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    2059 results match your criteria Complications of Rhinoplasty

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    One-Stage Treatment for Adult Patients With Crouzonoid Appearance by Orthognathic and Face Contouring Surgery.
    J Craniofac Surg 2017 May 19. Epub 2017 May 19.
    *Department of Plastic and Reconstructive Surgery, Seoul National University Hospital †Ever Plastic Surgery Clinic, Seoul, Korea.
    Crouzon syndrome is a rare genetic disorder with autosomal-dominant inheritance that shows a triad of hallmark characteristics: craniosynostosis, exophthalmos, and midface retrusion. General treatment protocol for patients with Crouzon syndrome has already been established, but there is no standard treatment strategy for adult patients with Crouzonoid appearance. The authors present clinical patients of 1-stage orthognathic and face contouring surgery to achieve functional and aesthetic improvement. Read More

    Surgical Outcomes of Bony Batten Grafting to Correct Caudal Septal Deviation in Septoplasty.
    JAMA Facial Plast Surg 2017 May 18. Epub 2017 May 18.
    Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
    Improtance: Correction of caudal septal deviation with a batten graft has been popularized recently. However, few reports have documented the surgical outcomes of this technique, especially the use of bony batten grafts in septoplasty.

    Objective: To evaluate the surgical outcomes of bony batten grafting for the management of caudal septal deviation in endonasal septoplasty. Read More

    Update on injectables in the nose.
    Curr Opin Otolaryngol Head Neck Surg 2017 May 13. Epub 2017 May 13.
    aPerelman School of Medicine bDepartment of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
    Purpose Of Review: The use of injectable fillers for nonsurgical rhinoplasty has increased tremendously over the past decade. This review describes the most commonly used fillers and their indications in the context of recent reports of both their successes and failures.

    Recent Findings: Hyaluronic acid and calcium hydroxylapatite are the two most commonly used fillers for injection. Read More

    Incidence and Preoperative Risk Factors for Major Complications in Aesthetic Rhinoplasty: Analysis of 4978 Patients.
    Aesthet Surg J 2017 May 1. Epub 2017 May 1.
    Drs Layliev and Kaoutzanis are Plastic Surgery Fellows, Mr. Kumar is a Medical Student, and Drs Gupta and Higdon are Assistant Professors, Department of Plastic Surgery, Vanderbilt University, Nashville, TN, USA. Dr Winocour is a Plastic Surgery Fellow, Division of Plastic Surgery, University of California Los Angeles (UCLA), Los Angeles, CA, USA. Dr Grotting is a Clinical Professor, Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA; and CME/MOC Section Editor for Aesthetic Surgery Journal.
    Background: Rhinoplasty remains one of the most common aesthetic procedures performed in the United States. Current literature on rhinoplasty complications is inconclusive and is based on retrospective reviews and small cohorts.

    Objectives: The purpose of this study was to examine the incidence and identify predictive risk factors for major complications following rhinoplasty alone or in combination with other aesthetic operations in a large, prospective, multicenter database study. Read More

    Educational Cadaveric Module for Teaching Percutaneous and Intranasal Osteotomies in Rhinoplasty.
    Otolaryngol Head Neck Surg 2017 Apr 1:194599817706328. Epub 2017 Apr 1.
    1 Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.
    Lateral osteotomies are essential to rhinoplasty and are performed through percutaneous or intranasal approaches. Both techniques are difficult to teach as they rely on tactile feedback. Thus, it is critical to understand trainee learning curves to minimize complications. Read More

    A Case Report and Systematic Review of Eosinophilic Angiocentric Fibrosis of the Paranasal Sinuses.
    Ann Otol Rhinol Laryngol 2017 May 1;126(5):415-423. Epub 2017 Mar 1.
    3 University of Pittsburgh Department of Otolaryngology, Pittsburgh, Pennsylvania, USA.
    Objective: There is a paucity of literature discussing prognostic factors or comparing outcomes in eosinophilic angiocentric fibrosis (EAF). This review aims to analyze tumor and patient characteristics as possible prognostic markers and compare surgical approaches.

    Methods: Systematic literature review and case report analyzing available cases of EAF located within the paranasal sinuses. Read More

    Dorsal Augmentation with Homologous Rib.
    Facial Plast Surg 2017 Apr 7;33(2):195-201. Epub 2017 Apr 7.
    Facial Plastic Surgery Associates,6655 Travis Street, Suite 900, Houston, Texas.
    Dorsal augmentation grafts are used to reconstruct and raise the nasal dorsum in patients with dorsal saddling due to trauma, infection, or previous nasal surgery, as well as in patients with a narrow, congenitally low, and/or wide dorsum. Alloplastic implants and various biomaterials are available for grafting, each with advantages and disadvantages. Although autologous septal cartilage is a preferable and often convenient source of cartilage, it is frequently not sufficient for large volume dorsal augmentation, nor is it available in patients who have had septoplasty, infection, previous rhinoplasty with grafting, or significant trauma. Read More

    Osteoplasty in Crooked Nose Deformity: A Novel Approach.
    Aesthetic Plast Surg 2017 Jun 24;41(3):628-636. Epub 2017 Mar 24.
    Department of Otorhinolaryngology, Alaca State Hospital, Alaca, Corum, Turkey.
    Background: Crooked nose deformity is one of the most difficult issues to correct by rhinoplasty, as it can result in undesired late sequelae. Revision rates are often high, and numerous operational techniques have been tested. This study describes a crooked nose rhinoplasty technique that reduces the need for a double osteotomy in the long nasal bone. Read More

    Revision Functional Surgery: Salvaging Function.
    Facial Plast Surg Clin North Am 2017 May 21;25(2):251-262. Epub 2017 Feb 21.
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 55 Francisco Street, Suite 705, San Francisco, CA 94103, USA; Private Practice, Facial Plastic and Reconstructive Surgery, 55 Francisco Street, Suite 705, San Francisco, CA 94133, USA. Electronic address:
    Reduction rhinoplasty techniques include maneuvers that weaken the nasal osseocartilaginous framework. The structurally compromised anatomy remaining after reductive surgery may be left with inadequate strength to withstand postoperative contractile forces. Significant aesthetic and functional deformities requiring revision rhinoplasty may develop. Read More

    Intermediate osteotomies in rhinoplasty: a new perspective.
    Eur Arch Otorhinolaryngol 2017 Mar 23. Epub 2017 Mar 23.
    Department of Otolaryngology, Head and Neck Surgery, CUF Infante Santo Hospital, Lisbon, Portugal.
    The nasal dorsum framework plays a major role in nasal and facial harmony. This study presents a new approach to an already known technique, intermediate osteotomies, which can be used routinely in patients with cosmetically unpleasant changes in eyebrow-tip line features, allowing the acquisition of a natural, aesthetically agreeable and harmonious dorsum contour, while preserving nasal function. The approach was evaluated retrospectively in 50 consecutive patients at a tertiary referral hospital. Read More

    Autologous vs Irradiated Homologous Costal Cartilage as Graft Material in Rhinoplasty.
    JAMA Facial Plast Surg 2017 May;19(3):183-188
    Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul, Korea.
    Importance: Studies comparing surgical results of rhinoplasty using autologous costal cartilage (ACC) and irradiated homologous costal cartilage (IHCC) are rare.

    Objectives: To compare the clinical results of major augmentation rhinoplasty using ACC vs IHCC and analyze the histologic properties of both types of cartilage.

    Design, Setting, And Participants: A retrospective clinical study was conducted among patients who had undergone rhinoseptoplasty using ACC or IHCC from January 1, 2009, to December 31, 2014. Read More

    Donor site morbidities resulting from conchal cartilage harvesting in rhinoplasty.
    J Laryngol Otol 2017 Jun 20;131(6):529-533. Epub 2017 Mar 20.
    Department of Otorhinolaryngology,Asan Medical Centre,Seoul,South Korea.
    Objective: Conchal cartilage is frequently used in rhinoplasty, but donor site morbidity data are seldom reported. This study aimed to investigate the complications of conchal cartilage harvesting in rhinoplasty.

    Methods: A retrospective chart review of 372 patients who underwent conchal cartilage harvesting for rhinoplasty was conducted. Read More

    Analysis of a Resident Aesthetic Clinic: Process for Rhinoplasty, Resident Experience, and Patient Satisfaction.
    Ann Plast Surg 2017 May;78(5 Suppl 4):S175-S179
    From the Division of Plastic Surgery, Department of Surgery, UC San Diego Medical Center, San Diego, CA.
    Goals/purpose: Plastic surgery residents often desire additional training in rhinoplasty than what is provided by their residency program. The goal of this study was to define and evaluate a specific process used to structure preoperative, intraoperative, and postoperative protocols for rhinoplasty patients in the resident aesthetic clinic (RAC) to enhance qualitative and quantitative experience. Complication rates and patient/resident satisfaction scores were also examined. Read More

    Two Cases of Adverse Reactions of Hyaluronic Acid-based Filler Injections.
    Plast Reconstr Surg Glob Open 2016 Dec 7;4(12):e1112. Epub 2016 Dec 7.
    Maxillofacial Surgery of the Third Hospital Affiliated to Fourth Military Medical University, Xi'an, China; Department of Industrial Engineering, Xidian University, Xi'an, China; and Cosmetic Surgery of Xijing Hospital, Fourth Military Medical University, Xi'an, China.
    Hyaluronic acid (HA) is one of the natural components of the human body with high biocompatibility, biodegradability, and nonimmunogenicity, which makes it the ideal biomedical filling agent currently available. However, for many medical practitioners, HA filler injections remain a relatively new item to carry out. Learning while practicing, it is inevitable to encounter some difficulties and adverse reactions in its application. Read More

    Cartilage suspension using a poly (lactic-co-glycolic) acid system.
    J Plast Reconstr Aesthet Surg 2017 Feb 17. Epub 2017 Feb 17.
    Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. Electronic address:
    Background: This study aims to determine whether a bar-like implant made of poly lactic-co-glycolic acid (PLGA) could be used for cartilage suspension and whether the implant would be suitable for rhinoplasty.

    Methods: Three types of in vivo animal experiments were performed. First, the ear cartilage was incised in a full-thickness pattern, and the PLGA system was placed between the upper and lower cartilage to offer support to the tissue. Read More

    The effect of smoking on perforation development and healing after septoplasty.
    Am J Rhinol Allergy 2017 Jan;31(1):63-65
    Background: The relationship between septal perforation and smoking (of cigarettes) was not previously studied in patients who underwent septoplasty.

    Objective: To evaluate the effect of smoking on nasal septal perforation development and the postoperative healing process in patients who underwent septoplasty.

    Methods: Medical records of patients who underwent septoplasty procedures between January 2010 and December 2014 were retrospectively reviewed. Read More

    New application of three-dimensional printing biomaterial in nasal reconstruction.
    Laryngoscope 2017 May 1;127(5):1036-1043. Epub 2017 Feb 1.
    Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
    Objectives: Polycaprolactone (PCL) is an U.S. Food and Drug Administration-approved synthetic biodegradable polymer and is easily fabricated into three-dimensional (3D) structures. Read More

    Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary.
    Otolaryngol Head Neck Surg 2017 Feb;156(2):205-219
    17 Department of Research and Quality, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.
    Objective Rhinoplasty, a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway, ranks among the most commonly performed cosmetic procedures in the United States, with >200,000 procedures reported in 2014. While it is difficult to calculate the exact economic burden incurred by rhinoplasty patients following surgery with or without complications, the average rhinoplasty procedure typically exceeds $4000. The costs incurred due to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work. Read More

    Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty.
    Otolaryngol Head Neck Surg 2017 Feb;156(2_suppl):S1-S30
    17 Department of Research and Quality, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.
    Objective Rhinoplasty, a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway, ranks among the most commonly performed cosmetic procedures in the United States, with >200,000 procedures reported in 2014. While it is difficult to calculate the exact economic burden incurred by rhinoplasty patients following surgery with or without complications, the average rhinoplasty procedure typically exceeds $4000. The costs incurred due to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work. Read More

    Novel use of an ultrasonic bone aspirator for extended endoscopic frontal sinusotomy: A feasibility study.
    Am J Rhinol Allergy 2016 Nov;30(6):443-447
    Division of Otolaryngology, George Washington University Medical Center, Washington, D.C., USA.
    Introduction: Extended endoscopic frontal sinusotomy is often required for surgical management of anterior skull base pathology. Such approaches are necessary for access to pathology and maintenance of postoperative frontal sinus outflow tract drainage. Cold steel instrumentation and endoscopic high-speed microdrills are typically used for bony removal during extended frontal sinus approaches but are associated with certain drawbacks, such as thermal injury and obscuration of the surgical field with bone dust. Read More

    Open versus endoscopic septoplasty techniques: A systematic review and meta-analysis.
    Am J Rhinol Allergy 2016 Nov;30(6):436-442
    Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
    Background: Septal deviation is a condition of high prevalence, which ranges from 22% in newborns to 90% in adults. Surgical intervention is frequently considered in the management of patients with symptoms. Although many surgeons prefer either the endoscopic or the open approach to septoplasty, there is an ongoing debate regarding comparative outcomes between the two approaches. Read More

    Necrotizing Fasciitis in Aesthetic Surgery: A Review of the Literature.
    Aesthetic Plast Surg 2017 Apr 7;41(2):352-358. Epub 2017 Jan 7.
    Dipartimento di Chirurgia Plastica Ricostruttiva, I.R.C.C.S. Policlinico San Donato, Università degli Studi di Milano, Via Morandi, 30, 20097, San Donato Milanese, Milan, Italy.
    Introduction: Necrotizing fasciitis (NF) is a rare, potentially fatal, infective complication that can occur after surgery. Diagnosis is still difficult and mainly based on clinical data. Only a prompt pharmacological and surgical therapy can avoid dramatic consequences. Read More

    Rhinoplasty Complications and Reoperations: Systematic Review.
    Int Arch Otorhinolaryngol 2017 Jan 22;21(1):97-101. Epub 2016 Sep 22.
    Ophthalmology and Otorhinolaryngology, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
    Introduction This article is related to complications of rhinoplasty and its main causes of reoperations. Objectives The objective of this study is to perform a systematic review of literature on complications in rhinoplasty. Data Synthesis The authors conducted a survey of articles related to key terms in the literature by using three important databases within 11 years, between January 2002 and January 2013. Read More

    Dome Division: A Viable Technique Today?
    Facial Plast Surg 2016 Dec 29;32(6):664-670. Epub 2016 Dec 29.
    Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata," Rome, Italy.
    Dome division can still be regarded as a valid surgical procedure today in some particular cases of revision rhinoplasty where the scarring is so extensive as to make precise isolation of the alar cartilages impossible. The presence of asymmetry of the nasal tip, a recurrent feature in the results of rhinoplasty, constitutes the primary indication, as division makes it immediately possible to restore balance between the two domes in such cases. The technique also proves useful in cases of overprojection of the tip as a result of rhinoplasty. Read More

    Treatment Strategy for Revision Rhinoplasty in Asians.
    Facial Plast Surg 2016 Dec 29;32(6):615-619. Epub 2016 Dec 29.
    Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, The Republic of Korea.
    Revision rhinoplasty in Asian patients is associated with problems related to the use of grafts or implant materials. Moreover, the septal cartilage of Asian individuals is generally weak and small, which makes it particularly vulnerable to injury or secondary deformity during primary surgery. Hence, there is an increased demand for major reconstruction of the septal cartilage framework during revision surgery in Asian patients. Read More

    Iatrogenic Through-and-Through Conchal Defect Secondary to Auricular Cartilage Graft.
    Aesthetic Plast Surg 2017 Feb 28;41(1):56-59. Epub 2016 Dec 28.
    Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, 20, Geonji-ro, Deokjin-Gu, Jeonju-si, 561-712, Republic of Korea.
    Background: Over the past few years, conchal cartilage has been most often used in rhinoplasty. The donor site complications following conchal cartilage graft harvesting are scar formation, hematoma formation, and delayed wound healing, although hematoma is one of the most important and common complications. A complete conchal defect as a complication of auricular cartilage graft harvesting has not been previously reported in the literature. Read More

    A Practical Technique for Reduction of the Bony Nasal Dorsum Height Using Kazanjian Bone-Cutting Forceps.
    Aesthetic Plast Surg 2017 Feb 28;41(1):126-134. Epub 2016 Dec 28.
    Plastik Rekonstrüktif ve Estetik Cerrahi Kliniği, Kayseri Eğitim ve Araştırma Hastanesi, Sanayi Mahallesi, Atatürk Bulvarı, Hastane Caddesi, No: 78, 38010, Kocasinan, Kayseri, Turkey.
    Background: Resection of the nasal hump is one of the most critical steps of the rhinoplasty procedure, which is quite prone to complications when performed improperly or inappropriately. In this article, a practical, facile and minimally traumatic hump resection technique using Kazanjian bone-cutting forceps is presented with excellent cosmetic and functional results.

    Methods: Fifty-seven consecutive primary (septo-)rhinoplasty patients with wide nasal bases, and various sizes of nasal humps, were enrolled in the study. Read More

    Base Nasal Bone Resection versus Oblique Nasal Bone Resection: A Comparative Study of the Outcomes for the Deviated Nose.
    Plast Reconstr Surg 2017 Jan;139(1):29e-37e
    Konya, Turkey From the Department of Plastic and Reconstructive and Aesthetic Surgery, Faculty of Meram Medicine, Necmettin Erbakan University.
    Background: The aim of this study was to compare the techniques used for resection of the long side of the base and the top of the bone based on the patient's perspective, surgeon's approach, aesthetic results, complications, and need for secondary surgery in patients with asymmetric nasal bones. This study also aimed to determine the perspective of another plastic surgeon who did not perform rhinoplasty in comparison with the perspective of the primary plastic surgeon.

    Methods: One hundred sixty-six patients with nasal bone asymmetry between 2010 and 2015 were included in this study. Read More

    Pediatric rhinoplasty: A discussion of perioperative considerations and systematic review.
    Int J Pediatr Otorhinolaryngol 2017 Jan 26;92:11-16. Epub 2016 Oct 26.
    Department of Otolaryngology - Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI, USA; Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI, USA.
    Objectives: Pediatric rhinoplasty has traditionally raised numerous concerns, including its impact on growth as well as the psychological sequelae of undergoing a potentially appearance-altering procedure. Our objective was to critically evaluate available individual patient data relevant to pediatric rhinoplasty, and further discuss perioperative considerations.

    Methods: A systematic review was conducted using PubMed/MEDLINE databases. Read More

    Skin Burn Related to Coblation-Assisted Turbinoplasty.
    J Craniofac Surg 2016 Nov;27(8):e724-e726
    Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
    Coblation-assisted turbinoplasty is an effective and safe method to manage nasal obstruction. The common complications of the procedure are pain, bleeding, and crust formation. Since coblation does not generate high heat, direct burn injuries by coblation have been rarely reported. Read More

    Intracranial Nasal Dermoid Sinus Cyst: Transnasal Endoscopic Resection by Open Rhinoplasty Approach, With Intraoperative Video.
    J Craniofac Surg 2016 Nov;27(8):2110-2112
    Department of Otorhinolaryngology, Head and Neck Surgery, Solingen Municipal Hospital, Solingen, Germany.
    Nasal dermoid sinus cysts are rare congenital lesions that may lead to recurrent soft tissue infections and severe intracranial complications. In case of an intracranial extension, the traditional surgical approach includes a frontal craniotomy with significant morbidity. As a less invasive alternative, a transnasal endoscopic approach has been recommended. Read More

    Nasal Reshaping with Hyaluronic Acid: An Alternative or Complement to Surgery.
    Plast Reconstr Surg Glob Open 2016 Nov 28;4(11):e1120. Epub 2016 Nov 28.
    Akademikliniken, Stockholm, Sweden.
    Background: Rhinoplasty has traditionally been preferred for correction of nasal defects. Long-term clinical experience with hyaluronic acid (HA) injection as an alternative or complement to rhinoplasty is presented.

    Methods: A retrospective review of the author's clinical experience with HA gel for nasal reshaping from 1997 to 2012 was conducted, with treatments performed during 1998, 2005, and 2012 selected for detailed review. Read More

    Nasal Airway Evaluation After Le Fort I Osteotomy Combined With Septoplasty in Patients With Cleft Lip and Palate.
    J Craniofac Surg 2017 Jan;28(1):207-211
    *Department of Otorhinolaryngology, The Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine †Department of Plastic Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine ‡Department of Oral and Maxillofacial Surgery, The Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
    Septal deviation constitutes an important component of both esthetic deformity and airway compromise in patients with cleft lip and palate (CLP). The posterior parts of the nasal septum presented greater deviation than the anterior parts in patients with complete unilateral CLP. Le Fort I down-fracture provides better access to the nasal septum than intranasal incision during rhinoplasty, especially to the posterior part. Read More

    Nasolabial and forehead flap reconstruction of contiguous alar-upper lip defects.
    J Plast Reconstr Aesthet Surg 2017 Mar 11;70(3):330-335. Epub 2016 Nov 11.
    Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan. Electronic address:
    Background: Defects of the nasal ala and upper lip aesthetic subunits can be challenging to reconstruct when they occur in isolation. When defects incorporate both the subunits, the challenge is compounded as subunit boundaries also require reconstruction, and local soft tissue reservoirs alone may provide inadequate coverage. In such cases, we used nasolabial flaps for upper lip reconstruction and a forehead flap for alar reconstruction. Read More

    Simple Correction of Alar Retraction by Conchal Cartilage Extension Grafts.
    Arch Plast Surg 2016 Nov 18;43(6):564-569. Epub 2016 Nov 18.
    Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
    Background: Alar retraction is a challenging condition in rhinoplasty marked by exaggerated nostril exposure and awkwardness. Although various methods for correcting alar retraction have been introduced, none is without drawbacks. Herein, we report a simple procedure that is both effective and safe for correcting alar retraction using only conchal cartilage grafting. Read More

    Unique Clinical Aspects of Nasal Scarring.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):45-54
    UC Irvine Department of Head & Neck Surgery, 101 The City Drive South, Orange, CA 92868, USA. Electronic address:
    Various methods are available for refining scars of the external nose and optimal scar revision frequently requires the utilization of multiple techniques. Differing anatomy of nasal subunits and their underlying structural framework limit surgical options in nasal scar revision compared with other areas of the face. An understanding of a variety of laser technologies and their specific applications can vastly aid in fine, controlled scar revision. Read More

    The comparison of the quality of life and intranasal edema between the patients with or without nasal packing after septoplasty.
    Eur Arch Otorhinolaryngol 2017 Mar 24;274(3):1551-1555. Epub 2016 Nov 24.
    Ear Nose Throat-Head and Neck Surgery Department, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
    Septoplasty is one of the most common operations performed in otolaryngology and anterior nasal packing is done routinely to prevent postoperative bleeding, septal hematoma or nasal synechia. Currently, transseptal sutures have gained a broader application area, not only for preventing the complications such as septal hematoma and bleeding but also closing any accidental tears of septal mucosa and providing additional support for the cartilage pieces retained in septoplasty. We evaluated the quality of life of the patients in early postoperative period (in the first postoperative week), intranasal edema with endoscopic examination and the intranasal changes with acoustic rhinometry. Read More

    Postoperative Edema Resolution following Rhinoplasty: A Three-Dimensional Morphometric Assessment.
    Plast Reconstr Surg 2016 Dec;138(6):973e-979e
    New Haven, Conn. From the Department of Plastic and Reconstructive Surgery, Yale University.
    Background: The final result of rhinoplasty may be masked for several months after surgery because of postoperative edema; however, no objective evidence supports this time estimate. The purpose of this study was to three-dimensionally quantify the decrease in postsurgical nasal edema following rhinoplasty over the first postoperative year.

    Methods: This was a retrospective, three-dimensional, morphometric study of primary, open rhinoplasty patients. Read More

    [Treatment with the use of microcurrent lymphatic drainage physiotherapy during the postoperative period following rhinoplastic surgery].
    Vestn Otorinolaringol 2016;81(5):50-53
    'Art Plastic' Clinic, Moscow, Russia, 123308.
    The objective of the present study was to evaluate the effectiveness of the combined treatment of the patients who had undergone either primary or secondary rhinoplastic surgery with the use of photo- and magnetic therapy in comparison with the effectiveness of phototherapy in the combination with microcurrent therapy. The patients were divided into four groups depending on the type of the surgical intervention and the mode of the combined physiotherapeutic treatment. All the patients were given combined physiotherapeutic treatment in addition to the standard pharmacotherapy starting from the second day of the postoperative period. Read More

    Clinical application of suction-tube-assisted septal submucosal dissection for endoscopic septoplasty.
    Eur Arch Otorhinolaryngol 2017 Mar 4;274(3):1471-1475. Epub 2016 Nov 4.
    Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
    Endoscopic septoplasty has become the favored approach for the treatment of a deviated septum. Careful septal dissection results in less bleeding, clear endoscopic view, shortened operative time, and fewer postoperative complications. We describe our 5-year experience of using an 8 French Frazier suction tube for submucosal dissection compared with the traditional septoplasty. Read More

    A systematic review of patient-reported outcome measures after rhinoplasty.
    Eur Arch Otorhinolaryngol 2017 Apr 31;274(4):1807-1811. Epub 2016 Oct 31.
    Plastic and Reconstructive Surgery Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy.
    The literature still lacks a review regarding PROs applied for rhinoplasty. Thus, we performed a systematic review of the literature to identify PROMs that assess patient satisfaction and quality of life after rhinoplasty. The aim of our study was to identify existing questionnaires and to summarize their development, psychometric properties, and content. Read More

    Nasal septum configuration as a basis for novel septal splints.
    Eur Arch Otorhinolaryngol 2017 Mar 31;274(3):1455-1462. Epub 2016 Oct 31.
    Department of Otorhinolaryngology, Regensburg University Hospital, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
    The objective is to use anatomical determinations of nasal septum shape and surface area in adults as a design basis for silastic septal splints of universal size and fit and offering maximum possible surface coverage. The objective is also to devise a method of securing the septal splints, so that surface pressure on septal mucosa is distributed as evenly as possible while not interfering with capillary perfusion. Nasal septum area was determined in 21 Caucasian body donors, and nasal septum thickness was measured in 20 CT scans. Read More

    Is the location of a septal deviation associated with the degree of postoperative pain after septoplasty?
    Ear Nose Throat J 2016 Oct-Nov;95(10-11):E37-E39
    Department of Otorhinolaryngology, Mustafa Kemal University, Hatay, 31100, Turkey.
    The author conducted a prospective study of patients who underwent septoplasty for nasal obstruction secondary to a septal deviation to determine if the location of the deviation had any association with the degree of postoperative pain. Patients with an anteroposterior deviation were not included in this study, nor were patients with vasomotor rhinitis, allergic rhinitis, nasal polyposis, turbinate pathologies, or a systemic disease; also excluded were patients who were taking any medication and those who had undergone any previous nasal surgery. The final study population included 140 patients, who were divided into two groups on the basis of the location of their deviation. Read More

    Subcutaneous nasal angioleiomyoma: Case of a rare tumor and review of the literature.
    Ear Nose Throat J 2016 Oct-Nov;95(10-11):E23-E25
    Division of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University College of Medicine, 500 University Dr., H091, Hershey, PA 17033, USA.
    We describe the case of a 46-year-old woman with a rare presentation of angioleiomyoma of the subcutaneous nasal tissue. The patient presented with pain and severe nasal obstruction. Her nasal deformity was sufficient to indicate an external rhinoplasty for both extirpation of the tumor and reconstruction of the defect with cartilage grafts. Read More

    Intracranial Nasal Dermoid Sinus Cyst: Transnasal Endoscopic Resection by Open Rhinoplasty Approach, With Intraoperative Video.
    J Craniofac Surg 2016 Oct 27. Epub 2016 Oct 27.
    Department of Otorhinolaryngology, Head and Neck Surgery, Solingen Municipal Hospital, Solingen, Germany.
    Nasal dermoid sinus cysts are rare congenital lesions that may lead to recurrent soft tissue infections and severe intracranial complications. In case of an intracranial extension, the traditional surgical approach includes a frontal craniotomy with significant morbidity. As a less invasive alternative, a transnasal endoscopic approach has been recommended. Read More

    Reshaping of the Anterior Nasal Spine: An Important Step in Rhinoplasty.
    Plast Reconstr Surg Glob Open 2016 Sep 23;4(9):e1026. Epub 2016 Sep 23.
    Department of Maxillo-Facial Surgery, Chieti Hospital, Chieti, Italy; Department of Maxillo-Facial Surgery, Nostra Signora della Mercede Clinic, Rome, Italy; and Department of Plastic and Reconstructive Surgery, University of Tor Vergata, Rome, Italy.
    The importance of analysis of the nasal spine should not be underestimated in the correct planning of rhinoplasty. Deformations in position with respect to the midline and/or in size are often present, and their correction to ensure harmony between the spine and the other components of the nasal pyramid constitutes a key step in rhinoplasty that can lead to excellent results.

    Methods: The study includes 160 patients who underwent surgical treatment of the anterior nasal spine with or without other techniques of nasal reshaping. Read More

    Diced Cartilage in Fascia for Major Nasal Dorsal Augmentation in Asians: A Review of 15 Consecutive Cases.
    Aesthetic Plast Surg 2016 Dec 17;40(6):832-839. Epub 2016 Oct 17.
    Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, Korea.
    Background: Warping remains a primary issue in the use of autologous costal cartilage for nasal augmentation. To mitigate such issues, diced cartilage in fascia (DCIF) has been proposed as an alternative for use in rhinoplasty. The objective of this study was to assess the efficacy of DCIF in nasal dorsal augmentation for Asian patients, with particular focus on the strengths and weaknesses of this material. Read More

    Auto-Rim Flap Technique for Lateral Crura Caudal Excess Treatment.
    Aesthet Surg J 2017 Jan 30;37(1):24-32. Epub 2016 Sep 30.
    Dr Çakır is a plastic surgeon in private practice in İstanbul, Turkey. Dr Küçüker is an Assistant Professor, Department of Plastic, Reconstructive, and Aesthetic Surgery, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey. Dr Aksakal is a Plastic Surgeon, Department of Plastic, Reconstructive, and Aesthetic Surgery, Samsun Education and Research Hospital, Samsun, Turkey. Dr Sağır is a Plastic Surgeon, Department of Plastic, Reconstructive, and Aesthetic Surgery, Fulya Acıbadem Hospital, İstanbul, Turkey.
    Background: There are many variables that influence nose tip harmony. Even in a rhinoplasty that appears successful in profile, one may see nostril asymmetries, alar retractions, or irregularities in the soft triangle, and patients express their dissatisfaction with these simple deformities.

    Objectives: In this study, we define the ratio of caudal and cephalic excess of the lower lateral cartilage. Read More

    Modified Endonasal Tongue-in-Groove Technique.
    Facial Plast Surg 2016 Oct 28;32(5):569-75. Epub 2016 Sep 28.
    Department of Otolaryngology - Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.
    Unlabelled: Achieving stable and desirable changes in tip rotation (TR) and tip projection (TP) is among the primary goals of modern day rhinoplasty. The tongue-in-groove (TIG) technique is one technique in rhinoplasty used to improve TR and/or TP. Performing TIG endonasally using a permanent suture can be quite cumbersome as the suture needs to be buried under the skin. Read More

    Nonsurgical Rhinoplasty.
    Facial Plast Surg 2016 Oct 28;32(5):500-6. Epub 2016 Sep 28.
    Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
    "Nonsurgical rhinoplasty" refers to the use of injectable temporary fillers used to augment select areas of the nose to achieve improved appearance or function in select patients. Nonpermanent fillers can be used safely and must be properly chosen based on their properties and the desired effect. In addition to proper patient and product selection, a thorough understanding of nasal anatomy, analysis of the deformity, and recommended injection techniques are absolutely necessary to obtain good outcomes and avoid complications. Read More

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