2,475 results match your criteria Complications of Rhinoplasty


Initial Facial Feminization Surgery Experience in a Multicenter Integrated Health Care System.

Otolaryngol Head Neck Surg 2020 May 26:194599820924635. Epub 2020 May 26.

Department of Head and Neck Surgery, Kaiser Permanente Oakland Medical Center, Oakland, California, USA.

Objective: There are few large studies on facial feminization surgery (FFS). We provide the largest comprehensive report to date of an FFS cohort regarding the safety of multilevel surgery, patient-specific considerations with FFS procedures, and complications of surgery.

Study Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1177/0194599820924635DOI Listing

Concomitant Dorsal Preservation Rhinoplasty and Orthognathic Surgery: A Technical Note.

J Oral Maxillofac Surg 2020 Apr 18. Epub 2020 Apr 18.

Private Practitioner, Faculty of Dentistry, Boroujerd Islamic Azad University, Boroujerd, Iran. Electronic address:

Purpose: In the present report, we have introduced a novel technique for concomitant Le Fort I surgery and dorsal preservation rhinoplasty and reviewed the reported data.

Patients And Methods: Concurrent surgery could be considered a suitable option for patients requiring both upper jaw orthognathic surgery and rhinoplasty or those who are willing to undergo single-stage concomitant rhinoplasty and orthognathic surgery. In the present technical note, we have introduced a dorsal preservation rhinoplasty technique combined with Le Fort I surgery through an intraoral approach. Read More

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http://dx.doi.org/10.1016/j.joms.2020.04.015DOI Listing

Experience harvesting costal cartilage under IV sedation.

Am J Otolaryngol 2020 Apr 30:102511. Epub 2020 Apr 30.

Lasky Clinic, Beverly Hills, CA, United States of America. Electronic address:

Importance: While numerous techniques for costal cartilage harvesting have been described, one consistency in the published literature is that the procedure is performed under general anesthesia. This is the first report to offer IV sedation as a safe alternative to general inhalational anesthesia in cases involving costal cartilage harvesting.

Objective: To determine the feasibility and safety of costal cartilage harvest with IV sedation. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102511DOI Listing

Multilayered Costal Cartilage Graft for Nasal Dorsal Augmentation.

Aesthetic Plast Surg 2020 Apr 20. Epub 2020 Apr 20.

JW Plastic Surgery Center, 553, Samseong-ro, Gangnam-gu, Seoul, South Korea.

Background: Nasal dorsal augmentation is one of the most commonly performed rhinoplasty procedures in Asia. We describe our experience with multilayered costal cartilage grafting (MCG) for dorsal augmentation in Asian patients. We aimed to evaluate the aesthetic outcomes and complications of MCG in comparison with those of one-block concentric carving costal cartilage graft (OCG) using objective and subjective assessment criteria. Read More

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http://dx.doi.org/10.1007/s00266-020-01712-3DOI Listing

Effects of Osteotomy on Hemodynamic Parameters and Depth of Anesthesia in Rhinoplasty Operations.

J Craniofac Surg 2020 Apr 16. Epub 2020 Apr 16.

Department of Anesthesiology and Reanimation.

Background: Bleeding during rhinoplasty leads to many undesirable effects, such as loss of vision in the surgery area, complications during the procedure, and postoperative complications. The most important effect that increases bleeding is hemodynamic changes during surgery. Considering that osteotomy is the most challenging process in rhinoplasty, this study aimed to examine the hemodynamic changes during osteotomy and changes in the depth of anesthesia. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006447DOI Listing

Prevention of Autologous Costal Cartilage Graft Warping in Secondary Rhinoplasty.

J Craniofac Surg 2020 Apr 7. Epub 2020 Apr 7.

Division of Plastic Surgery.

Background: Autogenous costal cartilage grafts (ACCG) are frequently used in secondary rhinoplasty; however, these grafts tend to warp. The objective of this study is to systematically evaluate current interventions to prevent warping of ACCGs and to assess long-term outcomes with their use.

Methods: A systematic review was undertaken using a computerized search. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006429DOI Listing

[Excision for congenital nasal dermoid and sinus cyst in children].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Mar;55(3):230-235

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.

To explore the surgical effect and experience of endoscope-assisted excision for congenital nasal dermoid and sinus cyst (NDSC) in children. Fifty-three patients with congenital NDSC treated in Beijing Children's Hospital from January 2007 to December 2018 were retrospectively reviewed, including 30 boys and 23 girls, with the age ranging from 9 to 145 months (mean age 35.6 months). Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2020.03.008DOI Listing

[Application of autologous cartilage in rhinoplasty for patients with traumatic nasal contraction and nasal dysfunction].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Mar;55(3):217-222

Department of Otorhinolaryngology Head and Neck Surgery, Daping Hospital, Army Medical University, Chongqing 400042, China.

To explore the application and effect of autologous cartilage in rhinoplasty for patients with traumatic hernia and nasal dysfunction. From January 2017 to April 2019,30 patients with nasal trauma admitted to Department of Otorhinolaryngology Head and Neck Surgery, Daping Hospital, Army Medical University were treated for 6 days to 14 years. All patients were accompanied by different degrees of nasal deformity and nasal ventilatory disorders. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2020.03.006DOI Listing

Pitanguy Ligamentous Flap: A New Method to Prevent Supratip Deformity in Rhinoplasty.

J Craniofac Surg 2020 May/Jun;31(3):731-736

Department of Plastic, Reconstructive and Aesthetic Surgery, Ege University, Faculty of Medicine, Izmir, Turkey.

Background: A supratip deformity (SD) is an iatrogenic convexity that occurs in the cephalic region of the nasal tip. SD is still a major problem after rhinoplasty surgery.

Objectives: With the method we have described a ligamentous flap was used to create a supratip transition, with adjustable sharpness, while the refinements of the tip rotation and definition were ensured. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006261DOI Listing

Safe autologous rib harvest in patients with breast implants; technique and review.

JPRAS Open 2020 Jun 23;24:1-6. Epub 2020 Jan 23.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, TX, United States.

Introduction: Autologous rib harvest is a useful technique for rhinoplasty when septal cartilage is inadequate. For patients who have previously undergone augmentation mammoplasty, however, there is theoretical concern about the risk to breast implant integrity during costal cartilage harvest The true risk to patients and their implants from autologous rib harvest is poorly studied Herein, we review our technique and experience with autologous rib harvest after augmentation mammoplasty.

Method: We performed a retrospective review of patients who underwent autologous rib harvest after augmentation mammoplasty between February 1998 and February 2017 at a tertiary care hospital and private practice. Read More

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http://dx.doi.org/10.1016/j.jpra.2020.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082592PMC

Use of injectables in rhinoplasty retouching: Towards an evolution of surgical strategy? Literature review.

J Stomatol Oral Maxillofac Surg 2020 Mar 20. Epub 2020 Mar 20.

Department of otolaryngology and head and neck surgery, Changeux Building, Simone-Veil hospital, 14, rue de Saint-Prix, 95600 Eaubonne, France.

Background: Surgical revision rate of rhinoplasty is from 5% to 15% in literature.

Objective Of Review: In the context of post-rhinoplasty deformities, we aim to investigate the modalities of using injectables, their impacts on revision rate of rhinoplasty as well as their influences on the surgical strategy.

Type Of Review: We realized an international literature review to collect informations on main studies reporting series of exclusive secondary medical rhinoplasties or mixed primary/secondary medical rhinoplasties, as well as per-operative injection. Read More

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http://dx.doi.org/10.1016/j.jormas.2020.03.008DOI Listing

Costal Cartilage and Costal Perichondrium Sandwich Graft in Septal Perforation Repair.

J Craniofac Surg 2020 Mar 17. Epub 2020 Mar 17.

Department of Otorhinolaryngology, Okmeydani Training and Research Hospital.

Background: Repair of the septal perforation is a challenging procedure and there are many different surgical techniques. In this study, the authors present a novel method which the authors use costal cartilage and costal perichondrium sandwich graft as an interposition graft with bilateral opposing mucoperichondrial flaps.

Patients And Methods: Fourteen patients (5 females, 9 males) underwent septal perforation repair. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006320DOI Listing

Periorbital Emphysema Presenting With Diplopia After Rhinoplasty.

J Craniofac Surg 2020 Mar 17. Epub 2020 Mar 17.

Department of Otorhinolaryngology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Republic of Korea.

Periorbital emphysema is a well-known but very rare complication after rhinoplasty. Here, we present a case of periorbital emphysema presenting with diplopia and eyeball deviation after rhinoplasty. All symptoms disappeared spontaneously within days, without any complications. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006418DOI Listing

Septal Deviation after Septorhinoplasty: Causes and Surgical Management.

Facial Plast Surg 2020 Feb 19;36(1):72-77. Epub 2020 Mar 19.

Department of Otorhinolaryngology - Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Revision rhinoplasty exists because the perfect primary rhinoplasty technique does not. The benefit of revision surgery is that it offers us the opportunity to study and identify what did not work well during previous surgery. Thoughtful approaches to technique and outcomes allow us to recognize which maneuvers are dependable and worth repeating, and which are not reliable and therefore worth avoiding. Read More

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http://dx.doi.org/10.1055/s-0040-1701642DOI Listing
February 2020

Nerve Block for Septorhinoplasty: A Retrospective Observational Study of Postoperative Complications in 24 Hours.

Cureus 2020 Feb 12;12(2):e6961. Epub 2020 Feb 12.

Otolaryngology Head and Neck Surgery, Umm Al-Qura University, Makkah, SAU.

Septorhinoplasty is a surgical procedure that provides functional improvements and esthetic adjustments to the appearance of the nose. Pain is a common postoperative complication, and pain management is known to decrease postoperative complications and total cost. Local anesthetics can cost-effectively decrease postoperative pain scores and reduce analgesic requirements. Read More

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http://dx.doi.org/10.7759/cureus.6961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7067574PMC
February 2020

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study.

J Laryngol Otol 2020 Mar;134(3):247-251

Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Jodhpur, India.

Objectives: The primary goal of rhinoplasty is patient satisfaction and improved quality of life. The present study was conducted to assess patient satisfaction with face and nose appearance, and quality of life after rhinoplasty.

Methods: Patients presenting for rhinoplasty completed the FACE-Q survey. Read More

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http://dx.doi.org/10.1017/S0022215120000638DOI Listing

Filler rhinoplasty based on anatomy: The dual plane technique.

Authors:
Gyu Sik Jung

JPRAS Open 2019 Jun 17;20:94-100. Epub 2019 Apr 17.

GLAD Plastic Surgery Clinic, 31 Dongsung-ro 5-gil, 3rd floor, Jung-gu, Daegu 41941, Republic of Korea.

Filler rhinoplasty is susceptible to spreading because of the way the nose protrudes away from the face. Often, the well-defined appearance immediately after the procedure is poorly maintained, and the nasion area develops a bulbous appearance. Therefore, I developed a "dual plane technique" to prevent spreading and to maintain the desired shape of the filler rhinoplasty. Read More

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http://dx.doi.org/10.1016/j.jpra.2019.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061673PMC

Outcome and Pitfalls of Open Rhinoplasty.

Indian J Otolaryngol Head Neck Surg 2020 Mar 26;72(1):17-23. Epub 2019 Jul 26.

1Department of ENT, Govt. Medical College Jammu, Jammu, India.

The goal of rhinoplasty is to improve the nose aesthetically as well as functionally. Surgical access to the nose can be gained via close rhinoplasty, open rhinoplasty) or a combination of the two. To assess various types of nasal deformities, aesthetic results of open rhinoplasty and pitfalls of open rhinoplasty in patients planned for surgery. Read More

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http://dx.doi.org/10.1007/s12070-019-01712-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040104PMC

Push-Down Technique Without Osteotomy: A New Approach.

Authors:
Güncel Öztürk

Aesthetic Plast Surg 2020 Mar 4. Epub 2020 Mar 4.

Private Practice, Istanbul, Turkey.

Background: Dorsal hump reduction is one of the most frequently performed rhinoplasty operations among white populations. The best method for preserving a natural nasal dorsum and avoiding revision surgery is to perform the push-down technique. The concept of the push-down technique is not new and has been improved over time. Read More

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http://dx.doi.org/10.1007/s00266-020-01660-yDOI Listing

Rhinoplasty Refinements: Addressing the Pollybeak Deformity.

Plast Reconstr Surg 2020 Mar;145(3):696-699

Dallas, Texas; and Coimbatore, India From the Dallas Plastic Surgery Institute; and the Department of Plastic Surgery, Ganga Hospital.

Pollybeak deformity represents one of the most common complications of rhinoplasty that require revision rhinoplasty for correction. This article helps to understand the basis behind the deformity, which helps us to prevent and to treat this deformity. This article and video also reiterate that systematic facial analysis is important to look for imperfections and asymmetries in other parts of the face and show how a chin augmentation is performed to correct microgenia. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006613DOI Listing

The Nonsurgical Rhinoplasty: A Retrospective Review of 5000 Treatments.

Plast Reconstr Surg 2020 Mar;145(3):661-667

London and Birmingham, United Kingdom From Queen Elizabeth Hospital.

Background: Nonsurgical rhinoplasty with injectable dermal fillers has become an increasingly popular alternative to surgical procedures, in view of its relative low cost, convenience and rapid recovery, and low risk profile. The safety and efficacy of nonsurgical rhinoplasty remains a relatively contentious and ambiguous matter, given that there are few large-scale series reporting results or complications. This study reports the experience of a single clinician performing nonsurgical rhinoplasty in the largest cohort to date. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006554DOI Listing

Comparison of Autologous vs Homologous Costal Cartilage Grafts in Dorsal Augmentation Rhinoplasty: A Systematic Review and Meta-analysis.

JAMA Otolaryngol Head Neck Surg 2020 Feb 20. Epub 2020 Feb 20.

Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri.

Importance: Augmentation rhinoplasty requires adding cartilage to provide enhanced support to the structure of the nose. Autologous costal cartilage and irradiated homologous costal cartilage (IHCC) are well-accepted rhinoplasty options. Tutoplast is another alternative cartilage source. Read More

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http://dx.doi.org/10.1001/jamaoto.2019.4787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042943PMC
February 2020

The Efficacy of Oral Celecoxib Following Surgical Rhinoplasty.

Facial Plast Surg Aesthet Med 2020 Mar/Apr;22(2):100-104. Epub 2020 Feb 18.

Department of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

Exploring potential methods of controlling postoperative rhinoplasty pain with non-narcotic medications. To examine the effects of celecoxib in reducing pain and possible opioid consumption after rhinoplasty surgery. This is a prospective cohort study of 51 consecutive patients who had undergone rhinoplasty surgery between July 2018 and May 2019 by a single facial plastic surgeon. Read More

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http://dx.doi.org/10.1089/fpsam.2019.29014.newDOI Listing
February 2020

Complications in Rhinoplasty: A Literature Review and Comparison with a Survey of Consent Forms.

Facial Plast Surg Aesthet Med 2020 Jan/Feb;22(1):50-56

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

Informed consent in rhinoplasty is a challenging process due to the technically demanding surgery with a wide array of potential complications. To underscore the significance of informed consent in rhinoplasty, its complications, and identify gaps in the consent process. Dual search and comparison. Read More

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http://dx.doi.org/10.1089/fpsam.2019.29007.wonDOI Listing
February 2020

Auxiliary usage of botulinum toxin A in plastic surgery in China.

J Cosmet Dermatol 2020 May 13;19(5):1021-1028. Epub 2020 Feb 13.

Department of Plastic and Reconstructive Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Background: Currently, botulinum toxin A (BTA) is mainly used in the treatment of muscle spasms and in cosmetic procedures, and its cosmetic indications are expanding rapidly. There have been sporadic reports focused on the preoperative usage of BTA complementing plastic surgery. We briefly summarize the current experience of BTA complementing plastic surgery in China based on clinical experience. Read More

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http://dx.doi.org/10.1111/jocd.13306DOI Listing

Turn-in Flap: 10 Years' Experience of a Single Institution in Saudi Arabia.

Cureus 2020 Jan 7;12(1):e6593. Epub 2020 Jan 7.

Otolaryngology Head and Neck Surgery, Facial Plastic Division, King Saud University, Riyadh, SAU.

Background and objective Cephalic excision of the lateral crus is the most used procedure in rhinoplasty when attempting to make the nasal tip smaller or narrower to improve the definition. However, due to its several drawbacks as external valve collapse, bossae formation, and alar retraction, a technique, known as the Turn-in flap, has been developed to overcome these complications and to provide better aesthetic and functional nasal tip outcomes. Therefore, we conducted this investigation to determine the long-term outcomes of such procedure. Read More

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http://dx.doi.org/10.7759/cureus.6593DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001133PMC
January 2020

Complications Associated with Medical Tourism for Facial Rejuvenation: A Systematic Review.

Aesthetic Plast Surg 2020 Feb 10. Epub 2020 Feb 10.

Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, New Orleans, LA, 70112, USA.

Background: Medical tourism for cosmetic surgery has become increasingly popular in recent years. The existing literature has identified poor outcomes associated with general cosmetic tourism; however, the complications associated with cosmetic tourism for facial rejuvenation remain poorly understood. The aims of this study are to delineate the risk profile associated with medical tourism for facial rejuvenation. Read More

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http://dx.doi.org/10.1007/s00266-020-01638-wDOI Listing
February 2020

Method of lateral osteotomy to reduce eyelid edema and ecchymosis after rhinoplasty: A meta-analysis.

Laryngoscope 2020 Feb 8. Epub 2020 Feb 8.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Objectives: Although lateral osteotomy is an important part of rhinoplasty, it is known to be closely associated with postoperative eyelid edema and ecchymosis after rhinoplasty. There is no consensus on which osteotomy methods are effective in reducing morbidity from rhinoplasty. This study compared the effects of different osteotomy methods on edema and ecchymosis after lateral osteotomy using a meta-analysis. Read More

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http://dx.doi.org/10.1002/lary.28519DOI Listing
February 2020

Disastrous Complications Following Rhinoplasty: Soft Tissue Defects.

J Craniofac Surg 2020 May/Jun;31(3):809-812

Kahramanmaraş Sütçüimam University School of Medicine, Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras.

Background: Rhinoplasty has become one of the most frequently performed worldwide aesthetic procedures thanks to the successful results obtained by plastic surgeons. In this study, soft tissue defects, encountered as an undesirable and fearsome complication following rhinoplasty, its causes and precautions are presented by authors.

Materials And Methods: Eight patients operated between December 2015 and December 2018 were enrolled in this study. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006185DOI Listing
February 2020

Use of Nasal Implants and Dorsal Modification When Treating the East Asian Nose.

Otolaryngol Clin North Am 2020 Apr 30;53(2):255-266. Epub 2020 Jan 30.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 86 Asanbyeongwon-gil, Songpa-gu, Seoul 05505, South Korea. Electronic address:

Dorsal augmentation and tip surgery are essential procedures for East Asians seeking rhinoplasty, because they generally have thicker skin and poorly developed nasal dorsum and tip. For dorsal augmentation, many Asian surgeons prefer using alloplastic material, like silicone, Gore-Tex, and filler injection, for cost-effectiveness, easy handling, and short operation times. Compared with autologous implant materials, the use of synthetic implant is suggested to be associated with many complications, such as infection, extrusion, and deviation. Read More

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http://dx.doi.org/10.1016/j.otc.2019.12.004DOI Listing

Nasal Septal Abscess Caused by Protrusion of a Dental Implant Into the Nasopalatine Duct: A Case Report.

Ann Otol Rhinol Laryngol 2020 Jun 24;129(6):633-636. Epub 2020 Jan 24.

Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.

Objective: A nasal septal abscess after placement of a dental implant is seldom seen and is usually caused by an infection around the implant. A septal haematoma following dental implantation leading to septal abscess formation has never been reported.

Methods And Results: We present a case of a patient who developed a septal abscess after dental implantation without accompanying signs of infection around the implant. Read More

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http://dx.doi.org/10.1177/0003489420902491DOI Listing

Application of Trans-Areola Approach for Costal Cartilage Harvest in Asian Rhinoplasty and Comparison with Traditional Approach on Donor-Site Morbidity.

Aesthet Surg J 2020 Jan 21. Epub 2020 Jan 21.

Department of Plastic and Aesthetic Surgery, Peking University Third Hospital, Beijing, China.

Background: Traditional approach using chest wall incision for costal cartilage harvest can result in significant donor-site morbidity and usually cause notable scars on Asians. This has become the main concern for Asian females who are seeking rhinoplasty with autologous costal cartilage.

Objectives: To investigate the donor-site morbidity of the trans-areola approach for costal cartilage harvest in Asian rhinoplasty and to compare it with the traditional approach. Read More

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http://dx.doi.org/10.1093/asj/sjaa012DOI Listing
January 2020

Autologous Costal Cartilage Harvest for Rhinoplasty with Simultaneous Breast Surgery: A Safe and Efficient Technique.

Aesthet Surg J 2020 Jan 20. Epub 2020 Jan 20.

Roxbury Clinic and Surgery Center, University of Southern California, Los Angeles, CA.

Background: Autologous costal cartilage is frequently required for revision rhinoplasties and for challenging primary rhinoplasties. Patients undergoing a concomitant breast surgery can have costal cartilage harvested through their breast surgery incisions, thereby obviating an additional rib harvest scar. The safety and efficacy of this approach has yet to be described. Read More

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http://dx.doi.org/10.1093/asj/sjaa016DOI Listing
January 2020

[The clinical study of modified transseptal suturing after septoplasty].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Nov;33(11):1036-1039

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

To study whether modified transseptal suturing could be an alternative to packing after septoplasty. We conducted a prospective randomized controlled trial. The study involved 40 patients who underwent septoplasty. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.11.007DOI Listing
November 2019

Thermal Chondroplasty Technique for Costal Cartilage Harvesting and Contouring.

J Craniofac Surg 2020 May/Jun;31(3):843-846

Department of Otorhinolaryngology, Gazi University School of Medicine, Ankara, Turkey.

Although costal cartilage autograft has versatile usage, harvesting the graft is an invasive procedure with potential risks for complications. Therefore, it is important to make every effort to minimize these risks. Moreover, sculpting costal cartilage to the desired shape is challenging and time-consuming because of the natural rigidity. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006093DOI Listing
January 2020

Prevalence of considering revision rhinoplasty in Saudi patients and its associated factors.

Maxillofac Plast Reconstr Surg 2019 Dec 10;41(1):59. Epub 2019 Dec 10.

2Facial Plastic Division, ENT Department, King Abdulaziz University Hospital, Riyadh, Saudi Arabia.

Background: Primary rhinoplasty outcomes may not meet individual expectations. Consequently, reoperation may be advocated to improve results. This study examines the prevalence of individuals considering revision rhinoplasty, while identifying the main cosmetic and functional complaints and factors associated. Read More

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http://dx.doi.org/10.1186/s40902-019-0237-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6904703PMC
December 2019

Potential Risk of Benign Paroxysmal Positional Vertigo Due To Traumatic Effect of Osteotomy in Septorhinoplasty Patients.

J Oral Maxillofac Surg 2020 Mar 26;78(3):467.e1-467.e6. Epub 2019 Nov 26.

Audiologist, Department of Audiology, Karabuk University Training and Research Hospital, Karabuk, Turkey.

Purpose: We investigated the effect of osteotomy on the vestibular system in septorhinoplasty patients and determined the potential risk of benign paroxysmal positional vertigo (BPPV) in these patients.

Patients And Methods: In the present prospective study, 47 primary septorhinoplasty patients were evaluated as the study group and 50 septoplasty patients as the control group. Osteotomy was performed in all septorhinoplasty patients. Read More

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http://dx.doi.org/10.1016/j.joms.2019.11.018DOI Listing

Closed Rhinoplasty with a Mushroom-Shaped Costal Cartilage Graft in East Asian Patients.

Aesthetic Plast Surg 2020 04 13;44(2):519-526. Epub 2019 Dec 13.

Department of Burn and Plastic Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.

Background: The most challenging part of rhinoplasty is nasal tip management. For East Asian patients with a bulbous under projected nasal tip with thick skin, autologous cartilage is considered the gold-standard graft material to provide strong support to the nasal tip and effectively increase tip projection. The present study aimed to evaluate the outcomes of closed rhinoplasty with a mushroom-shaped costal cartilage graft in East Asian patients. Read More

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http://dx.doi.org/10.1007/s00266-019-01560-wDOI Listing

Non-surgical Rhinoplasty with Hyaluronic acid Fillers: Predictable Results Using Software for the Evaluation of Nasal Angles.

Aesthetic Plast Surg 2019 Dec 12. Epub 2019 Dec 12.

Clinica Grimaldi, S. Giorgio a Cremano, Naples, Italy.

Background: There is a relative lack of evidence on optimal products and techniques for nose treatment with hyaluronic acid (HA) fillers. This study assessed the efficacy and safety of nasal reshaping with Vycross HA fillers, using a free software (Face Master) to measure facial parameters.

Methods: This was a prospective, open-label, single-center study of consecutive adult patients treated in the nose (bony and cartilaginous dorsum and/or columella) with VYC-20 or VYC-17. Read More

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http://dx.doi.org/10.1007/s00266-019-01579-zDOI Listing
December 2019
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Centering a Deviated Nose by Caudal Septal Extension Graft and Unilaterally Extended Spreader Grafts.

Ann Otol Rhinol Laryngol 2020 May 11;129(5):448-455. Epub 2019 Dec 11.

Department of Otolaryngology - Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Objective: The deviated nose presents a tremendous challenge for rhinoplasty surgeons, especially the correction of the cartilaginous dorsum deviation. In this study, we introduce the surgical techniques of correcting a deviated cartilaginous vault by creating a new center of the lower third using a caudal septal extension graft combined with unilaterally extended spreader grafts.

Methods: This retrospective observational study was conducted in a university-based tertiary medical center from December 2014 to January 2018. Read More

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http://dx.doi.org/10.1177/0003489419894617DOI Listing

Clinical Features of Skin Infection After Rhinoplasty with Only Absorbable Thread (Polydioxanone) in Oriental Traditional Medicine: A Case Series Study.

Aesthetic Plast Surg 2020 02 3;44(1):139-147. Epub 2019 Dec 3.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Background: Polydioxanone (PDO) is absorbable thread which is usually used for wound closure and face lifting. These days, PDO thread is used increasingly for aesthetic purposes such as correction of facial wrinkles, laxity and even rhinoplasty in many oriental traditional medicine clinics. As rhinoplasty with PDO thread increases, complications also increase. Read More

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http://dx.doi.org/10.1007/s00266-019-01550-yDOI Listing
February 2020

Surgical Outcomes of Bony Batten Grafting Through Endonasal Septoplasty in the Correction of Caudal Septum Deviation.

Authors:
Ceyhun Aksakal

J Craniofac Surg 2020 Jan/Feb;31(1):162-165

Tokat State Hospital Ear Nose Throat Department, Tokat, Turkey.

Objective: The aim of the present study was to evaluate the efficiency and usefulness of bony batten grafts through endonasal septoplasty in the correction of caudal septum deviations.

Method: In this case-controlled retrospective study, 65 patients who had bony batten graft procedure for the correction of caudal septum deviation using endonasal septoplasty with complete pre-operative and post-operative questionnaire information and complete post-operative follow-up data (an average follow-up period of 24.1 months) in our hospital in September 2013 and August 2018 period were evaluated. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006062DOI Listing

Surgical outcomes and complications of septal extension graft supported by 3D printed polycaprolactone plate.

Laryngoscope 2019 Nov 27. Epub 2019 Nov 27.

Department of Otorhinolaryngology, Chosun University College of Medicine, Gwangju, Korea.

Background: Tip plasty using a septal extension graft (SEG) is useful in the Asian population. However, complications such as decreased tip projection, infection, or deviation are noted post-surgery, and additional support using an SEG is often necessary. We aimed to transplant an additional 3D printed polycaprolactone (PCL) graft to the tip plasty using the SEG to reinforce the SEG. Read More

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http://dx.doi.org/10.1002/lary.28436DOI Listing
November 2019
4 Reads

Primary Cleft Rhinoplasty: Surgical Outcomes and Complications Using Three Techniques for Unilateral Cleft Lip Nose Repair.

J Craniofac Surg 2019 Nov 21. Epub 2019 Nov 21.

Edgardo Rebagliatti Hospital.

Background: This study represents a single surgeon's 10 years of experience addressing unilateral cleft lip and palate nose deformity. The purpose was to compare surgical outcomes and related complications using 3 different techniques to improve nasal shape in primary unilateral cleft rhinoplasty.

Methods: This retrospective study with Institutional Ethical Committee approval compares 3 groups of patients with unilateral cleft lip nose and palate who were operated on using different techniques from 2007 to 2017. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006043DOI Listing
November 2019
0.676 Impact Factor

A Simple Combination Approach for Costal Cartilage Augmentation Rhinoplasty.

J Craniofac Surg 2020 Mar/Apr;31(2):340-342

Department of Plastic and Reconstructive Surgery.

Autologous costal cartilage graft is optimal for augmentation rhinoplasty but with complications including markedly visible graft margins and dorsal contour irregularities. Therefore, the authors introduced the diced costal cartilage graft to smoothen the margins of bilateral spreader graft for nasal dorsum augmentation. A total of 6 patients were recruited for this augmentation rhinoplasty. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006014DOI Listing
November 2019

Functional and Aesthetic Outcomes of Extracorporeal Septoplasty: A Systematic Review and Meta-Analyses.

Ann Otol Rhinol Laryngol 2020 Apr 24;129(4):401-410. Epub 2019 Nov 24.

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Objective: The safety and efficacy of extracorporeal septoplasty (ECS) has long been debated. Our objective was to determine this technique's functional and aesthetic outcomes and complications through a systematic review of the literature.

Data Sources: PubMed/MEDLINE, Embase, Cochrane Library, and Web of Science databases were evaluated for studies detailing functional or aesthetic outcomes of ECS. Read More

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http://dx.doi.org/10.1177/0003489419891450DOI Listing
April 2020
4 Reads

Pyriform Costal Cartilage Graft Improves Cleft-Side Alar Asymmetry in Secondary Cleft Rhinoplasty.

Cleft Palate Craniofac J 2020 May 21;57(5):537-542. Epub 2019 Nov 21.

Physician, Seton Institute of Reconstructive and Plastic Surgery, Seton Family of Hospitals, Austin, TX, USA.

Objective: The asymmetry of a retrusive cleft-side ala positioned posterior, lateral, and inferior relative to the noncleft ala is exacerbated by ipsilateral deficiency of the pyriform aperture. We describe use of pyriform costal cartilage grafts for enhanced structural foundation and alar symmetry in secondary cleft rhinoplasty.

Design: Retrospective case series. Read More

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http://dx.doi.org/10.1177/1055665619882558DOI Listing

The Role of a Resident Aesthetic Clinic in Addressing the Trainee Autonomy Gap.

Aesthet Surg J 2020 Apr;40(5):NP301-NP311

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.

Background: Our institution supports a chief resident aesthetic clinic with the goal of fostering autonomy and preparedness for independent practice in a safe environment.

Objectives: The aim of this study was to compare safety profiles and costs for common aesthetic procedures performed in our resident versus attending clinics.

Methods: A retrospective review was conducted of all subjects presenting for aesthetic face, breast, and/or abdominal contouring surgery at our institution from 2008 to 2017. Read More

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http://dx.doi.org/10.1093/asj/sjz324DOI Listing

Falconry graft: a predictable technique to restore soft triangle defects in rhinoplasty.

Int J Oral Maxillofac Surg 2019 Nov 9. Epub 2019 Nov 9.

Division of Oral and Maxillofacial Surgery, Department of Surgery, Islamic Azad University, Tehran, Iran.

The nasal soft triangles are extremely vulnerable subunits of the nose that are prone to severe unaesthetic deformities. A technique to overcome these problems, comprising an effective simple modification of the shield graft, is presented. Using this technique, many existing soft triangle deformities, notches, and defects are easily restored. Read More

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http://dx.doi.org/10.1016/j.ijom.2019.06.031DOI Listing
November 2019

Nasal Reconstruction With Two Stages Versus Three Stages Forehead Fap: What is Better for Patients With High Vascular Risk?

J Craniofac Surg 2020 Jan/Feb;31(1):e57-e60

Department of Surgery "Pietro Valdoni," Plastic Surgery Unit, Sapienza University of Rome, Rome.

In nasal reconstruction, it is necessary to replace all anatomic layers in order to reinstate correct aesthetics. The most apt donor site to use in order to cover the nose has been recognized as forehead skin. Traditionally 2 phases are required to reconstruct the forehead flap; however, an intermediate third phase was described by Millard which is between transfer of the flap and division of the pedicle. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005894DOI Listing