702 results match your criteria Rhinoplasty Osteotomies


A Novel Approach to Crooked Nose in Rhinoplasty: Asymmetric Level Osteotomy Combined With Unilateral Spreader Graft.

J Craniofac Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Otolaryngology and Head Neck Surgery, University of Uludag, Bursa, Turkey.

The crooked nose is certainly among the most difficult to treat deformities for rhinoplasty surgeons. This deformity is a complex problem because each structural nasal component can be effected and they may be asymmetric bilaterally. Despite the use of sophisticated techniques and an additional effort, unfortunately the long-term aesthetic results may not be perfect with some minor flaws. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005296DOI Listing

Autologous Fat Grafting's Effect on Edema and Ecchymoses in Primary Open Rhinoplasty.

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

Division of Plastic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT.

Background: Autologous fat is a safe and effective soft tissue filler. Recent evidence also suggests improved wound healing and immune modulation with fat grafting.

Objective: The aim of this study is to describe a novel technique, using fat grafting during primary open rhinoplasty. Read More

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http://dx.doi.org/10.1093/asj/sjz075DOI Listing

Fat Grafting in Orthognathic Surgery.

J Craniofac Surg 2019 Feb 21. Epub 2019 Feb 21.

Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT.

Background: Fat grafting is widely utilized in craniofacial surgery. The authors describe a series of consecutive patients who underwent orthognathic surgery with fat grafting by the senior author and review relevant literature in the field; fat grafting technique is discussed in detail. The authors also highlight 3 patients to illustrate postoperative outcomes. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005362DOI Listing
February 2019
3 Reads

Piezosurgery: Ten Years' Experience of Percutaneous Osteotomies in Rhinoplasty.

J Oral Maxillofac Surg 2019 Jan 31. Epub 2019 Jan 31.

Resident, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy.

Purpose: The possibility to obtain precise osteotomies without major soft tissue damage represents a key point in modern approaches to rhinoplasty. In 2007, the authors first described their ultrasonic approach for percutaneous nasal bone osteotomies with minimal periosteal detachment. In this article, they retrospectively analyze the results of their piezo-surgical rhinoplasty technique through their 10-year experience and describe new perspectives of this technique. Read More

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http://dx.doi.org/10.1016/j.joms.2019.01.035DOI Listing
January 2019
2 Reads

Association of Periosteal Sweeping vs Periosteal Preservation With Early Periorbital Sequelae Among Patients Undergoing External Perforating Osteotomy During Rhinoplasty.

JAMA Facial Plast Surg 2019 Feb 21. Epub 2019 Feb 21.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, California.

Importance: Periorbital sequelae are a significant source of early postoperative morbidity after rhinoplasty, particularly after an osteotomy is performed.

Objective: To compare postoperative periorbital sequelae after external perforating lateral osteotomy in rhinoplasty using a periosteal sweeping vs a periosteal preserving approach.

Design, Setting, And Participants: This prospective cohort study conducted at a tertiary referral center located in Mansoura, Egypt, included 28 patients who underwent external perforating lateral osteotomy in open rhinoplasty between January and May 2017. Read More

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http://dx.doi.org/10.1001/jamafacial.2018.1730DOI Listing
February 2019
2 Reads

Camouflage of the Nasal Dorsum in Thin-Skinned Patients with Diced Cartilage Combined with a New Cross-Linked Hyaluronan (NCH) Gel and Blood: A New Method.

Aesthetic Plast Surg 2019 Feb 19. Epub 2019 Feb 19.

Department of Otorhinolaryngology, Okmeydani Training and Research Hospital, Health Science University, Istanbul, Turkey.

Introduction: Nasal dorsum irregularities after rhinoplasty are still one of the most common complaints among both surgeons and patients. In this study, we used a new cross-linked hyaluronan (NCH) gel and blood mixture as the stabilisation scaffold. Diced cartilage combined with the NCH gel and blood mixture was used for nasal dorsum camouflage. Read More

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http://link.springer.com/10.1007/s00266-019-01323-7
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http://dx.doi.org/10.1007/s00266-019-01323-7DOI Listing
February 2019
7 Reads

Comparison of Piezosurgery and Conventional Osteotomy Post Rhinoplasty Morbidities: A Double-Blind Randomized Controlled Trial.

J Oral Maxillofac Surg 2019 Jan 15. Epub 2019 Jan 15.

Resident, Department of Oral and Maxillofacial Surgery, Jundishapur University of Medical Sciences, Ahvaz, Iran. Electronic address:

Purpose: Several approaches have been introduced to decrease soft tissue injury during rhinoplasty. The piezoelectric ultrasonic device can be used to perform more precise bone surgeries and avoid soft tissue perforation. This study compared postoperative pain, edema, and ecchymosis in internal lateral osteotomies performed by the piezosurgery device with the conventional method. Read More

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http://dx.doi.org/10.1016/j.joms.2019.01.004DOI Listing
January 2019
1 Read

[Comparison of piezoelectric and conventional osteotomy in rhinoplasty : A systematic review].

HNO 2019 Feb;67(2):98-109

Klinik für Hals-Nasen-Ohrenkrankheiten & Kopf-Hals-Chirurgie, Charite - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Campus Benjamin Franklin, Berlin, Deutschland.

Background: Postoperative periorbital edema and ecchymosis after rhinoplasty are mainly caused by the osteotomy with hammer and chisel. The introduction of piezoelectric surgery could lead to a better early postoperative outcome due to improved preservation of soft tissues. The aim of this systematic review was to evaluate the methods and results of studies comparing conventional osteotomy to piezoelectric osteotomy. Read More

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http://dx.doi.org/10.1007/s00106-018-0606-2DOI Listing
February 2019

Postoperative Ecchymosis and Edema After Creation of Subperiosteal Tunnels in Rhinoplasty: A Randomized Clinical Trial.

JAMA Facial Plast Surg 2018 Dec 27. Epub 2018 Dec 27.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Quebec, Canada.

Importance: Periorbital ecchymosis and edema are commonly associated with rhinoplasty and are the principal limiting factors for return to daily activities after rhinoplasty. Several methods have been evaluated to minimize these sequelae including creation of subperiosteal tunnels, which involves elevating the vascular periosteal layer, preserving it from trauma when creating osteotomies.

Objective: To assess the efficacy of the creation of subperiosteal tunnels prior to lateral osteotomies during rhinoplasty for reducing postoperative ecchymosis and edema. Read More

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http://dx.doi.org/10.1001/jamafacial.2018.1716DOI Listing
December 2018
2 Reads

Contemporary trends in rhinoplasty.

Authors:
Roman Kufa

Cas Lek Cesk 2018 ;157(6):302-308

The problem with the appearance of the nose or breath disturbance are relatively frequent in plastic surgery patients. The nose is distinctly aesthetic dominance of the face, therefore individual approach to nose operation is a necessary thing. The basic conditions for successful outcome of the operation are proper clinical examination and precise operating plan. Read More

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January 2018
1 Read

Significance of Medial Osteotomy on the Olfactory Function in Patients Who Underwent Septorhinoplasty.

J Craniofac Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Otorhinolaryngology - Head and Neck Surgery, Medilife Hospital, Istanbul, Turkey.

Objective: This study was designed to explore the impact of medial osteotomy on olfactory function.

Methods: This nonrandomized, prospective study included 60 adult patients who underwent open technique septoplasty (group 1), rhinoplasty with only lateral osteotomy (group 2), and septorhinoplasty with medial and lateral osteotomies (group 3). Olfactory functions were evaluated by using the Connecticut Chemosensory Clinical Research Center (CCCRC) olfactory test. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004953DOI Listing
November 2018
4 Reads

Comparison of edema and ecchymosis in rhinoplasty candidates after lateral nasal osteotomy using piezosurgery and external osteotomy.

J Adv Pharm Technol Res 2018 Jul-Sep;9(3):73-79

Department of Prosthodontics Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

Rhinoplasty is done with external and endonasal methods. One of the main stages of rhinoplasty in both external and endonasal methods is the lateral nasal osteotomy. Lateral nasal osteotomy is the main cause of edema and ecchymosis after rhinoplasty, which is annoying and unpleasant for patients. Read More

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http://www.japtr.org/text.asp?2018/9/3/73/242398
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http://dx.doi.org/10.4103/japtr.JAPTR_294_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174698PMC
October 2018
7 Reads

Lacrimal Injury After Rhinoplasty: Two Case Reports.

Ann Plast Surg 2019 Jan;82(1):8-10

Private Practice, Isfahan, Iran.

Lacrimal injury is very uncommon after osteotomy in rhinoplasty. We present 2 cases of lacrimal injury after osteotomy in rhinoplasty and present the steps to managing such an injury. These cases were finally treated with endoscopic dacryocystorhinostomy. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9720
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http://dx.doi.org/10.1097/SAP.0000000000001660DOI Listing
January 2019
1 Read

Widened Dorsum: Bony and Cartilaginous Contributions.

Facial Plast Surg 2018 Oct 8;34(5):443-447. Epub 2018 Oct 8.

Department of Otolaryngology-HNS, Washington University in Saint Louis School of Medicine, Facial Plastic Surgery Center, Saint Louis, Missouri.

Creation of a pleasing dorsal nasal profile in the anterior and lateral views requires proper analysis and planning to determine the required series of steps to accomplish the desired outcome. The widened nasal dorsum is a common esthetic complaint of the patient seeking rhinoplasty. Often patients seek an unrealistic result that, if accomplished, would leave them with a restricted nasal vault and nasal airway compromise. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1669989
Publisher Site
http://dx.doi.org/10.1055/s-0038-1669989DOI Listing
October 2018
1 Read

The mucous cyst, a rare and delayed complication after rhinoplasty.

Ann Chir Plast Esthet 2018 Sep 21. Epub 2018 Sep 21.

Department of maxillofacial and facial plastic surgery, Trousseau hospital, 37000 Tours, France. Electronic address:

Introduction: Rhinoplasty is frequently performed worldwide, and patients and surgeons both expect good cosmetic results without any deformity recurrence. We report a rare case of mucous cyst occurred after post-traumatic rhinoseptoplasty.

Observation: A 27-year old woman presented a median mass of the nose root 7 years after prior rhinoseptoplasty. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.09.002DOI Listing
September 2018
2 Reads

Comparison of piezosurgery, percutaneous osteotomy, and endonasal continuous osteotomy techniques with a caprine skull model.

J Plast Reconstr Aesthet Surg 2019 Jan 4;72(1):107-113. Epub 2018 Sep 4.

Department of Plastic Surgery, Sisli Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Background: Osteotomy is a crucial step in rhinoplasty, which can have a significant impact on the outcome. In addition to previous percutaneous (external perforating) and endonasal (internal) approaches, piezosurgery has been used in rhinoplasty practice since 2007. This experimental model was planned to compare the three osteotomy techniques. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.08.025DOI Listing
January 2019
13 Reads

One-Piece Nasal Osteotomy for the Correction of a Centrally Deviated Nose.

Aesthetic Plast Surg 2018 Dec 10;42(6):1625-1634. Epub 2018 Aug 10.

Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43 gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Background: A severely crooked nose due to trauma or other causes is difficult to correct. Although various nasal osteotomy techniques have been suggested, satisfactory outcomes have not always been achieved especially in centrally deviated noses. Definite correction of the midline and shape of the bony framework is necessary. Read More

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http://link.springer.com/10.1007/s00266-018-1207-x
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http://dx.doi.org/10.1007/s00266-018-1207-xDOI Listing
December 2018
22 Reads

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

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

San Sebastian University, Santiago, Chile.

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

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http://dx.doi.org/10.1097/SCS.0000000000004708DOI Listing
September 2018
2 Reads

Effect of Piezoelectric Technique on Auditory Function on Postoperative Day One in Septorhinoplasty Surgery.

J Craniofac Surg 2018 Nov;29(8):e750-e753

Yavuz Selim State Hospital, ENT Clinic, Istanbul, Turkey.

Aim: To examine the effect of the piezoelectric application used increasingly for osteotomy and correction of nasal dorsum in septorhinoplasty surgeries on early auditory functions.

Methods: Our study was conducted after the decision of 10840098-604.01. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004700DOI Listing
November 2018
11 Reads

Aerosolized Fibrin Sealant Is Effective for Postoperative Edema and Ecchymosis in Open Rhinoplasty Without Osteotomy.

J Oral Maxillofac Surg 2018 Sep 26;76(9):2000.e1-2000.e8. Epub 2018 May 26.

Professor, Department of Otolaryngology, Konkuk University School of Medicine, Chungju, Republic of Korea.

Purpose: Fibrin sealant (FS) was approved as a hemostatic agent, sealant, and adhesive by the Food and Drug Administration in 1998. Our study sought to determine whether FS also reduced edema and pain in rhinoplasty without osteotomy.

Materials And Methods: We conducted a prospective randomized trial involving patients who underwent open rhinoplasty without osteotomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02782391183049
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http://dx.doi.org/10.1016/j.joms.2018.05.019DOI Listing
September 2018
8 Reads

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

Authors:
Süleyman Taş

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

Istanbul, Turkey From private practice.

Background: Hump removal frequently results in an open roof during rhinoplasty, which is conventionally closed with lateral osteotomies. However, if the patient has a narrow bony vault, lateral osteotomies are problematic. In this article, the author presents a new and practical approach to fix the open roof deformity. Read More

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

Cleft Rhinoplasty: Strategies for the Multiply Operated Nose.

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

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

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

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

The Twisted Nose: What to Do When It's Not Straight.

Facial Plast Surg 2018 Jun 1;34(3):255-260. Epub 2018 Jun 1.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado.

Septorhinoplasty is among the most common facial plastic and reconstructive surgeries and its complexities are reflected in a relatively high revision rate. The patient with a postoperative twisted nose presents an additional challenge and requires that the surgeon display empathy and possess a deep knowledge of the aesthetic and functional intricacies of the nose. Correction of the twisted nose should be approached in a systematic fashion with unique considerations for each "third" of the nose. Read More

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http://dx.doi.org/10.1055/s-0038-1653987DOI Listing
June 2018
12 Reads

Severe Delayed Hemorrhage After Cosmetic Rhinoplasty in the Setting of Maxillary Vascular Malformation.

Ann Plast Surg 2018 Aug;81(2):146-147

From the Long Island Plastic Surgical Group, Garden City, NY.

Late epistaxis after rhinoplasty is a rare but potentially life-threatening occurrence. This case report concerns a 20-year-old woman who had severe epistaxis 5 and 10 days after a closed rhinoplasty with internal osteotomies and who ultimately required transcatheter arterial embolization for definitive control of the hemorrhagic source. Arterial hypervascularity, with signs of arteriovenous malformation, of the midface at the level of the piriform aperture and maxilla was seen on angiography. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001492DOI Listing
August 2018
10 Reads

Availability and Safety of Osteotomy in Esthetic Rhinoplasty of East Asian Patients.

Ann Plast Surg 2018 Aug;81(2):141-145

Department of Plastic and Reconstructive Surgery, Brain Research Institute, College of Medicine, Chungnam National University, Daejeon.

Objective: East Asians usually have short and flat noses and broad nasal bones. Therefore, rhinoplasty with dorsal augmentation and nasal osteotomy is often required. However, many surgeons are wary of performing nasal osteotomy in conjunction with augmentation with silicone. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001472DOI Listing
August 2018
3 Reads

Effects of Rhinoplasty on Labyrinthine Function.

Aesthet Surg J 2018 Oct;38(11):1172-1177

Department of Otorhinolaryngology, Istanbul Medipol University.

Background: Rhinoplasty is a common surgical procedure that is requested and accepted by patients for cosmetic and functional reasons. Osteotomies are performed on nasal bone, maxillary crest, or vomer to fix the deviations of the nasal dorsum or septum. During the percussion of the osteotomes with the surgical mallet, the vibration energy diffuses to the cranium. Read More

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http://dx.doi.org/10.1093/asj/sjy117DOI Listing
October 2018
20 Reads

Combined Nasal Osteotomies With Caudal Transverse Osteotomy and Their Effect on Dorsal Geometry.

Aesthet Surg J 2019 Jan;39(1):29-40

Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Medical School, Samanpazari, Ankara, Turkey.

Background: Congenital, traumatic, or developmental bony vault deformities may require additional interventions rather than classical osteotomies to correct the surface structure or angulations of the nasal bones in rhinoplasty.

Objectives: The aim of the study was to determine the effects of the additional osteotomies applied for the correction of the nasal vault asymmetries retrospectively.

Methods: Twenty-one patients among 512 primary rhinoplasty cases between 2011 and 2016 with bony vault asymmetries were included in the study. Read More

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http://dx.doi.org/10.1093/asj/sjy107DOI Listing
January 2019
4 Reads

Charlin'S Syndrome Following a Routine Septorhinoplasty.

World J Plast Surg 2018 Jan;7(1):103-108

Department of Plastic Surgery, School of Medicine, Iran University of Medical Sciences, Shiraz, Iran.

There are some rare but probable devastating complications following any rhinoplasty. Charlin's syndrome is a typical one. It is completely related to the external nasal nerve. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890373PMC
January 2018
6 Reads

Modified Le Fort III osteotomy: A simple solution to severe midfacial hypoplasia.

J Craniomaxillofac Surg 2018 May 21;46(5):837-843. Epub 2018 Mar 21.

Service of Oral and Maxillofacial Surgery, Hospital Punta Arenas, Chile.

Purpose: There are multiple conditions that may affect the development of the middle third of the face and with varying degrees of severity. The surgical treatment alternatives for major midfacial sagittal deficiencies consist in Le Fort I, II, or III with conventional osteotomies or with distraction osteogenesis (DO). Both techniques have advantages and disadvantages that should be evaluated specifically in each case. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.03.010DOI Listing
May 2018
10 Reads

Personalized 3D Printed Surgical Tool for Guiding the Chisel during Hump Reduction in Rhinoplasty.

Plast Reconstr Surg Glob Open 2018 Feb 8;6(2):e1668. Epub 2018 Feb 8.

Department of Plastic Surgery, Herrero Jover Médicos, CM Teknon Barcelona, Spain.

The authors aimed to present an introduction of patient-specific model in rhinoplasty by introducing a 3D printed surgical guide designed and adapted in an individualized manner for guiding dorsal hump reduction. To introduce the tool, we have designed a six step workflow. First, we obtain a digital 3D model of patient anatomy using computed tomography (CT) images. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865916PMC
February 2018
1 Read

Simultaneous Rhinoseptoplasty and Orthognathic Surgery: Outcome Analysis of 250 Consecutive Patients Using a Modified Le Fort I Osteotomy.

Aesthetic Plast Surg 2018 Aug 20;42(4):1090-1100. Epub 2018 Mar 20.

Department of Maxillo Facial Surgery, Azienda Ospedaliero-Universitaria Careggi, Largo Palagi 1, 50134, Florence, Italy.

Background: The purpose of the present study was to assess the safety and efficacy of both functional intranasal procedures and cosmetic rhinoplasty combined with bimaxillary surgery.

Methods: The author executed a retrospective cohort study derived from patients who underwent combined rhinoseptoplasty and bimaxillary surgery at a private practice setting (Face Surgery Center, Parma, Italy) between April 2006 and 2015 by a single surgeon. The minimum follow-up was 12 months. Read More

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http://dx.doi.org/10.1007/s00266-018-1121-2DOI Listing
August 2018
31 Reads

Comparative Outcomes in Functional Rhinoplasty With Open vs Endonasal Spreader Graft Placement.

Ann Plast Surg 2018 May;80(5):468-471

Importance: Spreader grafts are commonly used for nasal valve stenosis. There is debate among practitioners regarding the optimal approach for spreader graft placement.

Objective: This study aimed to determine whether an endonasal spreader graft placement leads to equivalent postoperative outcomes using a standardized nasal obstruction symptom score and whether there is a significant difference in operative time between the 2 approaches. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001434DOI Listing
May 2018
30 Reads

Use Of Steroids In Rhinoplasty With Lateral Osteotomies For Reducing Post Operative Oedema.

J Ayub Med Coll Abbottabad 2018 Jan-Mar;30(1):45-48

Department of Plastic Surgery, Shifa International Hospital Islamabad, Pakistan.

Background: TPostoperative periorbital oedema is a commonly encountered side effect of rhinoplasties in which lateral osteotomies have been incorporated. It dissatisfies the surgeon as well as the patient. Osteotomies are done at the end of all soft tissue manipulation to reduce the development of oedema. Read More

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July 2018
14 Reads

Treatment of Nasal Deviation With Underlying Bony Asymmetry Secondary to Augmentation Rhinoplasty in Asian Patients.

Aesthet Surg J 2018 Jul;38(8):823-832

Background: In Asian patients, nasal deviation secondary to augmentation rhinoplasty may result from underlying bony asymmetry that was not corrected intraoperatively. Diagnosis and treatment of this condition are complicated by the masking effect of dorsal implants.

Objectives: The authors applied computed tomography (CT) to examine the causes of nasal deviation after augmentation rhinoplasty. Read More

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http://dx.doi.org/10.1093/asj/sjy006DOI Listing
July 2018
12 Reads

Orthognathic Surgery and Rhinoplasty: Simultaneous or Staged?

Plast Reconstr Surg 2018 02;141(2):322-329

New Haven, Conn. From the Section of Plastic and Reconstructive Surgery, Yale School of Medicine.

Background: Orthognathic surgery can significantly impact the nasolabial envelope, and at times requires an adjunctive rhinoplasty. The purpose of this study was to evaluate nasal morphology in orthognathic patients, focusing on predictive variables, and the need for and timing of definitive rhinoplasty. Based on these data, an algorithm for the implementation of adjunctive rhinoplasty is proposed. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004020DOI Listing
February 2018
3 Reads

Treatment of Nasal Deviation With Underlying Bony Asymmetry Secondary to Augmentation Rhinoplasty in Asian Patients.

Aesthet Surg J 2018 Jan 11. Epub 2018 Jan 11.

private practice in Taipei, Taiwan.

Background: In Asian patients, nasal deviation secondary to augmentation rhinoplasty may result from underlying bony asymmetry that was not corrected intraoperatively. Diagnosis and treatment of this condition are complicated by the masking effect of dorsal implants.

Objectives: The authors applied computed tomography (CT) to examine the causes of nasal deviation after augmentation rhinoplasty. Read More

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http://dx.doi.org/10.1093/asjour/sjy006DOI Listing
January 2018
15 Reads

Dorsal Preservation: The Push Down Technique Reassessed.

Aesthet Surg J 2018 Feb;38(2):117-131

Department of Plastic Surgery, University of Pécs Medical School, Pécs, Hungary.

Management of the nasal dorsum remains a challenge in rhinoplasty surgery. Currently, the majority of reduction rhinoplasties results in destruction of the keystone area (K-area), which requires reconstruction with either spreader grafts or spreader flaps, both for aesthetic and functional reasons. This article will present the senior author's current operative technique for dorsal preservation in reduction rhinoplasty based on 320 clinical cases performed over a 5-year period. Read More

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https://academic.oup.com/asj/article/38/2/117/4793294
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http://dx.doi.org/10.1093/asj/sjx180DOI Listing
February 2018
28 Reads

Management of cleft lip and palate in Nigeria: A survey.

Niger J Clin Pract 2017 Nov;20(11):1355-1359

Department of Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Background: Clefts of the lip and/or palate are the most common congenital craniofacial defects and second only to club foot among all congenital anomalies. The management of this condition is resource intensive due to the multidimensional needs. This survey was carried out to ascertain the current state of cleft management in Nigeria with emphasis on training, scope of management, and assessment of treatment outcome. Read More

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http://dx.doi.org/10.4103/njcp.njcp_314_16DOI Listing
November 2017
3 Reads

Evidence-Based Medicine: Current Practices in Rhinoplasty.

Plast Reconstr Surg 2018 01;141(1):137e-151e

New York, N.Y.; Beverly Hills and Palo Alto, Calif.; Cleveland, Ohio; and Dallas Texas From the Division of Plastic and Reconstructive Surgery, Northwell Health, Hofstra Northwell School of Medicine; the Division of Plastic and Reconstructive Surgery, University of California, Los Angeles; the Division of Plastic and Reconstructive Surgery, University of Southern California; the Department of Plastic and Reconstructive Surgery, Case Western Reserve University; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Division of Plastic and Reconstructive Surgery, Stanford University.

Learning Objectives: After studying this article, the participant should be able to: 1. Perform aesthetic and functional nasal analysis to guide septorhinoplasty. 2. Read More

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http://Insights.ovid.com/crossref?an=00006534-201801000-0004
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http://dx.doi.org/10.1097/PRS.0000000000003977DOI Listing
January 2018
16 Reads

Is Osteoplasty With Unilateral Osteotomy Effective in the Correction of the Crooked Nose?

J Craniofac Surg 2018 Mar;29(2):491-494

Department of Otorhinolaryngology, Alaca State Hospital, Alaca, Corum, Turkey.

Objective: The crooked nose is frequently observed, and a significant number of correction methods have previously been described. Nevertheless, the condition remains a challenging problem for rhinoplastic surgeons. Here, the authors present a technique that the authors have used to correct a crooked nose in selected patients. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004130DOI Listing
March 2018
3 Reads

Commentary on: "Comparison of the Effect of Dexamethasone and Tranexamic Acid, Separately or in Combination on Post-rhinoplasty and Edema and Ecchymosis".

Aesthetic Plast Surg 2018 02 28;42(1):253-255. Epub 2017 Nov 28.

, 3803 S. Bascom Avenue, Suite 100/101, Campbell, CA, 95008, USA.

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http://dx.doi.org/10.1007/s00266-017-0997-6DOI Listing
February 2018
5 Reads

Primary aesthetic correction of nasal anomaly with costal graft in treating orbital hypertelorism.

J Craniomaxillofac Surg 2018 Jan 13;46(1):6-10. Epub 2017 Oct 13.

Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:

Orbital hypertelorism is a common congenital craniofacial anomaly in Asians. As Tessier pointed out, the correction of hypertelorism is effectively the correction of the nasal deformity, which is characterized by a broad, flat nose accompanying an increased interorbital distance and a lack of nasal projection.

Objectives: To measure the changes in the orbital and nasal parameters after Tessier box osteotomy and primary aesthetic rhinoplasty, performed concurrently with otogenous costochondral graft. Read More

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http://dx.doi.org/10.1016/j.jcms.2017.09.006DOI Listing
January 2018
11 Reads

Prospective evaluation of a nonsurgical device for rhinoplasty.

Rhinology 2018 Mar;56(1):73-81

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland.

Background: Rhinoplasty represents one of the most challenging and frequently performed procedures in plastic surgery and non-surgical rhinoplasty is rarely considered. The aim of this study was to investigate whether the Nasella Nose Former (NNF), a newly developed non-surgical rhinoplasty device, could improve objective and subjective results following surgical rhinoplasty and even correct the shape of the nose without any surgery at all.

Methodology: In this prospective, monocentric, two-armed, non-blinded randomized, controlled clinical trial, a total of 43 participants were included. Read More

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http://dx.doi.org/10.4193/Rhin17.133DOI Listing
March 2018
5 Reads

Opioid Use by Patients After Rhinoplasty.

JAMA Facial Plast Surg 2018 Jan;20(1):24-30

Facial Plastic Surgery Associates, Houston, Texas.

Importance: Given the increase in opioid addiction and overdose in the United States, reasoned opioid use after outpatient surgery may affect prescription medication abuse.

Objectives: To examine patient use of opioids after rhinoplasty and establish an optimal postrhinoplasty pain management regimen.

Design, Setting, And Participants: In this case series, opioid use was evaluated in 62 patients who underwent rhinoplasty performed by 3 fellowship-trained facial plastic surgeons, 2 in private practice in Texas and 1 in an academic setting in Michigan, from February 2016 to September 2016. Read More

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http://dx.doi.org/10.1001/jamafacial.2017.1034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833672PMC
January 2018
14 Reads

Shaping the nasal dorsum.

Authors:
E Robotti

HNO 2018 Feb;66(2):92-102

Dept of Plastic Surgery, Ospedale Papa Giovanni XXIIII, Piazza OMS 1, 24127, Bergamo, Italy.

Shaping a proper dorsum must constitute an essential part of rhinoplasty. This article addresses the main current concepts that play a significant role in dorsal modifications: proper exposure at the keystone, component separation and incremental reduction, straightening the septum and positioning it in the midline, mobilizing and reshaping the nasal bones by osteotomies and osteoplasties, and finally reconstituting a barrel vault of appropriate width and proper contour. The importance of power tools and piezoelectric instrumentation is highlighted, as well as the relevance of simulation and computed tomography (CT) imaging as key to bone and septal work. Read More

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http://dx.doi.org/10.1007/s00106-017-0425-xDOI Listing
February 2018
2 Reads

A Review of Randomized Controlled Trials in Cleft and Craniofacial Surgery.

J Craniofac Surg 2018 Mar;29(2):293-301

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center, New York, NY.

This study presents a systematic review of randomized controlled trials (RCTs) in cleft and craniofacial surgery. All studies reporting on RCTs in cleft and craniofacial surgery were identified on PubMed using the search terms "cleft," "velopharyngeal insufficiency," "velopharyngeal dysfunction," "nasoalveolar molding," "gingivoperiosteoplasty," "Pierre Robin sequence," "craniofacial," "craniosynostosis," "craniofacial microsomia," "hemifacial microsomia," "hypertelorism," "Le Fort," "monobloc," "distraction osteogenesis," "Treacher Collins," and "Goldenhar." Studies were excluded if they were not randomized, did not focus primarily on topics related to cleft or craniofacial surgery, included repeat publications of data, or were unavailable in English. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9609
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http://dx.doi.org/10.1097/SCS.0000000000004100DOI Listing
March 2018
7 Reads

Orthognathic Surgery and Rhinoplasty to Address Nasomaxillary Hypoplasia.

Plast Reconstr Surg 2017 Nov;140(5):930-932

New Haven, Conn. From Yale Plastic Surgery.

The treatment of nasomaxillary hypoplasia is challenging. The phenotype of Binder "syndrome" includes the following: midfacial hypoplasia, class III malocclusion, small or absent anterior nasal spine, flattened nose, horizontal nostrils, short columella, acute nasolabial angle, and a flat frontonasal angle. A staged approach is used, with orthognathic surgery to achieve vertical maxillary length and sagittal advancement, followed by rhinoplasty aimed to increase nasal tip projection, rotation, and columellar length. Read More

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http://dx.doi.org/10.1097/PRS.0000000000003789DOI Listing
November 2017
3 Reads

Does videoendoscopy provide three-dimensional vision in closed rhinoplasty?

J Plast Reconstr Aesthet Surg 2018 Jan 16;71(1):72-78. Epub 2017 Aug 16.

Private practice, Babuccu & Babuccu Surgical Arts, Valikonagi Cad. No:14/3, Nişantaşı - İstanbul, Turkey.

Rhinoplasty is a common procedure in cosmetic surgery all over the world. Patients desire enhancement of their facial beauty by the correction of preexisting nasal deformities. Precisely performed operations lead to better results, and enhancing technical accuracy accordingly results in more successful outcomes. Read More

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http://dx.doi.org/10.1016/j.bjps.2017.08.007DOI Listing
January 2018
7 Reads

Comparison of clinical outcomes using a Piezosurgery device vs. a conventional osteotome for lateral osteotomy in rhinoplasty.

Ear Nose Throat J 2017 Aug;96(8):318-326

Rhinoplasty Center, Goztepe, Istanbul, Turkey.

Our aim for this study was to evaluate and compare the clinical outcomes in patients who underwent lateral osteotomy with a Piezosurgery device or a conventional osteotome in open-technique rhinoplasty. This cohort trial involved 65 patients (36 women and 29 men; average age: 23.6 ± 5. Read More

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http://dx.doi.org/10.1177/014556131709600819DOI Listing
August 2017
17 Reads

Medial Osteoectomy as a Routine Procedure in Rhinoplasty: Six-Year Experience with an Innovative Technique.

Aesthetic Plast Surg 2018 Feb 4;42(1):256-263. Epub 2017 Aug 4.

Department of Otorhinolaryngology, Ioannina University Hospital, Ioannina, Greece.

Background: Medial osteotomy is an integral part of most rhinoplasty procedures, and when improperly performed, it is associated with postoperative complications and nasal contour deformities. In this article, we present a minimally traumatic and easy-to-perform medial osteoectomy technique with a pair of pliers, as a routine procedure, instead of the traditional medial osteotomy with osteotome and hammer. We report our experience with the use of the technique in a series of rhinoplasty procedures and review in brief the existing literature. Read More

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http://link.springer.com/10.1007/s00266-017-0954-4
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http://dx.doi.org/10.1007/s00266-017-0954-4DOI Listing
February 2018
6 Reads