Search Our Scientific Publications & Authors

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

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

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

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

Clin Exp Otorhinolaryngol 2020 May 12. Epub 2020 May 12.

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

Although osteotomy is an important part of rhinoplasty, it is known to be closely related to postoperative eyelid edema and ecchymosis. We evaluated the effects of periosteal elevation prior to osteotomy on eyelid edema and ecchymosis. Two authors reviewed studies in the Medline, Scopus, and Cochrane databases published through May 2019. Read More

Aesthetic Plast Surg 2020 Apr 23. Epub 2020 Apr 23.

MetroHealth System, Case Western Reserve University, Cleveland, OH, 44113, USA.

Background: There is a significant variation in the assessment, treatment, and outcomes of nasal airway obstruction and management in the published literature. This study aimed to: (1) define key components of the nasal airway, (2) identify frequent causes of nasal obstruction, and (3) review existing treatment methods.

Methods: A systematic review of the literature was performed, and 135 studies were included via the following criteria: English, human subjects, and a primary endpoint of nasal airway improvement. Read More

ORL J Otorhinolaryngol Relat Spec 2020 Apr 22:1-18. Epub 2020 Apr 22.

Laboratory of Biomathematics, School of Medicine, University of Thessaly, Larissa, Greece.

Introduction: Osteotomy of nasal bones in rhinoplasty is associated with postsurgical morbidities. Recent evidence has suggested that a surgical method applying piezoelectric ultrasound waves for nasal osteotomies in rhinoplasty reduces soft tissue damage and causes less postsurgical morbidities compared to conventional methods. The purpose of this study is to compare clinical outcomes of piezoelectric and conventional lateral nasal osteotomies in rhinoplasty. Read More

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

Department of Anesthesiology and Reanimation.

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

J Cosmet Dermatol 2020 Apr 19. Epub 2020 Apr 19.

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

Background: The refractory port-wine stains are often associated with soft and hard tissue hypertrophy leading to facial asymmetry and psychological problems.

Aims: The authors describe and illustrate a surgical strategy for the treatment of both hard and soft tissue malformations in patients with port-wine stains to restore facial symmetry.

Methods: The medical records, photographs of two patients with soft and hard tissue hypertrophy were reviewed. Read More

J Oral Maxillofac Surg 2020 Mar 24. Epub 2020 Mar 24.

Private Practitioner, Faculty of Dentistry, Borujerd Islamic Azad University, Borujerd, Iran.

Purpose: The periorbital area undergoes a series of postoperative sequelae after rhinoplasty.

Patients And Methods: Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group: One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy. Read More

Cleft Palate Craniofac J 2020 Mar 16:1055665620911328. Epub 2020 Mar 16.

University of East Anglia, Addenbrooke's Cambridge University Hospital Trust, Cambridge, United Kingdom.

Objective: To identify and review the literature on the psychosocial patient-reported outcomes (PROs) of surgery at the end of the cleft treatment pathway.

Design: A systematic literature search was performed using electronic databases (Medline, PubMed, EMBASE, PsycInfo, Web of Science, and Science Direct) from database inception to September 2017, to identify studies measuring and reporting the psychosocial PROs of end of pathway cleft surgery.

Results: Of 263 identified papers, 22 studies were eligible for inclusion. Read More

Laryngoscope 2020 Mar 12. Epub 2020 Mar 12.

Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California, U.S.A.

Objectives/hypothesis: Deviations of the caudal nasal septum can impact airflow and aesthetics. The anterior septal reconstruction (ASR) technique, a modification of extracorporeal septoplasty, addresses this issue while preserving a segment of the dorsal septum. When ASR is combined with dorsal hump reductions and osteotomies, the keystone may be destabilized. Read More

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

Private Practice, Istanbul, Turkey.

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

Facial Plast Surg Aesthet Med 2020 Mar/Apr;22(2):71-79

Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California.

Although conventional hump resections are a hallmark of rhinoplasty, there has been a rekindled interest in dorsal preservation (DP) techniques as a means for addressing the dorsal hump, with claims of superior functional and aesthetic results. As such, an understanding of DP, including technical considerations and outcomes, is imperative. DP allows for mobilization of the osseocartilaginous nasal vault as a single unit and thereby prevents disruption of the natural keystone area. Read More

Facial Plast Surg Aesthet Med 2020 May/Jun;22(3):219-224. Epub 2020 Feb 26.

Department of Otolaryngology, Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, California, USA.

Intraoperative videography is widely used to record rhinoplasty procedures, yet little is known about the optimal surgical vantage points at critical procedural steps. To assess commonly used camera angles in public and proprietary intraoperative rhinoplasty videos and discuss approaches to obtaining these viewing angles. Public and propriety rhinoplasty videos were reviewed and categorized based on procedure type, specific area(s) of focus, and camera angles utilized at a series of critical operative steps. Read More

Laryngoscope 2020 Feb 8. Epub 2020 Feb 8.

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

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

Plast Reconstr Surg 2020 Feb;145(2):403-406

Porto and Guimarães, Portugal From the Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédias Abel Salazar, Faculdade de Medicina da Universidade do Porto, Hospital da Luz, Arrábida; Hospital Militar do Porto; and the Departamento de Engenharia Mecânica, Universidade do Minho.

Humpectomy is one of the most common steps in reduction rhinoplasty among Caucasian patients. The most widespread procedures to address hump removal are both the "en bloc humpectomy" (with reconstruction of the middle third with spreader grafts) and the "split hump technique" (with confection of spreader flaps). The spare roof technique, for rhinoplasty reduction, has been developed over the past 4 years. Read More

Auris Nasus Larynx 2020 Jan 10. Epub 2020 Jan 10.

Department of Plastic Reconstructive and Aesthetic Surgery, University of Tokyo, Clinical Research Center A 2F, Hongo 7-3-1, Bunkyoku-City, Tokyo 113-8655, Japan.

A rare case of intraosseous cavernous hemangioma was identified in the nasal root. Using a combination of endoscopic surgery and open rhinoplasty, an osteotomy was performed and resection of the hemangioma was successfully achieved with transcolumellar and infracartilaginous incisions and 2 stab incisions. No adverse side effects were observed after the procedure, no tumor recurrence was observed at the 16-month-postoperative follow-up. Read More

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

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

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

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

Maedica (Buchar) 2019 Sep;14(3):213-219

"Iuliu Hatieganu" University of Medicine and Pharmacy, Department of Maxillofacial Surgery and Radiology, Faculty of Dental Medicine, Cluj-Napoca, Romania.

The aim of this CBCT study was to evaluate the postoperative volume changes of the rhinosinusal airway space, maxillary sinuses and nasal fossa, that occur after Le Fort I osteotomy, using individual segmentation of 3D virtual models. A number of 16 patients (with Class II and Class III malocclusions) who underwent a CBCT examination for orthognathic surgery at six month-interval between preoperative and postoperative evaluations were included. Patients with thickening of the sinus mucosa, craniofacial syndromes, maxillofacial trauma, rhinoplasty or other maxillofacial pathological conditions were excluded from the study. Read More

Prog Orthod 2019 Dec 2;20(1):44. Epub 2019 Dec 2.

Department of Orthodontics, Faculty of Dentistry, Gaziosmanpasa University, 60100, Tokat, Turkey.

Background: The aim of this study was to evaluate the effect of different nose types on the perception of facial aesthetics following camouflage treatment and orthognathic surgery for skeletal class II female patients.

Methods: A pre-treatment profile photograph of a skeletal class II adult patient was selected from the department archive. Two constructed photographs were created to represent orthognathic surgery and camouflage treatments with the aid of computer software. Read More

Laryngoscope 2020 May 22;130(5):1158-1165. Epub 2019 Nov 22.

Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia.

Objective: Piezosurgery, used in different otolaryngology procedures, was a breakthrough in surgery. We systematically reviewed the differences in outcomes after lateral nasal osteotomy with peizosurgery and conventional osteotome and quantified the differences through a meta-analysis.

Methods: Medline, Embase, and Cochrane library databases were selected to search for randomized clinical trials (RCTs) published before January 2019 that detailed differences between piezosurgery and conventional osteotomy. Read More

J Craniofac Surg 2019 Sep;30(6):e576-e578

Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo.

Oculo-auriculo-fronto-nasal syndrome (OAFNS) is a rare anomaly characterized by features overlapping those of frontonasal dysplasia (FND) and the oculo-auriculo-vertebral spectrum (OAVS). The FND features malformation of frontonasal process-derived structures, characterized by anomalies in the central portion of the face. The OAVS is characterized by developmental anomalies of the first and second pharyngeal arches. Read More

Oral Maxillofac Surg Clin North Am 2020 Feb 1;32(1):153-165. Epub 2019 Nov 1.

Department of Oral and Maxillofacial Surgery, Case Western Reserve University, University Hospitals Cleveland Medical Center, 9601 Chester Avenue, Cleveland, OH 44106, USA. Electronic address:

Many of the aesthetic facial procedures can be performed simultaneously at the time of initial orthognathic surgery. Correction of any residual deformities after surgery, such as mandibular notching, malar asymmetry, labiomental crease, and any camouflage treatment, should be performed as a delayed procedure, when the outcome is more predictable. Additionally, these procedures could be used to enhance the orthodontic result, without the need of osteotomies to reposition the bones. Read More

Facial Plast Surg 2019 Oct 22;35(5):458-466. Epub 2019 Oct 22.

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

In rhinoplasty, osteotomies are performed to manipulate the bony nasal vault to improve the function and/or the aesthetics of the nose. This article provides an overview of the instruments used for osteotomies, as well as the indications and techniques for osteotomies in nasal profileplasty. Read More

World J Plast Surg 2019 Sep;8(3):345-351

Department of Oral and Maxillofacial Surgery, Dental School, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Periorbital edema and ecchymosis are considered as the main complications of rhinoplasty. The current study was conducted to compare the effects of internal and external lateral osteotomies on ecchymosis, periorbital edema, and step off deformity after rhinoplasty.

Methods: This double-blind randomized clinical trial was conducted on 69 patients (including 37 and 32 cases undergoing external and internal lateral osteotomies, respectively), between the fall of 2016 and 2018. Read More

J Otolaryngol Head Neck Surg 2019 Oct 16;48(1):50. Epub 2019 Oct 16.

Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Introduction: Post-operative periorbital ecchymosis and edema following rhinoplasty is a well-known sequela of surgery. Unfortunately, this can be a source of distress for patients, resulting in a longer post-operative recovery time and a delayed return to work. Trauma caused by lateral osteotomies is likely the most significant cause of periorbital edema and ecchymosis in rhinoplasty. Read More

Cleft Palate Craniofac J 2020 Apr 8;57(4):438-443. Epub 2019 Oct 8.

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

Objective: To assess the timing, type, and associated adjunct procedures for secondary cleft rhinoplasty nationally.

Design: Data were extracted from a national database of all secondary cleft rhinoplasty procedures (Current Procedural Terminology [CPT] codes 30460 and 30462). Frequency statistics were utilized to analyze demographics, comorbidities, surgical procedures, and timing. Read More

Plast Reconstr Surg 2020 01;145(1):185-199

Seattle, Wash. From the Division of Craniofacial and Plastic Surgery, Seattle Children's Hospital; and the Division of Plastic Surgery, University of Washington.

Background: Objective assessment of the unilateral cleft lip nasal deformity and the longitudinal changes with treatment is critical for optimizing cleft care.

Methods: Consecutive patients undergoing cleft lip repair and foundation-based rhinoplasty were included (n = 102). Three-dimensional images preoperatively, postoperatively, and at 5 years of age were assessed and compared to age-matched controls. Read More

Plast Reconstr Surg Glob Open 2019 Aug 12;7(8):e2374. Epub 2019 Aug 12.

Department of Surgery, Faculty of Medicine, Lebanese University, Beirut, Lebanon.

Rhinoplasty is a common and challenging procedure. Lateral osteotomy is routinely performed in most cases. Most of the surgeons have the habit of applying external nasal splints to stabilize the nasal tissues and bone in their new position postrhinoplasty. Read More

Plast Reconstr Surg 2019 10;144(4):597e-605e

Montreal, Quebec, Canada From the Division of Plastic and Reconstructive Surgery, McGill University; and McGill Medical School.

Background: Rhinoplasty is known for its complexity in planning and execution. For trainees, knowledge acquisition is often adequately attained. The mastery of skills, however, occurs by means of hands-on exposure, which continues to be a challenge. Read More

Ear Nose Throat J 2020 Jun 24;99(5):318-322. Epub 2019 Sep 24.

Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Namık Kemal University, Tekirdağ, Turkey.

Rhinoplasty remains one of the most commonly performed aesthetic surgical procedure that demands a meticulous intraoperative precision as well as maximum precaution and control. Nasal osteotomy is a key component to shape the bony vault in aesthetic rhinoplasty, but it is also the so versatile, dangerous, and difficult to learn. The present study aims to evaluate the usefulness of our locator instrument for beginners which is called transilluminating osteotome. Read More

Ear Nose Throat J 2019 Sep 23:145561319875734. Epub 2019 Sep 23.

Department of Otorhinolaryngology, Kurtalan State Hospital, Siirt, Turkey.

Background: Open rhinoplasty has been performed for over 50 years. Rhinoplasty procedures have a risk of complications and it is important to follow each step diligently in order to avoid complications. Periorbital edema is the most common complication of septorhinoplasty. Read More

Ann Plast Surg 2019 10;83(4):429-435

Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.

Background: Secondary cleft nose rhinoplasty remains a challenging procedure. Cartilage memory and scar contraction are problematic factors. The need for more detailed procedures for secondary reconstruction in this patient population has arisen. Read More

J Craniomaxillofac Surg 2019 Nov 13;47(11):1712-1719. Epub 2019 Jul 13.

Department of Pediatric Maxillofacial Surgery and Craniofacial Surgery, Clocheville Hospital, Reference Center for Rare Craniofacial Malformations, Tours University Hospital, France.

Orbital hypertelorism (OR.H) is defined as an abnormal increase in the distance between the two orbits secondary to a skeletal anomaly, and it occurs in association with numerous congenital craniofacial malformations. Since its description by Greig in 1924, OR. Read More

J Korean Assoc Oral Maxillofac Surg 2019 Aug 28;45(4):192-198. Epub 2019 Aug 28.

Department of Periodontology, Navodaya Dental College, Raichur, India.

Objectives: Oral and maxillofacial surgeons must gain mastery of various approaches to the midface due to the increasing incidence, complexity, and severity of presenting midfacial fractures. Unlike in the case of other body parts, the need to preserve facial aesthetics makes it more difficult for the surgeon to select an approach for managing the facial injuries. The midfacial degloving (MFD) approach is a combination of intraoral and intranasal incisions made to access the midface without any external incision. Read More

J Plast Reconstr Aesthet Surg 2019 Dec 8;72(12):2049-2055. Epub 2019 Aug 8.

Department of Pediatrics, McMaster University, Room HSC 3N27, 1280 Main Street West, Hamilton, Ontario L8S 4L8, Canada. Electronic address:

Background: The CLEFT-Q is a patient-reported outcome measure developed for use in patients with cleft lip and/or palate. A significant indicator of the CLEFT-Q's validity relates to its ability to detect differences between the impact of specific aspects of clefting before and after surgery. This study compares relevant sub-scale scores of the CLEFT-Q for patients requiring four specific surgical treatments against those who either have had surgery or never needed surgery. Read More

Facial Plast Surg 2019 Aug 30;35(4):420. Epub 2019 Aug 30.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Clin Otolaryngol 2019 11 8;44(6):968-974. Epub 2019 Oct 8.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Objectives: This study evaluated the efficacy of piezoelectric osteotomy in reducing oedema and ecchymosis during rhinoplasty via a systematic review with meta-analysis.

Design And Setting: Two authors independently searched the referenced databases. PubMed, Embase, SCOPUS, the Web of Science, the Cochrane library and Google Scholar databases were systematically searched from inception to January 2019. Read More

Ann Plast Surg 2019 09;83(3):253-257

Long Island Plastic Surgical Group, Garden City, NY.

Goals/purpose: Rhinoplasty is the most common procedure seen in the teenage population. Many of these patients have facial imbalance both recognized and unrecognized by the individual and family. Most often it involves chin or midface deficiency. Read More

J Craniomaxillofac Surg 2019 Oct 25;47(10):1608-1616. Epub 2019 Jul 25.

İzmir Katip Çelebi Üniversitesi Tıp Fak., Radyoloji AD, Turkey. Electronic address:

Aims: One of the most commonly performed operations in aesthetic, plastic, and reconstructive surgery is rhinoplasty, the aim of which is to construct an altered nasal shape, either for aesthetic or functional reasons. The lateral osteotomy is the most traumatic step of rhinoplasty, and is generally difficult to perform. The lacrimal system can be damaged during the lateral osteotomy procedure. Read More

World J Plast Surg 2019 May;8(2):208-212

Department of Otolaryngology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Background: The deviated nose is a common deformity encountered in rhinoplasty, and yet it is the most challenging pathology to treat, because multiple internal and external structures have deformity, so there is a need to be corrected.

Methodes: The intermediate short osteotomy has been applied as a technique to correct severe nasal bony deviations. Eleven patients with severe deviated nose who had been operated by the senior author from 2013 through 2016 were included in the study (follow-up period of 6-24 month). Read More

J Craniofac Surg 2019 Jul;30(5):1512-1515

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

J Craniofac Surg 2019 Nov-Dec;30(8):2445-2448

Department of Otorhinolaryngology.

Objective: In this study, the authors aimed to compare the nasal physiology and nasal cavity volume with three-dimensional computed tomography (3D-CT) 1 year after the operation with the values before the operation to investigate the possible narrowing and loss of function in the nasal cavity after septorhinoplasty (SRP) operation.

Methods: Of 415 patients who had a primary SRP operation, 28 patients who met the criteria were included in the study. Nasal cavity volumes of patients with postoperative CTs were measured three-dimensionally after a mean 13 months, and objective rhinologic measurements (rhinomanometry, acoustic rhinometry, and peak nasal inspiratory flow [PNIF]) and subjective assessment methods (Visual Analog Scale [VAS], Nasal Obstruction Symptom Evaluation [NOSE]) were performed. Read More

Aesthetic Plast Surg 2019 10 25;43(5):1257-1268. Epub 2019 Jun 25.

, Bergamo, Italy.

Background: In scenarios of a dorsal hump with minor bony cap, ideal esthetic dorsal lines can be preserved and refined by component separation of the upper lateral cartilages from the septal T, resection of a septal strip and ethmoid bone wedge, adjustment of width and symmetry and final re-suture of the cartilaginous dorsum after pushdown, improving width and symmetry. The associated bony cap is managed by osteoplasty only with or without narrowing osteotomies, and septal deviations can be concomitantly corrected.

Objectives: A novel technique of modified dorsal cartilaginous pushdown after component separation is described in detail. Read More

HNO 2019 Nov;67(11):836-842

Privatpraxis am Maximiliansplatz, München, Deutschland.

Background: Facial plastic and reconstructive surgery requires delicate, atraumatic handling of cartilage, bone and the surrounding soft tissue. Piezoelectric instrumentation (PEI) has previously been shown to be a precise and safe surgical instrument in rhinoplasty. It offers good preservation of surrounding soft tissue and high cutting precision and thus a good surgical applicability in rhinoplasty. Read More

Aesthet Surg J 2020 Apr;40(5):479-492

Department of Plastic Surgery, University of California, Irvine School of Medicine, Irvine, CA.

Background: An important element of most rhinoplasty surgeries is the treatment of the nasal bones, which involves various combinations of osteotomies and hump removal.

Objectives: The aim of this paper was to describe a rhinoplasty technique in which piezoelectric instruments (PEIs) are used to shape nasal bones, with the priority being to preserve the stability of these bones. In most clinical cases, nasal bones can be stabilized if rhinosculpture (RS) is applied broadly, both separately and in combination with different osteotomies, while preserving the nasal bridge. Read More

J Craniofac Surg 2019 Oct;30(7):e600-e603

Department of Health Care Services, Karadeniz Technical University, Trabzon, Turkey.

Rhinoplasty is the most challenging facial aesthetic surgical procedure according to many plastic surgeons. Nasal bone osteotomies, especially lateral osteotomies, have a complicated history. If lateral osteotomy is not stable after osteotomy during intraoperative period, stabilization is attempted with internal and external nasal splints but it is not possible to be confident about the stabilization since it is not fully fixed and cannot be observed directly. Read More

J Pak Med Assoc 2019 May;69(5):705-710

Aga Khan University Hospital, Karachi.

The face is the most expressive zone of the human body that communicates our feelings and thoughts. This may also influence the interaction between people. The aesthetic adjunctive procedures are life-changing. Read More

Acta Otorhinolaryngol Ital 2019 Apr;39(2):92-97

Department of Clinical Sciences and Translation Medicine, Institute of Otorhinolaryngology University of Rome "Tor Vergata", Italy.

J Craniofac Surg 2019 Oct;30(7):1966-1969

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

Aim: The aim of this study was to investigate the effect of piezoelectric surgery (piezosurgery) on soft tissue in open septorhinoplasty.

Methods: A total of 30 patients (21 females, 9 males; mean age 29.16 ± 8. Read More

Plast Reconstr Surg Glob Open 2019 Mar 20;7(3):e2121. Epub 2019 Mar 20.

Department of Plastic and Reconstructive Surgery, Ghent University Hospital, Ghent, Belgium.

Rhinoplasty in facial cleft patients is among the most challenging types of reconstructive facial surgery due to its variability. Advances in 3-dimensional imaging enable improved preoperative assessment in rhinoplasty. In complex cases with bony support irregularities and asymmetry, it is rational to initiate planning with reconstruction of the aberrant substructure (ie, "bottom-up" planning) rather than starting the surgical design with soft-tissue morphing. Read More

Oral Maxillofac Surg 2019 Jun 23;23(2):179-186. Epub 2019 Apr 23.

Division of Maxillofacial Surgery, Universita degli Studi del Piemonte Orientale Amedeo Avogadro, Novara, Italy.

Objective: The aim of this study was to assess, identify, and compare the personality traits and psychosocial status of two groups of patients undergoing orthognathic surgery and rhinoseptoplasty respectively.

Study Design: This prospective study recruited patients referred for orthognathic surgery and for rhinoseptoplasty. The research protocol included the administrations of questionnaires to the patients during their last visit before surgery, including the Minnesota Multiphasic Personality Inventory (MMPI-2), the Myers-Briggs Type Indicator (MBTI), the tree drawing test (or Baum test), and the BC Scale. Read More