilages at the nasal dorsum keystone area, avoiding iatrogenic nasal dorsum deformities. Read More

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Conservative Surgery of the Nasal Dorsum: Septal Pyramidal Adjustment and Repositioning.

Facial Plast Surg 2021 Feb 11;37(1):22-28. Epub 2021 Mar 11.

Department of Facial Plastic Surgery, IBCFPRS/EBCFPRS, MYFACE Clinic, Lisboa, Portugal.

The term SPAR (septum pyramidal adjustment and repositioning), aims to conserve the nasal dorsum without detachment of the upper lateral nasal cartilage of the nasal septum, based on the Cotte's principles, unlike classical rhinoplasty. The aim of the study is to describe surgical technique of SPAR with the surgical steps used to reviewing the literature on the surgical treatment of the nasal dorsum. This is a less invasive form of rhinoplasty, but no less effective, not being necessary additional techniques to nasal reconstruction, and preservation of essential nasal structures. Read More

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February 2021

The Harvest of a Lateral Segment of Costal Cartilage for Treating Nasal Deformities.

J Craniofac Surg 2021 Mar-Apr 01;32(2):744-748

Department of Oral and Maxillofacial Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Background: Although costal cartilage has many uses and is a reliable source of cartilage for rhinoplasty procedures, donor-site complications may arise with conventional harvesting techniques. The present report reports a novel technique of harvesting costal cartilage using a specially designed scalpel and studies the use of the harvested cartilage in the reconstruction of secondary nasal deformities in patients with cleft lips.

Methods: Ten patients (7 females and 3 males) with nasal deformities secondary to cleft lip underwent rhinoplasty using this new technique at the Department of Oral and Maxillofacial Surgery, Second Hospital of Hebei Medical University, China, between May 2011 and December 2013. Read More

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Schwannoma on the nasal dorsum and tip with sensory changes.

Arch Craniofac Surg 2020 Dec 20;21(6):380-383. Epub 2020 Dec 20.

Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Schwannomas, which originate from Schwann cells in the peripheral nervous system, are slowgrowing and uncommon benign tumors. Most schwannomas (90%) occur in isolation, and multiple occurrences are a characteristic feature of neurofibromas. Schwannomas of the nose and nasal tip are particularly unusual. Read More

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December 2020

Patient Satisfaction After Non-surgical Rhinoplasty Using Hyaluronic Acid: A Literature Review.

Aesthetic Plast Surg 2021 Mar 3. Epub 2021 Mar 3.

Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 147 Bd Baille, 13385, Marseille Cedex, France.

Background: Few studies have focused on assessing patient satisfaction after non-surgical rhinoplasty using hyaluronic acid (HA). The main objective of this study was to perform a systematic review assessing patient satisfaction after non-surgical rhinoplasty using HA.

Methods: We conducted a systematic review using the PRISMA model. Read More

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Pyriform Aperture Enlargement for Internal Nasal Valve Obstruction in Adults: Systematic Review and Surgical Classification.

Otolaryngol Head Neck Surg 2021 Mar 2:194599821994739. Epub 2021 Mar 2.

Centre Hospitalier de Versailles, Service d'ORL et chirurgie cervico-faciale, Le Chesnay, France.

Objective: Pyriform aperture enlargement or "pyriplasty" is an uncommonly used procedure for internal nasal valve obstruction in adults besides functional rhinoplasty, inferior turbinate reduction, and septoplasty. A systematic review of the literature was performed to analyze current surgical techniques, their suggested indications, and their related outcome in terms of success and complications.

Data Sources: The search was performed on PubMed, EMBASE, SCOPUS, and Cochrane databases. Read More

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Computer-Aided Rhinoplasty Using a Novel "navigated" Nasal Osteotomy Technique: A Pilot Study.

Ann Otol Rhinol Laryngol 2021 Mar 1:3489421996846. Epub 2021 Mar 1.

University of Washington School of Medicine, Seattle, WA, USA.

Objective: To describe the surgical technique of navigation-guided nasal osteotomies and assess feasibility of this technique for treating complex nasal bone deformities in reconstructive rhinoplasty.

Methods: A retrospective chart review was performed in order to identify patients who underwent computer-aided rhinoplasty from August 2014 to February 2017. Inclusion criteria were nasal bone deformities on computed-tomography (CT) that correlated with specific nasal complaints. Read More

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Optimization of the Soft Tissue Envelope of the Nose in Rhinoplasty Utilizing Fat Transfer Combined with Platelet-Rich Fibrin.

Facial Plast Surg 2021 Feb 26. Epub 2021 Feb 26.

HNO-Zentrum Rhein-Neckar, Mannheim, Germany.

A thin or damaged skin soft tissue envelope may cause concerns in primary and secondary rhinoplasty. During postoperative healing, unpredictable scarring and contraction may occur and lead to significant aesthetic and trophic sequelae. Besides a meticulous surgical technique, there are no reliable techniques to prevent long-term skin damage and shrinkage. Read More

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February 2021

[In vitro regeneration of tissue engineered cartilage and its clinical application for nasal reconstruction].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Feb;35(2):221-226

Center of Rhinoplasty and Nasal Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100043, P.R.China.

Objective: To explore the clinical application and effectiveness of a personalized tissue engineered cartilage with seed cells derived from ear or nasal septal cartilage and poly-glycolic acid (PGA)/poly-lactic acid (PLA) as scaffold in patients with nasal reconstruction.

Methods: Between March 2014 and October 2015, 4 cases of acquired nasal defects and 1 case of congenital nasal deformity were admitted. The patient with congenital nasal deformity was a 4-year-old boy, and the source of seed cells was nasal septal cartilage. Read More

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February 2021

Complications Secondary to Nonsurgical Rhinoplasty: A Systematic Review and Meta-analysis.

Otolaryngol Head Neck Surg 2021 Feb 16:194599820987827. Epub 2021 Feb 16.

Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, New York, USA.

Objective: The popularity of nonsurgical rhinoplasty with injectable fillers continues to rise, and it is important to understand the scope of potential adverse outcomes. The purpose of our study is to determine the prevalence and types of adverse outcomes secondary to nonsurgical rhinoplasty.

Data Sources: PubMed, Cochrane, Embase. Read More

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February 2021

Septal Ulcer After Nasal Filling with Hyaluronic Acid.

J Clin Aesthet Dermatol 2021 Jan 1;14(1):24-26. Epub 2021 Jan 1.

Drs. B. S. F. Bravo, Mariano Da Rocha, L. G. Bravo, and De Melo Carvalho are Clínica Bravo in Rio de Janeiro, Brazil.

Nonsurgical rhinoplasty is a good treatment choice when surgery is not a viable option. However, serious complications, including blindness or cerebral ischemia, can occur given this area is one of external and internal carotid anastomosis. Here, we describe a case of a patient with a septum ulcer secondary to local ischemia postnasal fillling with hyaluronic acid without skin lesion. Read More

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January 2021

Tubed Temporalis Fascia for Nasal Dorsal Contouring: A Novel Technique.

ORL J Otorhinolaryngol Relat Spec 2021 12;83(2):97-103. Epub 2021 Feb 12.

Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia.

Introduction: Nasal dorsum irregularities may occur after nasal trauma or as a postrhinoplasty complication. Here, we present a novel technique using temporalis fascia (TF) grafting for primary and revision rhinoplasty to repair the nasal dorsum, hide nasal irregularities, and improve nasal contouring.

Methods: This prospective cohort study was conducted from January 2019 to June 2019 and evaluated nasal dorsal contouring using the TF in a tubed form. Read More

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February 2021

Cartilaginous Dorsum Repositioning Technique.

Authors:
Gorkhmaz Azimov

Plast Reconstr Surg Glob Open 2021 Jan 21;9(1):e3151. Epub 2021 Jan 21.

Hump (dorsum) reduction is one of the most desired outcomes of primary rhinoplasty. However, serious complications relating to the current methods exist. Reduction of the nasal spine by way of traditional rhinoplasty leads to destruction of the nasal anatomy, and reconstruction is needed for aesthetic and functional reasons. Read More

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January 2021

Diced costal cartilage graft combined with muscle repositioning improves Cleft-Side Alar asymmetry in Asian secondary unilateral cleft rhinoplasty: A three-dimensional evaluation.

J Plast Reconstr Aesthet Surg 2021 Jan 14. Epub 2021 Jan 14.

Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China. Electronic address:

Objectives: Asymmetry in a retrusive cleft-side ala situated posterior, lateral, and/or inferior to the non-cleft ala is aggravated by ipsilateral defect of the pyriform aperture. This study assessed diced costal cartilage graft combined with muscle repositioning in enhancing structural base and alar symmetry in secondary cleft rhinoplasty.

Methods: From 2016 to 2019, 20 consecutive patients who underwent pyriform aperture paranasal augmentation combined with muscle repair secondary unilateral cleft rhinoplasty were reviewed retrospectively. Read More

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January 2021

[Endoscopic assisted nasal septal deflection cartilage shaping for simultaneous rhinoplasty].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 01;35(1):56-58

Capital Medical University Affiliated Beijing Anzhen Hospital Otorhinnolarygology Head and Neck Surgery,Beijing,100029,China.

To investigate the clinical application value of orthopedic surgery for traumatic crooked nose after autologous nasal septum deflected cartilage shaping. Twelve patients with obsolete traumatic nasal septum deviation and nasal septum deviation were selected. The nasal septal nasal threshold inverted L incision was assisted by endoscopy, and the nasal dorsal deformity filling area was established along the incision. Read More

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January 2021

First Identification of a Patient with Prosthesis-Related Infection Caused by an MCR-1.1-Producing ST131 After Rhinoplasty.

Infect Drug Resist 2021 26;14:249-257. Epub 2021 Jan 26.

Emergency Department, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, People's Republic of China.

Background: The most common procedure of rhinoplasty is the implantation of a synthetic prosthesis. However, the complications, especially postoperative infection, could lead the suboptimal aesthetic outcome, economic losses and health threats. There is currently little literature providing an incidence of rhinoplasty infection and microbiological and antimicrobial resistance situations. Read More

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January 2021

Nasal alar rim redraping method to prevent alar retraction in rhinoplasty for Asian men: A retrospective case series.

Arch Plast Surg 2021 Jan 15;48(1):3-9. Epub 2021 Jan 15.

Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.

Background: For an attractive and natural tip contour in Asian rhinoplasty, insertion of a nasal implant and reinforcement of the cartilaginous framework are essential. However, scar contracture, which often results from augmentation with implant insertion and inadequate soft tissue coverage of the framework, is one of the most common causes of alar retraction. This study reports a novel method of redraping soft tissue along the alar rim to prevent alar retraction in Asians. Read More

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January 2021

Application of Autologous Cartilage Transplantation in the Reconstruction of Congenital Nasal Soft Triangle Deformities in Asians.

Ann Plast Surg 2021 03;86(3S Suppl 2):S287-S292

From the Department of Plastic Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing.

Background: Nasal soft triangle is one of the areas usually left unattended in most rhinoplasties, whereas its unique anatomy puts it at great risk of deformities. Its appearance is critical to the natural contour of the nasal tip lobule. The purpose of this study was to evaluate the outcome of autologous cartilage transplantation in treating congenital nasal soft triangle deformities in Asians. Read More

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Dorsal Augmentation Using Crushed Autologous Costal Cartilage in Rhinoplasty.

Laryngoscope 2021 Jan 14. Epub 2021 Jan 14.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Objective/hypothesis: For dorsal augmentation in rhinoplasty, autologous costal cartilage can be used in many different forms, including its crushed form. While only few studies have reported the outcome of dorsal augmentation using the crushed autologous costal cartilage, the current study aims to evaluate the outcome of such usage.

Study Design: Retrospective chart review. Read More

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January 2021