2,282 results match your criteria Complications of Rhinoplasty


Evolution of the butterfly graft technique: 15-year review of 500 cases with expanding indications.

Laryngoscope 2019 Jan 10. Epub 2019 Jan 10.

Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, University of North Carolina, Chapel Hill, North Carolina, U.S.A.

Objectives/hypothesis: To describe the evolution of the butterfly graft technique for the treatment of nasal valve compromise, with specific attention to technical developments allowing for expanded indications. To review the impact on patient-reported outcomes of nasal airway function and nasal aesthetics.

Study Design: Retrospective chart review. Read More

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http://doi.wiley.com/10.1002/lary.27776
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http://dx.doi.org/10.1002/lary.27776DOI Listing
January 2019
1 Read

Bilateral cleft lip repair with simultaneous premaxillary setback and primary limited rhinoplasty.

Maxillofac Plast Reconstr Surg 2018 Dec 20;40(1):43. Epub 2018 Dec 20.

Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7 Jukheon-Gil, Gangneung, Gangwondo 25457 Korea.

Background: Functional closure of the orbicularis oris muscle and esthetic reconstruction of nasolabial components are impossible in patients with severely deformed premaxilla. Here, we review a surgical strategy for patients with unremedied premaxilla retrospectively.

Results: Vomerine ostectomy and premaxillary setback with nasolabial repair were performed in 12 patients with bilateral cleft lip and palate. Read More

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http://dx.doi.org/10.1186/s40902-018-0182-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300455PMC
December 2018

Role of Tranexamic Acid in Reducing Intraoperative Blood Loss and Postoperative Edema and Ecchymosis in Primary Elective Rhinoplasty: A Systematic Review and Meta-analysis.

JAMA Facial Plast Surg 2019 Jan 3. Epub 2019 Jan 3.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Importance: Blood loss from surgical procedures is a major issue worldwide as the demand for blood products is increasing. Tranexamic acid is an antifibrinolytic agent commonly used to reduce intraoperative blood loss.

Objective: To systematically examine the role of tranexamic acid in reducing intraoperative blood loss and postoperative edema and ecchymosis among patients undergoing primary elective rhinoplasty. Read More

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http://dx.doi.org/10.1001/jamafacial.2018.1737DOI Listing
January 2019

Postoperative Care in Aesthetic Rhinoplasty Patients.

Facial Plast Surg 2018 Dec 28;34(6):553-560. Epub 2018 Dec 28.

Imperial College School of Medicine, Charing Cross Hospital, Imperial College London, London, United Kingdom.

After rhinoplasty, during the first 24 hours, the patients should be closely monitored for pain and discomfort, nausea and vomiting, and cool compresses must be applied regularly to decrease edema and ecchymosis. In the early postoperative period of the first month, the sutures, cast, and splints are usually removed during the first week. Then the patient is followed-up at 1, 3, 6, and 12-month intervals routinely to observe healing. Read More

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http://dx.doi.org/10.1055/s-0038-1676379DOI Listing
December 2018

A Safer Non-surgical Filler Augmentation Rhinoplasty Based on the Anatomy of the Nose.

Aesthetic Plast Surg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, Republic of Korea.

Background: Filler augmentation rhinoplasty is a quick, non-surgical procedure that can produce outcomes comparable to open rhinoplasty surgery. However, the increased frequency of vascular complications has emerged as an important issue. The present study aimed to investigate measures to overcome the vascular complications based on the anatomy of the nose. Read More

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http://link.springer.com/10.1007/s00266-018-1279-7
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http://dx.doi.org/10.1007/s00266-018-1279-7DOI Listing
December 2018
5 Reads

Evaluation of Antibiotic Prophylaxis in Rhinoplasty: A Systematic Review and Meta-analysis.

JAMA Facial Plast Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Physical and Rehabilitation Medicine, Turku University Hospital, University of Turku, Turku, Finland.

Importance: Although antibiotic prophylaxis following rhinoplasty is widespread, the evidence on antibiotic prophylaxis effectiveness and the superiority of particular administration regimens is controversial. To date, a meta-analysis on the topic has not been performed.

Objective: To systematically review the association between use of preventive antibiotics and postoperative complications in patients undergoing rhinoplasty and quantify the review through meta-analysis. Read More

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http://archfaci.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamafacial.2018.1187DOI Listing
November 2018
4 Reads

Anthropometric Overview of Lower Alar Cartilage: An Indian Perspective.

Indian J Otolaryngol Head Neck Surg 2018 Dec 9;70(4):538-543. Epub 2018 Jul 9.

Department of ENT and HNS, Jawaharlal Nehru Medical College, Belagavi, Karnataka 590010 India.

The anatomy of the lower lateral cartilage varies according to the ethnicity of the patient. Considering that the manipulation of the lower lateral cartilage has become more prevalent in Indian rhinoplasties, understanding the comprehensive anatomy is of utmost importance. The aim of this descriptive study was to evaluate the anthropometric and morphological variations of the lower lateral cartilage in Indian noses and to compare this data from studies of various ethnic groups. Read More

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http://dx.doi.org/10.1007/s12070-018-1446-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224830PMC
December 2018

Endonasal Triangular Technique for nasal valve rhinoplasty: a ten year review.

Otolaryngol Pol 2018 Sep;72(5):45-50

Department of Otolaryngology, Logan Hospital, Brisbane, Queensland, Australia.

Introduction: The nasal valve is the main regulator of airflow in the nose. Consequently, the collapse of the nasal valve has a significant impact on nasal obstruction and hence quality-of-life of patients. Several nasal valve rhinoplasty techniques are being used, from cartilage grafts to endonasal resection of the upper lateral cartilage. Read More

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http://dx.doi.org/10.5604/01.3001.0012.4365DOI Listing
September 2018
3 Reads

A comparative study of gloved versus ungloved merocel as nasal pack after septoplasty.

Niger J Clin Pract 2018 Nov;21(11):1391-1395

CHC, Patiala, Punjab, India.

Introduction: Septoplasty or septal reconstruction is a corrective surgical procedure performed to straighten the nasal septum. It may be associated with numerous complications. To minimize these complications, both nasal cavities are frequently packed with different types of nasal packing. Read More

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http://dx.doi.org/10.4103/njcp.njcp_414_17DOI Listing
November 2018
8 Reads

A New Technique for Augmentation Rhinoplasty Using Hybrid Autologous Grafts with Septal Extension Grafts in Asian Patients.

Authors:
Tsutomu Mizuno

Facial Plast Surg 2018 Nov 2. Epub 2018 Nov 2.

Aesthetic Surgery, Anesis Biyou Clinic, Nagoya, Aichi, Japan.

Augmentation rhinoplasty is commonly performed to raise the nasal dorsum in Asian individuals. However, materials used for dorsal augmentation are associated with various surgical challenges and complications. In this article, the authors present a novel dorsal augmentation technique combining hybrid autologous costal grafts with septal extension grafts. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1666992
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http://dx.doi.org/10.1055/s-0038-1666992DOI Listing
November 2018
7 Reads

Endoscopic Sinus Surgery Associated with Rhinoseptoplasty: A Case-control Study.

Plast Reconstr Surg Glob Open 2018 Sep 14;6(9):e1922. Epub 2018 Sep 14.

ENT Department, University of Palermo, Palermo, Italy.

Objective: To examine the difference between outcomes in the administration of concurrent endoscopic sinus surgery (ESS), septoplasty (SP), and rhinoplasty (RP) and concurrent ESS and SP in 1 single surgical session.

Methods: Patients who underwent concurrent ESS and SP from September 2004 to July 2015 were identified. Furthermore, patients among them who underwent functional primary RP were selected. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001922DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191236PMC
September 2018
10 Reads

The Effect of Spreader Graft and Mattress Suture Technique on Rhinoplasty in Patients With Nasal Hump Smaller Than 3 mm.

J Craniofac Surg 2018 Nov;29(8):2110-2113

Department of Otolaryngology-Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Introduction: Rhinoplasty is a common plastic surgery that potentially has some complications such as postoperative deformities and breathing problems. A humpy nose is among the main reasons for rhinoplasty. Nasal valve (the narrowest part of the nasal airway) collapse may be occurred after nasal hump removal. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005078DOI Listing
November 2018
4 Reads

Assessment of Vertical Triangular Spreader Graft Technique for Reconstruction of Middle Vault and Internal Nasal Valve Angle.

J Craniofac Surg 2018 Nov;29(8):2096-2100

Department of Otorhinolaryngology, Yuzuncu Yil University, Medical Faculty, Van, Turkey.

Background: Rhinoplasty is a surgical procedure to smooth out the nasal deformities and to fix nasal breathing problems. Spreader grafts and flaps are used to prevent some complications such as middle vault collapse, narrowing the internal nasal valve and inverted V deformity. To obtain more stable middle vault, spreader grafts and flaps could be used together. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004939DOI Listing
November 2018
2 Reads

Pediatric Rhinoplasty: A national surgical quality improvement program analysis.

Laryngoscope 2018 Oct 16. Epub 2018 Oct 16.

Johns Hopkins Department of Otolaryngology-Head and Neck Surgery, Baltimore, Maryland.

Objectives: Rhinoplasty is commonly performed in children with congenital anomalies and resultant nasal deformity causing airway obstruction. Little is known regarding patient factors or perioperative sequelae. We define demographic characteristics and perioperative complications for children undergoing rhinoplasty within a large national cohort. Read More

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http://doi.wiley.com/10.1002/lary.27304
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http://dx.doi.org/10.1002/lary.27304DOI Listing
October 2018
12 Reads

Long-term follow-up of repair of external nasal deformities in rhinoscleroma patients.

J Craniomaxillofac Surg 2018 Dec 26;46(12):2138-2143. Epub 2018 Sep 26.

Otolaryngology Department, Tanta University, Egypt.

Introduction: Rhinoscleroma (RS) is a chronic, progressive, granulomatous infectious disease endemic in Egypt and the Middle East, affecting the nose in 95-100% of cases, and resulting in functional and esthetic sequelae. The aim of the study was to investigate the feasibility of performing reconstructive procedures to improve external deformities in RS patients, with long-term follow up.

Patients & Methods: This prospective, controlled cohort study included 25 patients who were seeking rhinoplasty to improve their esthetic appearance, with evident clinical and histopathological history of RS. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.09.024DOI Listing
December 2018
6 Reads

Reconstruction of Wegener Granulomatosis Nose Deformity Using Fascia Lata Graft.

J Craniofac Surg 2018 Nov;29(8):2179-2181

Hospital Gregorio Marañón, Madrid, Spain.

Wegener granulomatosis (WG) is a necrotizing vasculitis that involves the upper respiratory tract, the lungs, and the kidneys. It also causes deformities of the nose in practically all patients, altering the cartilaginous and bony structure as well as the inner lining of the nose.The surgical repair of these nasal distortions is a challenge mainly due to the impairment of wound healing and graft take that is caused both by the disease itself and by the prolonged immunosuppressant treatment. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9534
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http://dx.doi.org/10.1097/SCS.0000000000004807DOI Listing
November 2018
9 Reads

Intracorporeal Septorhinoplasty: Technique and Outcome.

J Craniofac Surg 2018 Nov;29(8):2055-2057

Plastic Surgery Department, Menoufia University, Menofia, Egypt.

Objective: Septal deformities usually associated with functional and aesthetic nasal consequences. Multiple techniques were described to correct these deformities. Using less invasive and at the same time competent technique with loge standing results is important. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004782DOI Listing
November 2018
7 Reads

Filler Rhinoplasty: Evidence, Outcomes, and Complications.

Aesthet Surg J 2018 Oct;38(11):NP165-NP167

Queen Victoria Hospital, East Grinstead, UK.

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https://academic.oup.com/asj/article/38/11/NP165/5110085
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http://dx.doi.org/10.1093/asj/sjy223DOI Listing
October 2018
3 Reads

Evaluation of Safety and Efficacy for an Intranasal Airway Device in Nasal Surgery.

JAMA Facial Plast Surg 2018 Sep 6. Epub 2018 Sep 6.

Otolaryngology-Head and Neck Surgery, University of California Irvine, Orange, California.

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. Read More

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http://dx.doi.org/10.1001/jamafacial.2018.0955DOI Listing
September 2018
2 Reads

Quality of life and nasal splints after primary cleft lip and nose repair: Prospective assessment of information and tolerance.

J Craniomaxillofac Surg 2018 Oct 9;46(10):1783-1789. Epub 2018 Aug 9.

Assistance Publique - Hôpitaux de Paris, Service de chirurgie maxillofaciale et plastique, Hôpital Necker - Enfants Malades, Université Paris Descartes, Université Sorbonne Paris Cité, (Head: Pr. Arnaud Picard, MD PhD), Paris, France. Electronic address:

Splints are commonly used after primary cleft surgery in order to secure the position of the nasal cartilages. Although the importance of splints is more and more stressed in the literature, many questions remain unanswered relative to the psychological impact of this device on children and families. Two questionnaires, Information and Tolerance, were used in order to measure the quality of life (QoL) associated with the use of nasal splints after primary cleft surgery. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.07.022DOI Listing
October 2018
10 Reads

Superior-Based Transposition Flap: A Novel Technique in Rhinoplasty.

Authors:
Süleyman Tas

Aesthet Surg J 2018 Aug 10. Epub 2018 Aug 10.

Private Practice in Istanbul, Turkey.

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. Read More

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http://dx.doi.org/10.1093/asj/sjy197DOI Listing
August 2018
2 Reads

Preoperative Tranexamic Acid for Treatment of Bleeding, Edema, and Ecchymosis in Patients Undergoing Rhinoplasty: A Systematic Review and Meta-analysis.

JAMA Otolaryngol Head Neck Surg 2018 Sep;144(9):816-823

Investigative Pathology Laboratory, Federal University of Sergipe, Brazil.

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. Read More

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http://dx.doi.org/10.1001/jamaoto.2018.1381DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233636PMC
September 2018
18 Reads

Persistent Nasal Infantile Hemangioma: A Surgical Treatment Algorithm.

J Craniofac Surg 2018 Sep;29(6):1509-1513

Servicio de Dermatología, Clínica Alemana.

Treatment of infantile hemangioma is usually medical. The nose is one of the most important aesthetic and functional units of the face; therefore, surgical management is preferred in persistent lesions (fibro-fatty tissue component) that do not respond to medical treatment. Herein, the authors analyze the results of surgical nasal hemangioma treatment in their center, a literature review and propose an algorithm for surgical management. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004778DOI Listing
September 2018
4 Reads

Traumatic cerebrospinal fluid leakage following septorhinoplasty.

Arch Plast Surg 2018 Jul 15;45(4):379-383. Epub 2018 Jul 15.

Department of Otolaryngology-Head and Neck Surgery, Alexandria University, Alexandria, Egypt.

Septoplasty/septorhinoplasty is a common ear, nose and throat procedure offered for those patients with deviated septum who are suffering from nasal obstruction and functional or cosmetic problems. Although it is a basic and simple procedure, it could lead to catastrophic complications including major skull base injuries which result in cerebrospinal fluid (CSF) leaks. We describe two different cases of traumatic CSF leaks following septoplasty/septorhinoplasty at two different sites. Read More

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http://dx.doi.org/10.5999/aps.2017.00913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062708PMC
July 2018
20 Reads

The Application of Three-Dimensional Simulation Program and Three-Dimensional Printing in Secondary Rhinoplasty.

J Craniofac Surg 2018 Nov;29(8):e774-e777

Kies-U Plastic Surgery Clinic, Seoul, Republic of Korea.

Background: In recent years, efficacy of 3-dimensional (3D) simulation, in preoperative planning of aesthetic and reconstructive surgeries and prediction of the postoperative result, has been reported in many clinical studies. Especially in rhinoplasty, it can be used not only for prediction the outcome but also for fabricating implants that will strictly match with the anatomical needs of patient.

Clinical Report: A 30-year-old male after traffic accident visited emergency room complaining on painful swelling and contour deformity of nose. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004737DOI Listing
November 2018
6 Reads

Techniques in Septoplasty: Traditional Versus Endoscopic Approaches.

Otolaryngol Clin North Am 2018 Oct 17;51(5):909-917. Epub 2018 Jul 17.

Head and Neck Institute, Cleveland Clinic, 9500 Euclid Avenue A71, Cleveland, OH 44195, USA. Electronic address:

This article provides a review of modern techniques in the surgical management of the deviated septum with emphasis on the comparison of traditional versus endoscopic septoplasty approaches. Relevant anatomy and physiology of the nasal septum are discussed. A brief history of the evolution of the surgical approaches for the correction of a deviated septum is provided. Read More

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http://dx.doi.org/10.1016/j.otc.2018.05.007DOI Listing
October 2018
1 Read

Causes of the Removal of High-Density Polyethylene Sheets (Medpor) in Revision Rhinoplasty.

J Craniofac Surg 2018 Oct;29(7):1730-1732

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to identify the causes of complications in rhinoplasties using Medpor. The medical records of 71 patients who had undergoing a reoperation after a rhinoplasty using Medpor were reviewed. From each patient's history, examination records, and operative records, the method of the previous rhinoplasty using Medpor was extracted. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004717DOI Listing
October 2018
14 Reads

Tip Grafting for the Asian Nose.

Facial Plast Surg Clin North Am 2018 Aug;26(3):343-356

Department of Otolaryngology, National Medical Centre, Seoul, Republic of Korea.

Tip surgery during rhinoplasty is particularly difficult in Asians. Tip grafting is the best approach. Conchal cartilage with perichondrium and costal cartilage are powerful grafting materials. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.008DOI Listing
August 2018
21 Reads

Septal Extension Graft in Asian Rhinoplasty.

Facial Plast Surg Clin North Am 2018 Aug;26(3):331-341

Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Guro Hospital, Korea University Medical Center, 148, Gurodong-ro, Guro-Gu, Seoul 152-703, Republic of Korea. Electronic address:

A septal extension graft (SEG) can control nasal tip projection, shape, and rotation. SEG and dorsal alloplastic implants have predominated in Asian rhinoplasty, leading to iatrogenic complications such as a foreshortened nose and destruction of remaining septum. The lower nasal two-thirds can be enhanced anteriorly and caudally using the septal L-strut extension graft in Asians with relatively small noses. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.007DOI Listing
August 2018
21 Reads

Homologous Tissue for Dorsal Augmentation.

Facial Plast Surg Clin North Am 2018 Aug 7;26(3):311-321. Epub 2018 Jun 7.

Department of Otorhinolaryngology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.

Homologous graft materials for dorsal augmentation are safe and biocompatible with a low risk of complications. Acellular dermal matrix (ADM) provides natural appearance of the nose and long-term structural integrity without extrusion, showing favorable augmentation results. Tutoplast-processed fascia lata (TPFL) is soft and easy to manipulate, providing a smooth postoperative contour of the nasal dorsum with low risk of infection or extrusion. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.005DOI Listing
August 2018
7 Reads

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation.

J Vis Exp 2018 06 20(136). Epub 2018 Jun 20.

Department of Otorhinolaryngology-Head and Neck Surgery, Eye and Ear, Nose, and Throat (ENT) Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University;

Endoscopic septoplasty is a surgical procedure in otolaryngology that is commonly performed to treat nasal airway obstruction caused by nasal septal deviation. It has a long history with multiple variations. In this article, a modified endoscopic septoplasty procedure using the limited two-line resection (2LoRs) technique at the posterior and inferior junction of the cartilaginous and bony septum is presented based on embryologic and anatomic knowledge of the nasal septum and the biomechanics of cartilaginous behavior. Read More

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http://dx.doi.org/10.3791/57678DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101966PMC
June 2018
7 Reads

A Novel Technique of Asian Tip Plasty: Rein-Shaped Columellar Strut Graft.

Aesthetic Plast Surg 2018 Jun 29. Epub 2018 Jun 29.

JW Plastic Surgery Center, Samsin Building 836 Nonhyeon-ro, Gangnam-gu, Seoul, Korea.

Background: The columellar strut graft is one of the most commonly used invisible grafts in tip plasty techniques for nasal tip projection. However, the columellar strut graft induces cephalic rotation of the dome with nasal tip projection. This is an effective change in Western people with a long nose; however, this change should be avoided in Asians who have a relatively short nose and visible nostrils. Read More

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http://dx.doi.org/10.1007/s00266-018-1185-zDOI Listing
June 2018
13 Reads

[Optimization of the method for the postoperative treatment following rhinoplasty].

Authors:
T A Aleksanyan

Vestn Otorinolaringol 2018;83(3):41-44

'Art Plastic' Clinic, Moscow, Russia, 123308.

This article was designed to report the results of analysis of the dynamics of oedema of the soft tissues of the external nose and the adjacent facial structures in different periods following rhinoplasty. The metric characteristics were calculated and the integral index of tissue oedema was determined for 374 patients allocated to two groups. The main group was comprised of 286 (86. Read More

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http://dx.doi.org/10.17116/otorino201883341DOI Listing
October 2018

Correcting the Cleft Lip Nose Deformity: The Graft Number 1 for the Columella.

J Craniofac Surg 2018 Sep;29(6):1469-1472

San Sebastian University, Santiago, Chile.

Background: The nose deformity associated with cleft lip is difficult to solve in the primary and secondary surgery. In an adult patient, many techniques are used including mobilization, suspension, fixation and trimming the alar cartilages, septoplasty, nasal bones osteotomies, and dorsal bone and cartilage resection. Different types of cartilage grafts are commonly used. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004708DOI Listing
September 2018
1 Read

A Decade's Experience: A Sound Framework as the Foundation to Nasal Reconstruction.

J Craniofac Surg 2018 Nov;29(8):2032-2037

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

The goal of nasal reconstruction surgery is to restore normal nasal shape and function, and its success begins with creating a stable framework. In this article the authors discuss the most advantageous materials for building such a framework and how to design this element to achieve better and more durable outcomes. This is a retrospective study including patients who underwent nasal reconstruction in our rhinoplasty and nasal reconstruction center at a tertiary referral hospital between 2006 and 2016. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004695DOI Listing
November 2018
4 Reads

[Clinical significance of continuous transfixion suture for nasal septum in septoplasty].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jun;32(12):927-930

Department of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), Research Institution of Otolaryngology,Nanjing, 210008, China.

To systemically evaluate the clinical significance of continuous transfixion suture for nasal septum in septoplasty. Forty patients with nasal septum deviation were randomly assigned to the suture group including 20 patients who underwent endoscopic septoplasty followed by continuous transfixion suture for nasal septum, or the nasal packing group including 20 patients who underwent endoscopic septoplasty followed by nasal packing. Two groups were compared for the visual analogue scale (VAS) scores for postoperative rhinalgia, headache, lacrimation, dysphagia and sleep disorder, changes in mucociliary transport time (MTT) before and after surgery, and postoperative capillary hemorrhage. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.12.011DOI Listing
June 2018
10 Reads

Adjunctive Use of the Dermocartilaginous Ligament for Dorsal Irregularities in Primary Rhinoplasty.

J Craniofac Surg 2018 Sep;29(6):e618-e621

Department of Otorhinolaryngology, Bezmialem Vakif University, Istanbul, Turkey.

Nasal dorsal irregularity is a common postrhinoplasty complication in spite of meticulous smoothing. Utilization of the dermocartilaginous ligament in 2 different fashions for different purposes was described before. A novel utilization of the dermocartilaginous ligament as a flattened and pedicled flap from the cephalic attachment for nasal dorsal irregularities was presented in this article. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004682DOI Listing
September 2018
2 Reads

Contemporary considerations in concurrent endoscopic sinus surgery and rhinoplasty.

Curr Opin Otolaryngol Head Neck Surg 2018 Aug;26(4):209-213

Department of Otolaryngology - Head and Neck Surgery, University of California Davis.

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. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000469DOI Listing
August 2018
3 Reads

The Differential Use of Bilobed and Trilobed Transposition Flaps in Cutaneous Nasal Reconstructive Surgery.

Plast Reconstr Surg 2018 08;142(2):511-519

Cleveland, Ohio; East Greenwich and Providence, R.I.; and Worcester, Mass. From the Department of Dermatology, Cleveland Clinic Foundation; Dermatology Professionals, Inc.; the Department of Dermatology, Warren Alpert Medical School at Brown University; and the Division of Dermatology, University of Massachusetts Medical School.

Background: Bilobed and trilobed transposition flaps are versatile random pattern transposition flaps that reliably restore nasal symmetry, topography, light reflex, and contour and are frequently used in cutaneous nasal reconstructive surgery. The authors wish to compare the characteristics of bilobed and trilobed flaps in cutaneous reconstructive surgery and to identify scenarios for their differential use.

Methods: A retrospective chart review over 7 years of consecutive patients who underwent reconstruction with a bilobed or trilobed flap after Mohs micrographic surgery was performed. Read More

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http://Insights.ovid.com/crossref?an=00006534-201808000-0003
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http://dx.doi.org/10.1097/PRS.0000000000004583DOI Listing
August 2018
6 Reads

The Use of Bone Dust to Correct the Open Roof Deformity in Rhinoplasty.

Authors:
Süleyman Taş

Plast Reconstr Surg 2018 09;142(3):629-638

Istanbul, Turkey From private practice.

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, lateral osteotomies are problematic. In this article, the author presents a new and practical approach to fix the open roof deformity. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004706DOI Listing
September 2018
6 Reads

Cleft Rhinoplasty: Strategies for the Multiply Operated Nose.

Facial Plast Surg 2018 Jun 1;34(3):290-297. Epub 2018 Jun 1.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, Sacramento, California.

Rhinoplasty, as a surgical procedure to improve the appearance of the nose while preserving or improving function, is complicated and difficult to master. Revision cleft rhinoplasty offers another tier of challenge. The symmetry, proportions, and definition of the nose are affected by the native cleft deformity but also previous surgical scars, cartilage grafts, and skin excisions. Read More

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http://dx.doi.org/10.1055/s-0038-1653986DOI Listing
June 2018
4 Reads

Dorsal Failures: From Saddle Deformity to Pollybeak.

Authors:
Grant S Hamilton

Facial Plast Surg 2018 Jun 1;34(3):261-269. Epub 2018 Jun 1.

Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota.

The nasal dorsum is an important component of a rhinoplasty and may be the primary motivation for seeking surgery. The nasal dorsum is a complex three-dimensional shape that is shrouded by local anesthetic and edema during surgery. This makes an accurate assessment of the surgical changes challenging. Read More

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http://dx.doi.org/10.1055/s-0038-1653990DOI Listing
June 2018
3 Reads

Failure of Synthetic Implants: Strategies and Management.

Facial Plast Surg 2018 Jun 1;34(3):245-254. Epub 2018 Jun 1.

Department of ENT, King AbdulAziz University Hospital, King Saud University, Riyadh, Saudi Arabia.

Dorsal augmentation with synthetic implants is the most commonly performed rhinoplasty procedure, especially in the East-Asian region. However, as in all other surgical procedures, complications are inevitable. Complications that need to be managed surgically include displacement, deviation, suboptimal aesthetic outcome, extrusion, inflammation, infection, and changes in skin quality. Read More

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http://dx.doi.org/10.1055/s-0038-1654676DOI Listing
June 2018
6 Reads

Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty.

Facial Plast Surg 2018 Jun 1;34(3):239-244. Epub 2018 Jun 1.

Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania.

As rhinoplasty procedures become more common, the need for revision surgeries increases as well. Unlike primary rhinoplasties, revision rhinoplasties can be more challenging because of anatomic differences from initial surgery, a lack of available cartilage, tissue remodeling responses, and other complications. As such, surgeons should be prepared to address revision rhinoplasty patients differently from primary rhinoplasty patients. Read More

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http://dx.doi.org/10.1055/s-0038-1654677DOI Listing
June 2018
2 Reads

Triangular Resection of the Upper Lateral Cartilage for Middle Vault Deviation.

Clin Exp Otorhinolaryngol 2018 Dec 2;11(4):275-280. Epub 2018 Jun 2.

Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Objectives: Middle vault deviation has a significant effect on the aesthetic and functional aspects of the nose, and its management continues to be a challenge. Spreader graft and its modification techniques have been focused, but there has been scarce consideration for removing surplus portion and balancing the upper lateral cartilage (ULC). This study aimed to report the newly invented triangular-shaped resection technique ("triangular resection") of the ULC and to evaluate its efficacy for correcting middle vault deviation. Read More

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http://dx.doi.org/10.21053/ceo.2017.01816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222193PMC
December 2018
5 Reads

Various Colored Splints for Each Type of Rhinoplasty.

Plast Surg Nurs 2018 Apr/Jun;38(2):48-54

Abdoljalil Kalantar-Hormozi, MD, is professor of plastic surgery, Department of Plastic and Craniofacial Surgery, Medical College of Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran. Ali Abbaszadeh-Kasbi, MD, is medical student, Tehran University of Medical Sciences, Tehran, Iran. Nazanin Rita Davai, MD, is clinical psychiatrist, private practice, Tehran, Iran.

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. Read More

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http://Insights.ovid.com/crossref?an=00006527-201804000-0000
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http://dx.doi.org/10.1097/PSN.0000000000000224DOI Listing
October 2018
28 Reads

[Application of thin-ribbed cartilage with the perichondrium in correction of secondary cleft lip nasal deformity as lateral crural onlay graft].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 May;32(5):601-606

Department of Reparative and Reconstructive Surgery, Bethune First Hospital of Jilin University, Changchun Jilin, 310021,

Objective: To explore the application and effectiveness of thin-ribbed cartilage with the perichondrium in the correction of secondary cleft lip nasal deformity as the lateral crural onlay graft.

Methods: A retrospective study was performed based on the data of 28 patients with secondary nasal deformity of cleft lip between October 2015 and April 2017. There were 16 males and 12 females with an average age of 24 years (range, 18-31 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201711147DOI Listing
May 2018
1 Read

Complications in septoplasty based on a large group of 5639 patients.

Eur Arch Otorhinolaryngol 2018 Jul 16;275(7):1789-1794. Epub 2018 May 16.

Institute of Physiology and Pathology of Hearing, Warsaw, Poland.

Purpose: Septoplasty is a common surgical procedure used for correction of the nasal obstruction caused by a deviated septum. The aim of the study was to identify complications in septoplasty and analyze incidence depending on the surgical technique, based on the material from 2009 till 2017.

Methods: The material consisted of 5639 medical records from patients aged 16-69, operated in the tertiary referral center. Read More

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http://link.springer.com/10.1007/s00405-018-4990-8
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http://dx.doi.org/10.1007/s00405-018-4990-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992230PMC
July 2018
7 Reads

Simultaneous Septal Perforation Repair with Septorhinoplasty: A 31-Year Experience.

Facial Plast Surg 2018 Jun 15;34(3):298-311. Epub 2018 May 15.

Facial Plastic Surgery Associates, Private Practice, Houston, Texas.

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. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1654675
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http://dx.doi.org/10.1055/s-0038-1654675DOI Listing
June 2018
6 Reads

The Use of Expanded Polytetrafluoroethylene in Short Nose Elongation: Fourteen Years of Clinical Experience.

Ann Plast Surg 2018 Jul;81(1):7-11

Department of Urinary Surgery, Shanghai Jiaotong University Medical School, XinHua People's Hospital, Shanghai, PR China.

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. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001481DOI Listing
July 2018
2 Reads