279 results match your criteria Nasal Reconstruction Principles and Techniques

Nose Reconstruction Using Local and Regional Flaps: The Challenges and Advantages.

J Cutan Aesthet Surg 2021 Jan-Mar;14(1):77-83

Department of Plastic Surgery, Ramaiah Medical College, Bengaluru, Karnataka, India.

Background: Nose is a central structure in midface. It has an important function in maintaining the aesthesis of the face. The three-dimensional (3D) structure of the nose is challenging to reconstruct. Read More

View Article and Full-Text PDF

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

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

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

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

View Article and Full-Text PDF
February 2021

[Birth of rhinoplasty in the West].

Y Jallut J Bardot

Ann Chir Plast Esthet 2021 Apr 25;66(2):107-114. Epub 2021 Feb 25.

38, rue de la Neste, 65150 Saint-Paul, France.

The birth of rhinoplasty in the West was driven by a great demand for reconstruction of noses destroyed voluntarily or not, post-traumatic or medical. Two men emerge strongly through their work and writings: Gaspare Tagliacozzi for the brachial flap and Joseph Carpue for the frontal flap. Both of them describe a different method but based on the same skin flap principles. Read More

View Article and Full-Text PDF

Bilateral Complete Cleft Lip Repair: A Step-by-Step Video Series.

Plast Reconstr Surg 2020 12;146(6):1352-1356

From the Department of Plastic and Reconstructive Surgery, the Craniofacial Research Center, the Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Chang Gung University; Center of Plastic, Aesthetic, Hand and Reconstructive Surgery, University of Regensburg; and Department of Plastic and Reconstructive Surgery, Helios Hospital Munchen West.

Surgeons-in-training learning how to perform cleft surgery should not only acquire a broad repertoire of technical details but also master the proper execution of techniques based on the modern principles of bilateral cleft lip repair with synchronous reconstruction of cleft nose deformity. This article describes a bilateral complete cleft lip repair by adopting these principles, plus a modified composition of mucosal flaps for the nasal floor and intraoral linings, including the prolabial mucosal flap, C-flap mucosal flap, inferior turbinate mucosal flap, and lateral nasal mucosal flap. The accompanying four-part video series presents the step-by-step approach for design and execution of this alternative technique. Read More

View Article and Full-Text PDF
December 2020

Endoscopic "Quick" Septoplasty in Preservation Rhinoplasty.

Ann Plast Surg 2021 02;86(2):137-141

Section of Otorhinolaryngology, Department of Surgery and Biomedical Sciences, University of Perugia, Perugia.

Background: Preservation rhinoplasty (PR) is revolutionizing rhinoplasty surgery, based on new anatomical studies, advanced tip suture techniques, and refinement of surgical techniques. Septal surgery is a fundamental preparatory stage during PR, especially for the dorsal preservation let/push-down procedure. To increase the predictability of the septoplasty aesthetic effects on the nasal dorsum and further extend the principles of PR to septal surgery, we applied the endoscopic technology to the "quick" septoplasty technique we had already developed in the past decades. Read More

View Article and Full-Text PDF
February 2021

Cross-reinforcing suturing and intranasal knotting for dural defect reconstruction during endoscopic endonasal skull base surgery.

Acta Neurochir (Wien) 2020 10 16;162(10):2409-2412. Epub 2020 May 16.

Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, 569 Xinsi Road, Xi'an, 710038, Shaanxi, China.

Background: With technical improvement, accumulating lesions could be resected using endoscopic endonasal surgery. However, cerebrospinal fluid leakage is still a concern. Intraoperative dural defect reconstruction is critical. Read More

View Article and Full-Text PDF
October 2020

The Effectiveness of Asymmetric Dorsal Preservation for Correction of I-Shaped Crooked Nose Deformity in Comparison to Conventional Technique.

Facial Plast Surg Aesthet Med 2020 Jul/Aug;22(4):286-293. Epub 2020 May 13.

Department of Otorhinolaryngology, Baskent University, Istanbul, Turkey.

Using asymmetric dorsal preservation (ADP) (pushdown technique for deviated side and letdown technique to the contralateral nondeviated side) is an alternative surgical method to correct osseocartilaginous deviation in crooked nose deformity. Aim of this study was to evaluate whether ADP rhinoplasty is a good method to address I-shaped crookedness in comparison with conventional midvault deconstructing/reconstructing rhinoplasty. This study was conducted between June 2017 and August 2019. Read More

View Article and Full-Text PDF
November 2020

Reconstruction after endoscopic surgery for skull base malignancies.

J Neurooncol 2020 Dec 27;150(3):463-468. Epub 2020 Mar 27.

Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Introduction: The ability to resect malignancies of the ventral skull base using endoscopic endonasal approaches has created a need for effective endoscopic reconstructive techniques. The purpose of this review is to summarize current techniques for reconstruction of large skull base defects during endoscopic endonasal surgery.

Methods: Recent medical literature was reviewed to identify techniques and best practices for repair of skull base defects during endoscopic endonasal surgery. Read More

View Article and Full-Text PDF
December 2020

Surgical management of craniopharyngiomas in adult patients: a systematic review and consensus statement on behalf of the EANS skull base section.

Acta Neurochir (Wien) 2020 05 28;162(5):1159-1177. Epub 2020 Feb 28.

Department of Neurosurgery, University Hospital of Lausanne, Lausanne, Switzerland.

Background And Objective: Craniopharyngiomas are locally aggressive neuroepithelial tumors infiltrating nearby critical neurovascular structures. The majority of published surgical series deal with childhood-onset craniopharyngiomas, while the optimal surgical management for adult-onset tumors remains unclear. The aim of this paper is to summarize the main principles defining the surgical strategy for the management of craniopharyngiomas in adult patients through an extensive systematic literature review in order to formulate a series of recommendations. Read More

View Article and Full-Text PDF

Gaining Large Coverage With Small Island Pedicle Flaps in Tight Cosmetic Subunits: Taking Advantage of Rotation and Pincer Principles on the Nasal Ala.

J Cutan Med Surg 2020 Mar/Apr;24(2):154-160. Epub 2020 Feb 27.

8166 Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada.

Background: Island pedicle flaps (IPFs) are widely used in reconstructive surgery due to their versatility, tissue efficiency, and excellent clinical outcomes. While IPF rotations and 'pincer flap' modifications have previously been sparsely described, they are not often discussed in the literature.

Objective: We demonstrate the use of both rotating IPFs and pincer techniques for defects traditionally considered too large for classic IPF design on the nasal ala. Read More

View Article and Full-Text PDF
January 2021

Challenges in the Successful Reconstruction of Cleft Lip and Palate: Managing the Nasomaxillary Deformity in Adolescence.

Plast Reconstr Surg 2020 03;145(3):591e-603e

From the Posnick Center for Facial Plastic Surgery; Georgetown University; Howard College of Dentistry; and the University of Maryland School of Dentistry.

The surgical techniques and execution of primary cleft lip and palate repair are no longer the greatest challenge to achieving successful rehabilitation for those born with facial clefting (i.e., bilateral and unilateral cleft lip and palate). Read More

View Article and Full-Text PDF

[Use of navigation in skull base surgery].

V V Nazarov

Zh Vopr Neirokhir Im N N Burdenko 2019 ;83(5):109-118

Burdenko Neurosurgical Center, Moscow, Russia.

The review briefly presents the history of development of navigation systems in neurosurgery. The idea of the existing principles underlying the navigation systems used in neurosurgery is given. Currently, the basic principles of navigation are optical and electromagnetic. Read More

View Article and Full-Text PDF
January 2020

Complications in Reductive Profileplasty.

Facial Plast Surg 2019 Oct 22;35(5):476-485. Epub 2019 Oct 22.

Aesthetic Institute of Oklahoma, Edmond, Oklahoma.

The ability of a surgeon to create an aesthetically pleasing and functionally competent nasal dorsum weighs heavily on following the foundations of rhinoplasty, beginning with the examination and analysis. These same fundamental principles should be used and applied in secondary rhinoplasty. The most common chief complaints of those patients seeking primary rhinoplasty relates to the presence of a hump or dorsal convexity, and similarly complications surrounding the dorsum are the most common indications for secondary rhinoplasty. Read More

View Article and Full-Text PDF
October 2019

Total nasal reconstruction: a review of the past and present, with a peak into the future.

Tim J Phillips

Curr Opin Otolaryngol Head Neck Surg 2019 Oct;27(5):420-425

Division of Head and Neck Surgery, Queen's University, Kingston, Ontario, Canada.

Purpose Of Review: The goal of this article is to review the complex topic of total nasal reconstruction and present a wide range of options for completing this difficult surgical procedure.

Recent Findings: Nasal reconstruction has a long history dating back thousands of years. Some historical techniques still exist today, including the paramedian forehead flap. Read More

View Article and Full-Text PDF
October 2019

Primary Open Rhinoplasty.

Plast Reconstr Surg 2019 07;144(1):102e-117e

From the Dallas Plastic Surgery Institute and private practice.

Learning Objectives: After studying this article and viewing the videos, the participant should be able to: 1. Describe the operative technique necessary to perform open rhinoplasty. 2. Read More

View Article and Full-Text PDF

Septal Flip Flap for Anterior Skull Base Reconstruction After Endoscopic Transnasal Craniectomy: Long-Term Outcomes.

World Neurosurg 2019 Aug 28;128:e409-e416. Epub 2019 Apr 28.

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Head and Neck Surgery and Forensic Dissection Research Center (HNS & FDRC), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

Background: Endoscopic endonasal anterior skull base malignant sinonasal tumor resection and reconstruction remains a challenge. We describe our septal flip flap (SFF) reconstruction, a new surgical technique for repairing anterior skull base defects and report our outcomes.

Methods: We retrospectively reviewed the clinical data of 24 patients who underwent skull base reconstruction using a SFF following endoscopic resection with transnasal craniectomy. Read More

View Article and Full-Text PDF

Mechanical Strain of the Nasal Bilobed Transposition Flap-Graduated Changes in Skin Thickness Superiorly Displace the Location of the Pivot Point.

Dermatol Surg 2019 09;45(9):1136-1140

Dermatologic Surgery, Department of Dermatology, University of Minnesota, Minneapolis, Minnnesota.

Background: The bilobed transposition flap recruits the relatively thinner and laxer skin of the nasal dorsum and sidewall to reconstruct defects of the more sebaceous nasal tip and alae. There have been no studies performed to quantify how the material properties of skin alter the bilobed flap's performance during nasal reconstruction.

Objective: To determine the effects of skin thickness and stiffness on bilobed flap mechanics to help guide flap design principles and optimize surgical outcomes. Read More

View Article and Full-Text PDF
September 2019

Nasal Tip Reconstruction following Skin Cancer Resection: A Novel Approach Combining Reconstructive and Tip Rhinoplasty Principles.

Victor J Hassid

Plast Reconstr Surg 2018 12;142(6):990e-991e

1327 Lake Pointe Parkway, Suite 201, Sugar Land, Texas 77478,

View Article and Full-Text PDF
December 2018

Nasal Reconstruction: Current Overview.

Ann Plast Surg 2018 12;81(6S Suppl 1):S30-S34

University of South Florida Health, Tampa, FL.

The nose, with its conspicuous location, intricate convexities, and delicate 3-dimensional structure, continues to challenge the reconstructive surgeon. Today, there are a myriad of options available for reconstruction. The practitioner must take into account the location of the defect as well as the components needed to be restored. Read More

View Article and Full-Text PDF
December 2018

Reconstructing a Traumatic Empty Orbit: Principles, Difficulties of Treatment, and Literature Review.

J Oral Maxillofac Surg 2018 09 21;76(9):1952.e1-1952.e4. Epub 2018 Apr 21.

Consultant Oral and Maxillofacial Surgeon, Northampton General Hospital, Northampton, UK.

Purpose: This report describes the case of a serious orbital injury in which the globe was completely displaced into the nasal cavity and the orbit was clinically empty. The authors discuss the difficulties encountered in the management of this patient and their principles in the reconstruction of a complex defect.

Materials And Methods: In this rare case of severe injury, the authors used a combined transconjunctival and ethmoidal approach to retrieve the displaced globe from the nasal cavity. Read More

View Article and Full-Text PDF
September 2018

Facial Fractures: Pearls and Perspectives.

Plast Reconstr Surg 2018 05;141(5):742e-758e

Oklahoma City, Okla.

Learning Objectives: After studying this article, the participant should be able to: 1. Describe the A-frame configuration of anterior facial buttresses, recognize the importance of restoring anterior projection in frontal sinus fractures, and describe an alternative design and donor site of pericranial flaps in frontal sinus fractures. 2. Read More

View Article and Full-Text PDF

Double-Opposing Z-Plasty for Secondary Surgical Management of Velopharyngeal Insufficiency Following Primary Furlow Palatoplasty.

Cleft Palate Craniofac J 2018 05 28;55(5):706-710. Epub 2018 Feb 28.

1 Division of Pediatric Plastic Surgery, Lurie Children's Hospital of Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Objective: The present study investigates the efficacy of performing a "palate rerepair" utilizing a double-opposing z-palatoplasty (DOZ) following primary Furlow palatoplasty.

Design: Retrospective study.

Setting: Tertiary referral academic center for craniofacial surgery. Read More

View Article and Full-Text PDF

Bending the Arc of the Trilobed Flap Through External Interlobe Angle Inequality.

Dermatol Surg 2018 May;44(5):621-629

Department of Dermatology, St. Louis University School of Medicine, Anheuser Busch Institute, St. Louis, Missouri.

Background: The trilobed flap is a useful repair option for distal nasal defects. In certain cases, however, the placement of its quaternary defect may risk compression of the internal nasal valve or induction of ectropion. In this study, we propose a modified design of the trilobed flap, which uses unequal external interlobe angles. Read More

View Article and Full-Text PDF

Repair of the Nasal Floor by the Cleft Margin Flap in Bilateral Complete Cleft Lip.

J Craniofac Surg 2018 Mar;29(2):495-497

Craniofacial Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Kaohsiung, Taiwan.

Bilateral complete cleft lip deformity has been the most challenging to plastic surgeons, and lots of methods of repair have been described in the literature. The basic principles are to achieve continuity of the orbicularis oris muscle, a balanced Cupid's bow with nasal ala, and a complete reconstruction of the nasal floor. The last one is, however, easily neglected. Read More

View Article and Full-Text PDF

The 50 Most Cited Articles in Facial Plastic Surgery.

Aesthetic Plast Surg 2017 Oct 20;41(5):1202-1207. Epub 2017 Jun 20.

Section of Otolaryngology, Yale School of Medicine, New Haven, CT, USA.

Bibliometric analysis is a common method to determine the most influential articles in medical specialties, as it is an objective measure of peer recognition of scientific work. This study is the first bibliometric analysis of the literature in facial plastic surgery, to determine the most cited papers in the field. Bibliometric analysis was performed using the Science Citation Index from the Institute for Scientific Information, accessed through the Web of Science™. Read More

View Article and Full-Text PDF
October 2017

[The morphological and clinical aspects of the curvature of the nasal septum].

Vestn Otorinolaringol 2017;82(3):25-27

Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation, Kazan, Russia, 420012.

The curvature of the nasal septum (NS) is one of the most widespread deformations of the facial skeleton. The objective of the present study was to substantiate the principles of and develop the rationale for the surgical correction and conservative treatment of this condition based on the morphological features of various types of deflection of the nasal septum. We have undertaken the morphological analysis of the osseous and cartilaginous structures determining the type and the shape of the curvature of the nasal septum together with the clinical analysis of different morphological variants of the deflection of the nasal septum making use of the R. Read More

View Article and Full-Text PDF
September 2017

Principles of Cleft Lip Repair: Conventions, Commonalities, and Controversies.

Plast Reconstr Surg 2017 Mar;139(3):764e-780e

Durham, N.C.

Learning Objectives: After reading this article, the participant should be able to: 1. Understand the principles of contemporary methods for repair of unilateral and bilateral cleft lip. 2. Read More

View Article and Full-Text PDF

Local Cutaneous Flaps in Nasal Reconstruction.

Facial Plast Surg 2017 Feb 22;33(1):27-33. Epub 2017 Feb 22.

Department of Otolaryngology, University of Kansas Medical Center, Kansas City, Kansas.

Facial plastic surgeons use a variety of reconstruction techniques to overcome challenges in restoring the function, structural integrity, and intricate nasal contour in nasal reconstruction. Local cutaneous flaps provide excellent skin texture, thickness, and color match in nasal reconstruction. They offer an excellent cosmetic appearance for small- to medium-sized defects and are preferentially utilized when feasible. Read More

View Article and Full-Text PDF
February 2017

Principles of Nasal Reconstruction.

Facial Plast Surg 2017 Feb 22;33(1):9-16. Epub 2017 Feb 22.

Department of Otolaryngology-Head and Neck Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri.

The rise in cutaneous malignancies over the past 20 years has led to significant advances in reconstructing the nose from an aesthetic and functional standpoint. The principles of nasal reconstruction center on application of the nasal subunit principle, three-layered reconstruction, nasal skin characteristics, and patient factors. Reconstructive planning starts with proper defect analysis, followed by application of the reconstructive ladder for soft-tissue repair, adequate structural support, and repair of nasal lining deficits. Read More

View Article and Full-Text PDF
February 2017