58 results match your criteria Rhinoplasty Tip Approaches


The Effect of Anchoring the Columellar Strut Graft to the Lateral Crural Steal Suture in Patients With a Low Nasal Tip: A New Technique.

Authors:
Hasan Cetiner

J Craniofac Surg 2018 Dec 29. Epub 2018 Dec 29.

Health Science University, Elazig Education and Research Hospital, Elazig, Turkey.

Objective: The achievement of consistently superior results in rhinoplasty is difficult. This study aimed to evaluate the effect of anchoring the columellar strut graft to the thread of the lateral crural steal for nasal tip projection and rotation.

Study Design: A retrospective, case-control study. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005110DOI Listing
December 2018

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
10 Reads

Septal extension graft in "closed" revision rhinoplasty: A simplified technique.

Am J Rhinol Allergy 2017 Jul;31(4):260-264

Valerio Micheli-Pellegrini Study Center, Villa Donatello Clinic, Florence, Italy.

Background: The septal extension graft (SEG) is widely used in secondary rhinoplasty for correction of a short nose with loss of tip support and projection, columellar retraction, and hyper-rotated tip secondary to an overresection of the caudal septum. Although SEG precise fixation can be relatively easy in the external approach, the difficulties of SEG placement in "closed" rhinoplasty can be discouraging.

Objective: To describe an easy surgical technique for SEG placement in endonasal revision rhinoplasty and to analyze the aesthetic results of the procedure. Read More

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http://dx.doi.org/10.2500/ajra.2017.31.4442DOI Listing
July 2017
5 Reads

Common nasal deformities among rhinoplasty patients in a university hospital in Saudi Arabia.

Ann Saudi Med 2017 May-Jun;37(3):2017-211

Turki Mohammed Aldrees, Prince Salman University, Medical College,, PO Box 152690, Karias 11797, Riyadh, T: 0115886100 ORCID: http://orcid.org/0000-0001-5284-3956.

Background: Rhinoplasty has become one of the most common aesthetic procedures in the world. Few studies from the Middle East have described rhinoplasty patients in the region.

Objective: To investigate common nasal deformities in individuals seeking rhinoplasty at a single institution in Saudi Arabia. Read More

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http://www.annsaudimed.net/index.php/vol37/vol37iss3/4451.ht
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http://dx.doi.org/10.5144/0256-4947.2017.207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150583PMC
March 2018
13 Reads

Effects of the Rhinoplasty Maneuvers on Upper Lip Position and Incisor Show.

Aesthetic Plast Surg 2017 Feb 28;41(1):135-139. Epub 2016 Dec 28.

Case Western Reserve School of Medicine, 29017 Cedar Road, Cleveland, Lyndhurst, OH, 44125, USA.

Background: Smiling involves dynamic movements that include nasal tip descent and upper lip ascent. The effect of rhinoplasty on upper lip position is poorly described.

Methods: One hundred charts were reviewed in reverse chronologic order. Read More

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http://link.springer.com/10.1007/s00266-016-0760-4
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http://dx.doi.org/10.1007/s00266-016-0760-4DOI Listing
February 2017
10 Reads

[The anthropometric parameters of the external nose in a Kazakh population with particular reference to the planning of ethnic-specific rhinoplasty].

Vestn Otorinolaringol 2016;81(4):64-68

Astana Medical University. Astana, Kazakhstan, 010000.

The objective of the present study was to determine the anthropometric parameters of the external nose in a Kazakh population for the subsequent elaboration of the algorithms of and approaches to the planning of ethnic-specific rhinoplasty. The study included 500 ethnic Kazakhs (197 women and 303 men) at the age varying from 16 to 25 (mean 20.6±3. Read More

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http://www.mediasphera.ru/issues/vestnik-otorinolaringologii
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http://dx.doi.org/10.17116/otorino201681464-68DOI Listing
December 2016
1 Read

Value of cephalic part of lateral crus in functional rhinoplasty.

Eur Arch Otorhinolaryngol 2016 Dec 24;273(12):4053-4059. Epub 2015 Dec 24.

Department of Otolaryngology Head and Neck Surgery, Vali-Asr Hospital, Imam Khomeini Medical Complex, Tehran University of Medical Sciences, Dr. Gharib Avenue, Keshavarz, Boulevard, Tehran, Iran.

Reshaping of the nasal tip is the most difficult part of rhinoplasty. Over the years, there have been many advances in the field of rhinoplasty, including tip plasty. The goal of these continuous refinements in existing procedures has been to improve both aesthetic and functional outcomes. Read More

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http://dx.doi.org/10.1007/s00405-015-3866-4DOI Listing
December 2016
8 Reads

Milestones of Asian Rhinoplasty.

Semin Plast Surg 2015 Nov;29(4):213-8

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

The field of plastic surgery originally developed out of the necessity to reconstruct the human body after the destruction of war. However, injured soldiers were not the only people who desired a change in appearance. After World War II, many people in Asian countries sought to attain a more Western look through surgery. Read More

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http://dx.doi.org/10.1055/s-0035-1564821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656168PMC
November 2015
1 Read

Polydioxanone Absorbable Plate for Cartilaginous Grafting in Endonasal Rhinoplasty: A Randomized Clinical Trial.

JAMA Facial Plast Surg 2016 Jan-Feb;18(1):47-53

DeNova Research, Chicago, Illinois2Chicago Center for Facial Plastic Surgery, Chicago, Illinois.

Importance: The caudal septal extension (CSE) graft maneuver commonly is used to adjust the nasal tip projection. It can, however, be difficult to stabilize and straighten the CSE graft, especially when the procedure is performed through an endonasal approach. Because the stabilization and correct positioning of the CSE graft are vital for achievement of the desired outcome, new approaches must be found that facilitate the technical ease of this procedure. Read More

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http://dx.doi.org/10.1001/jamafacial.2015.1492DOI Listing
May 2016
38 Reads

A novel method for reconstruction of severe caudal nasal septal deviation: Marionette septoplasty.

Ear Nose Throat J 2015 Jun;94(6):E34-40

Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Adnan Menderes Cad. No. 145 Adapazari, Sakarya 54100, Turkey.

We conducted a retrospective study to compare open and endonasal (closed) approaches to extracorporeal reconstruction of severe caudal septal deviations. From January 1, 2010, through December 31, 2013, 78 patients with severe caudal septal deviation underwent corrective surgery at our hospital. Of this group, 33 patients (mean age: 32 yr) underwent extracorporeal septoplasty via an open approach, and 45 patients (mean age: 35 yr) underwent treatment with a new procedure that we developed: subtotal extracorporeal septoplasty through a closed approach, which we call "marionette septoplasty. Read More

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June 2015
13 Reads

Comparison of Various Rhinoplasty Techniques and Long-Term Results.

Aesthetic Plast Surg 2015 Aug 7;39(4):465-73. Epub 2015 May 7.

SO-EP Aesthetic & Plastic Surgery Clinic, Seyitgazi Mah. Seyyid Burhaneddin Bulv. No: 51/A, 38050, Kayseri, Turkey,

Background: Various techniques are used in rhinoplasty. These techniques can be classified under transcolumellar approaches and endonasal procedures. Open rhinoplasty without transcolumellar incision (ORWTI) procedure can be described as a combination of these two techniques. Read More

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http://link.springer.com/content/pdf/10.1007/s00266-015-0506
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http://link.springer.com/10.1007/s00266-015-0497-5
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http://dx.doi.org/10.1007/s00266-015-0497-5DOI Listing
August 2015
5 Reads

Multifactorial approaches for correction of the drooping tip of a long nose in East asians.

Arch Plast Surg 2014 Nov 3;41(6):630-7. Epub 2014 Nov 3.

Joseph's Plastic Surgery Center, Daegu, Korea.

A long nose with a drooping tip is a major aesthetic problem. It creates a negative and aged appearance and looks worse when smiling. In order to rectify this problem, the underlying anatomical causes should be understood and corrected simultaneously to optimize surgical outcomes. Read More

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http://dx.doi.org/10.5999/aps.2014.41.6.630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228203PMC
November 2014
6 Reads

Closed rhinoplasty with open approach advantages: extended intranasal incisions and tip rearrangement sutures.

Aesthetic Plast Surg 2014 Aug 6;38(4):653-61. Epub 2014 Jun 6.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Hacettepe University Faculty of Medicine, 06100, Ankara, Turkey,

Background: Two main well-known approaches are used in rhinoplasty: open and closed techniques. This study aimed to define two new tip suture modifications that enhance and stabilize tip shape, projection, and position through an extended infracartilaginous incision with an open rhinoplasty exposure.

Methods: This study investigated 56 consecutive primary rhinoplasty patients 18-51 years of age (mean age 27. Read More

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http://dx.doi.org/10.1007/s00266-014-0326-2DOI Listing
August 2014
4 Reads

Rhinoplasty: panel discussion.

Facial Plast Surg Clin North Am 2014 Feb;22(1):25-55

Adamson Cosmetic Facial Surgery Inc., M110 - 150 Bloor Street West, Toronto, Ontario M5S 2X9, Canada; Department of Otolaryngology - Head and Neck Surgery, University Health Network, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Should one use an open or closed rhinoplasty approach? How appropriate is the endonasal approach in modern-day rhinoplasty? Should the tip lobule be divided or preserved? Are alloplastic implants inferior to autologous implants? Does release and reduction of the upper lateral cartilages from the nasal dorsal septum always require spreader graft placement to prevent mid one-third nasal pinching in reduction rhinoplasty? Over past 5 years, how have rhinoplasty techniques and approaches evolved? Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406130013
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http://dx.doi.org/10.1016/j.fsc.2013.09.001DOI Listing
February 2014
35 Reads

Grafting in revision rhinoplasty.

Acta Otorhinolaryngol Ital 2013 Jun;33(3):183-9

Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Milan, Italy.

Rhinoplasty is one of the most difficult aesthetic surgery procedures with a high rate of revision. In revision rhinoplasty the surgeon should explore the patient's concerns and then verify the possibility to satisfy expectations after complete internal and external examination of the nose. For the vast majority of complex secondaries, an open approach is the only reasonable method. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709529PMC
June 2013
5 Reads

Current clinical practices of the Rhinoplasty Society members.

Ann Plast Surg 2013 Nov;71(5):453-5

From the *Department of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, TX; and †Academic Health Center School of Dentistry, Cleft Palate and Craniofacial Clinics, University of Minnesota, Minneapolis, MN.

Introduction: As rhinoplasty remains among the most challenging and controversial operations in plastic surgery, we sought to elucidate present-day practice characteristics. Members of The Rhinoplasty Society were polled in preparation for the national meeting held in Boston, Mass, on May 2011. The goal was to provide information regarding surgical approaches used as well as technique and practice patterns used. Read More

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http://dx.doi.org/10.1097/SAP.0b013e3182503ca1DOI Listing
November 2013

Contemporary review of rhinoplasty.

Arch Facial Plast Surg 2012 Jul-Aug;14(4):238-47

Department of Otolaryngology–Head and Neck Surgery, University of Illinois at Chicago, IL 60612, USA.

We conducted a contemporary review covering advances and trends in primary and functional rhinoplasty as published during the past decade. Specifically, we reviewed studies supporting the evidence for functional rhinoplasty, nasal valve surgery, and septal reconstruction. In addition, key articles discussing cephalic malpositioning of the lower lateral cartilages and tip contouring are reviewed. Read More

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http://dx.doi.org/10.1001/archfacial.2012.577DOI Listing
November 2012
15 Reads

Hemangiomas of the nasal tip: an approach to a therapeutic challenge.

Int J Pediatr Otorhinolaryngol 2011 Mar 3;75(3):368-75. Epub 2011 Jan 3.

Department of Otolaryngology, Head and Neck Surgery, University of Marburg, Germany.

Objective: Hemangiomas of the nasal tip (HNT) are commonly described as "Cyrano" or "Pinocchio nose". They may cause significant aesthetic and functional impairment. It is still controversial how and when HNT should be treated. Read More

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http://dx.doi.org/10.1016/j.ijporl.2010.12.007DOI Listing

Good results after endonasal cartilage closure of nasal septal perforations.

Dan Med Bull 2010 Oct;57(10):A4196

ENT Surgery, Aarhus University Hospital, Denmark.

Introduction: Surgical closure of nasal septal perforations is a challenging procedure. Several approaches and techniques have been described with different levels of success. We report our experience in nasal septal perforation surgery. Read More

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October 2010
1 Read

[Suture tip plasty using an endonasal approach].

Authors:
A-J Tasman P Palma

HNO 2010 Sep;58(9):888-98

Hals-Nasen-Ohren-Klinik, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007 St Gallen, Schweiz.

Background: Over the last two decades, the use of the external approach for primary and secondary rhinoplasties has become increasingly popular. This article illustrates the versatility of endonasal techniques for the correction of nasal tip deformities on the basis of four cases.

Patients And Methods: The approach to the nasal tip and the chosen technique as used in 100 consecutive rhinoplasties were reviewed. Read More

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http://dx.doi.org/10.1007/s00106-009-2042-9DOI Listing
September 2010
4 Reads

[Predictable tip suture techniques in rhinoplasty].

Authors:
I D Papel

HNO 2010 Sep;58(9):882-7

Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Recontouring the nasal tip in rhinoplastic procedures has generated a wide range of surgical techniques. These range from aggressive cartilage resection, division, grafting, or suture methods. Each of these categories contains many variations described in hundreds of publications. Read More

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http://dx.doi.org/10.1007/s00106-009-2037-6DOI Listing
September 2010
4 Reads

Reconstruction of the nasal septum using perforated and unperforated polydioxanone foil.

Arch Facial Plast Surg 2010 Mar-Apr;12(2):106-13

Department of Otolaryngology and Facial Plastic Surgery, Royal Surrey County Hospital, Guildford, England.

Objective: To present our experience of reconstruction of the nasal septum using perforated and unperforated foils, particularly with respect to functional and aesthetic sequelae.

Methods: A retrospective medical record review of a prospectively conducted case series was undertaken of all consecutive patients who underwent septal reconstruction using polydioxanone foil in a 4-year period. Procedures included septorhinoplasty and isolated septoplasty via external and endonasal approaches using corporeal and extracorporeal techniques. Read More

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http://archfaci.jamanetwork.com/article.aspx?doi=10.1001/arc
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http://dx.doi.org/10.1001/archfacial.2010.1DOI Listing
June 2010
14 Reads

Rhinoplasty: dorsal grafts and the designer dorsum.

Authors:
Rollin K Daniel

Clin Plast Surg 2010 Apr;37(2):293-300

Aesthetic and Plastic Surgery Institute, University of California Irvine, CA, USA.

Over the last 2 decades, many of the difficulties in shaping primary tips and rebuilding destroyed secondary tips have been solved through the use of tip sutures and grafts. Dorsal grafts, which are a highly visible determinant of the nasal profile and contour, have become the greatest challenge in rhinoplasty surgery. This article reviews the author's different approaches to dorsal grafts using fascia and diced cartilage, either separately or in combination. Read More

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http://dx.doi.org/10.1016/j.cps.2009.12.009DOI Listing
April 2010
3 Reads

Suture techniques in rhinoplasty.

Clin Plast Surg 2010 Apr;37(2):231-43

Division of Plastic & Reconstructive Surgery, Stanford University, Oakland, CA, USA.

Suture techniques are an indispensable means to biologically sculpt the cartilage of the nose. Here the authors review their use in tip-plasty and present a 4-suture algorithm that allows for simple, complete control in sculpting the shape of all nasal tips in primary rhinoplasty. After a standard cephalic trim of the lateral crus leaving it 6 mm wide, one or more of the four suture techniques are applied. Read More

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http://dx.doi.org/10.1016/j.cps.2009.12.010DOI Listing
April 2010
1 Read

Approaches to the wide nasal tip (case-based application).

J Otolaryngol Head Neck Surg 2009 Aug;38(4):417-21

Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario.

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Nasal tip haemangiomas: guidelines for an early surgical approach.

J Plast Reconstr Aesthet Surg 2010 Jun 21;63(6):934-9. Epub 2009 Jun 21.

AP-HP, Hôpital d'enfants Armand-Trousseau, Centre de Référence des Angiomes, Service de Chirurgie Maxillo-faciale et Plastique, Paris, F-75012, France.

The treatment of Cyrano nose haemangioma (CNH) is difficult because of its location and possible complications: psychological impact, severe skin infiltration and consequences on nasal growth. We suggest that the best treatment for nasal tip haemangiomas is an early surgery to remove the affected tissues and preserve the anatomy. A total of 39 children (32 females and seven males) underwent early surgery for the treatment of CNH. Read More

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http://dx.doi.org/10.1016/j.bjps.2009.05.020DOI Listing
June 2010
5 Reads

Revision rhinoplasty: an overview of deformities and techniques.

Facial Plast Surg 2008 Aug 24;24(3):271-87. Epub 2008 Oct 24.

Department of Otorhinolaryngology, St. Bartholomew's and The Royal London Hospitals, London, United Kingdom.

This article provides an overview of assessment, planning, and correction of deformities in revision rhinoplasty surgery. Common deformities are described with tips for preventing such postoperative problems, and corrective strategies are suggested. Assessment remains the key to successful rhinoplasty surgery, and its importance in revision operations is emphasized. Read More

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http://dx.doi.org/10.1055/s-0028-1083082DOI Listing
August 2008
1 Read

An anatomical study of the nasal superficial musculoaponeurotic system: surgical applications in rhinoplasty.

Arch Facial Plast Surg 2008 Mar-Apr;10(2):109-15

Department of Ear, Nose, and Throat, Clinique St Antoine, Nice 06000, France.

Objective: To give a unifying description of nasal muscles and ligaments corresponding to anatomical and surgical findings such as the dermocartilaginous ligament described by Pintanguy in 2001.

Methods: In 30 fresh cadavers of white individuals, nasal dissections were performed, divided into 3 different approaches: from radix to nasal tip, from nasal tip to radix, and from midline to lateral. The anatomical and surgical planes of dissection were followed to isolate the nasal superficial musculoaponeurotic system (SMAS). Read More

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http://dx.doi.org/10.1001/archfaci.10.2.109DOI Listing
June 2008
32 Reads

Rhinometry: an important clinical index for evaluation of the nose before and after rhinoplasty.

Aesthetic Plast Surg 2008 Mar;32(2):286-93

Department of Plastic Surgery, Shahid Beheshti Medical University, Tehran, Islamic Republic of Iran.

Background: Preoperative planning and postoperative outcome assessment in rhinoplasty are important. For preoperative planning, some standard relationships are defined and evaluated primarily with standard photographs, but photographs do not necessarily reflect reality. Outcome assessment, on the other hand, is mostly subjective, and again, even photographic analyses may not address real changes after rhinoplasty. Read More

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http://dx.doi.org/10.1007/s00266-007-9057-yDOI Listing

Nasal hump removal in Asians.

Acta Otolaryngol Suppl 2007 Oct(558):95-101

Department of Otorhinolaryngology, Seoul National University Boramae Hospital, Seoul, Korea.

Conclusion. When performing nasal hump reduction in Asians, the amount of hump resection should be tailored based on the predicted amount of dorsal augmentation and tip projection needed. Common complications of hump removal can be prevented by conservative hump removal and efficient use of spreader graft or camouflage cartilage grafts. Read More

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http://dx.doi.org/10.1080/03655230701624947DOI Listing
October 2007
1 Read

Key maneuvers for successful correction of a deviated nose in Asians.

Am J Rhinol 2006 Nov-Dec;20(6):609-14

Department of Otorhinolaryngology Head and Neck Surgery, Seoul National University Boramae Hospital, Seoul, Korea.

Background: The authors present surgical results of 64 Asian patients with deviated nose and introduce important key maneuvers used in the surgery.

Methods: Sixty-four consecutive patients who underwent corrective rhinoplasty because of a deviated nose were analyzed retrospectively. Approaches and techniques used for the surgery, surgical results, and complications were evaluated. Read More

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February 2007
4 Reads

Closed rhinoplasty with marginal incision: our experience and results.

Aesthetic Plast Surg 2006 Mar-Apr;30(2):155-8

Department of Plastic Surgery, University of Turin, Italy.

Supporters of traditional rhinoplasty and promoters of open rhinoplasty have debated their approaches for many years. From among different possible techniques, a surgeon must always choose the approach that provides the best aesthetic result. The surgeon's experience and artistic sense are essential for the closed technique, whereby most of the corrections are performed without exposing the nasal frame. Read More

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http://dx.doi.org/10.1007/s00266-005-0125-xDOI Listing
August 2006
4 Reads

Nasal tip overprojection: algorithm of surgical deprojection techniques and introduction of medial crural overlay.

Arch Facial Plast Surg 2005 Nov-Dec;7(6):374-80

Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center, Houston, TX 77030, USA.

Objectives: To discuss the evaluation of the overprojected nasal tip, present an algorithm of various treatments for deprojection of the nasal tip, and introduce our experience of greater than 10 years with medial crural overlay.

Design: Retrospective review of a large sequential series of patients undergoing rhinoplasty who were treated with various deprojection techniques by the senior author (R.W. Read More

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http://dx.doi.org/10.1001/archfaci.7.6.374DOI Listing
February 2006

Evaluation of the effects of tip-binding sutures and cartilaginous grafts on tip projection and rotation.

Plast Reconstr Surg 2005 Jul;116(1):282-8

Department of Plastic, Reconstructive, and Aesthetic Surgery, Maltepe University, Faculty of Medicine, Istanbul, Turkey.

Background: Numerous approaches and techniques have been described to achieve a desired result in tip surgery, but there are few studies that define or analyze the changes that occur after surgery. Therefore, the authors planned a study to document changes in nasal tip projection, crural and lobular lengths of the columella, columellar length, and proportional relationships of tip projection and columella with dorsal length.

Methods: Analysis was based on data collected from preoperative and 1-year postoperative lateral views of 18 patients who were randomly chosen. Read More

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July 2005
1 Read

Rhinoplasty approaches: current state of the art.

Arch Facial Plast Surg 2005 Jan-Feb;7(1):32-7

Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.

Objective: To survey rhinoplasty surgeons to determine their current approaches and the reason for their use, how they have acquired their knowledge, and trends in the use of open and closed approaches.

Design: A rhinoplasty questionnaire on open and closed rhinoplasty approaches was presented to surgeons attending the annual meetings of the American Academy of Facial Plastic and Reconstructive Surgery and the American Academy of Otolaryngology-Head and Neck Surgery. The 178 questionnaires were reviewed for analysis, and the results were tabulated by a statistician. Read More

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http://archfaci.jamanetwork.com/article.aspx?doi=10.1001/arc
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http://dx.doi.org/10.1001/archfaci.7.1.32DOI Listing
April 2005
3 Reads

Graduated sculpture refinement of the nasal tip.

Authors:
M Eugene Tardy

Facial Plast Surg Clin North Am 2004 Feb;12(1):51-80

Department of Otolaryngology-Head and Neck Surgery, University of Illinois Medical Center, 1855 W Taylor, Chicago, IL 60612, USA.

Because of the complexity and variety of tip deformities encountered by the rhinoplasty surgeon,no single stylized approach or technique will suffice to satisfactorily correct the myriad anatomic configurations that present [21]. Thus, a graduated anatomic approach to nasal tip surgery is recommended, which equips the surgeon to correct more modest deformities with conservative approaches and techniques,reserving more aggressive approaches and techniques for more profoundly abnormal tip deformities. Pre-serving an undivided, complete residual strip in the majority of patients is entirely possible and eminently desirable for the control of long-term healing. Read More

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http://dx.doi.org/10.1016/S1064-7406(03)00096-8DOI Listing
February 2004
1 Read

Differing characteristics in 100 consecutive secondary rhinoplasty patients following closed versus open surgical approaches.

Plast Reconstr Surg 2002 May;109(6):2097-111

Department of Surgery, Plastic Surgery, St. Joseph Hospital, Nashua, NH, USA.

Open rhinoplasty has unquestionably become more popular during the past two decades because of the putative diagnostic and technical advantages that direct transcolumellar access offers. To test the hypothesis that patients initially treated by the opened or closed approaches differed in the secondary deformities that developed, a retrospective study was conducted of 100 consecutive secondary rhinoplasty patients (66 women and 34 men) operated on by the author before February of 1998. Sixty-four percent had previously undergone closed rhinoplasties and 36 had undergone open rhinoplasties; the incidence of prior open rhinoplasty had increased steadily over the survey years, from 21 percent in 1996 to more than 50 percent in 1998, 1999, and 2000 (p < 0. Read More

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May 2002
6 Reads

Short columella nasolabial complex in aesthetic rhinoplasty.

Authors:
A A Mottura

Aesthetic Plast Surg 2001 Jul-Aug;25(4):266-72

Many papers describe different approaches for short columella in cleft lip or Negroid noses. Very little has been found in international literature related to these aesthetic rhinoplasties. The scarce skin of the columella, the firm union between the nasal tip and the lip, due to the hypertrophy of the depressor septi nasi muscle, and the low projection of the nasal tip, consequence of the open position of the caudal part of the medial crura, are the cause of this problem. Read More

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http://dx.doi.org/10.1007/s002660010134DOI Listing
October 2001
1 Read

Anatomic basis and clinical implications for nasal tip support in open versus closed rhinoplasty.

Plast Reconstr Surg 1999 Jan;103(1):255-61; discussion 262-4

Department of Plastic and Reconstructive Surgery at University of Texas Southwestern Medical Center, Dallas 75235, USA.

Successful rhinoplasty depends on nasal tip support and its influence on nasal tip projection. The factors involved in nasal tip support are numerous; however, the role of the anterior septum versus the lower lateral cartilages has been debated in the literature. The purpose of this study was to quantitate, using fresh cadavers, the critical elements for nasal tip support with open versus closed rhinoplasty techniques. Read More

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January 1999
2 Reads

External rhinoplasty approach for extirpation and immediate reconstruction of congenital midline nasal dermoids.

Ann Otol Rhinol Laryngol 1998 Sep;107(9 Pt 1):786-9

Department of Otolaryngology-Head and Neck Surgery, The University of Iowa Hospitals and Clinics, Iowa City, USA.

Surgical extirpation is the treatment of choice for nasal dermoids in the pediatric population. Approaches include vertical-dorsal rhinotomy, lateral rhinotomy, transverse rhinotomy, and external rhinoplasty. While short-term results suggest that the last approach is cosmetically most acceptable, the required wide undermining of the nasal tip and dorsum may affect subsequent nasal growth. Read More

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http://dx.doi.org/10.1177/000348949810700909DOI Listing
September 1998

Suture techniques in rhinoplasty by use of the endonasal (closed) approach.

Authors:
R P Gruber

Aesthet Surg J 1998 Mar-Apr;18(2):99-103

The benefits of both the open and closed approaches were combined by use of an extended closed rhinoplasty. It is theorized that circulation would be improved, while providing greater visualization of the tip cartilages for suture techniques in those patients considered at risk for the open approach (e.g. Read More

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June 2009
8 Reads

New surgical concepts: nasal tip function.

Aesthetic Plast Surg 1997 Jul-Aug;21(4):240-2

Instituto Privado de Cirugia Plástica, Entre Ríos, Argentina.

Since the birth of plastic surgery, rhinoplasty has been an outstanding chapter. Facial balance has been endeavoured with two parameters: size and shape. Now, however, the criterion for harmony has involved two more parameters; position and function. Read More

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September 1997

[Correction of the sloping nasal tip. Comparison of various surgical methods].

Authors:
G Paulus

Mund Kiefer Gesichtschir 1997 May;1 Suppl 1:S75-9

Praxis für Mund-, Kiefer- und Gesichtschirurgie und plastische Operationen, München.

In the correction of nasal-tip ptosis, cephalic rotation of the nasal-tip complex is necessary. Various methods are retrospectively compared, including operative approaches, modifications of the lower lateral cartilages, and adjunctive tip rotation techniques. Pre- and postoperative profile photographs of 50 patients with tip ptosis are examined, the changes of the nasolabial angles measured, and analyses of the operative techniques performed. Read More

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[8-year experience with force vector rhinoplasty by J.B. Tebbetts: comparative results].

Acta Otorhinolaryngol Ital 1996 Jun;16(3):248-53

Clinica Otorinolaringoiatrica, Università di Ferrara.

The aim of the present work is to make a contribution in resolving the controversy between the traditional and "open" approaches to rhinoseptoplasty. Over these last few years, particularly in the United States, the Rethi technique (1920) has encountered unceasing opposition among those using the "open" approach and those who, on the other hand, assert that they can achieve equivalent results without resorting to the supplementary columellar incision. Since 1989 we have been using the technique proposed by J. Read More

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June 1996
4 Reads

[The actual problems in functional and aesthetic nasal surgery].

Authors:
R La Rosa C Miani

Acta Otorhinolaryngol Ital 1996 Jun;16(3):238-44

Divisone ORL, Ospedale Maggiore C.A. Pizzardi, Bologna.

Functional and aesthetic nasal surgery has been undergoing a process of fine-tuning. The surgical approaches lean toward greater conservation-particularly aesthetic- and functional selectivity. This has been made possible by improved diagnostic methods and pre-operative programming techniques such as computerized morphometry, computerized axial tomography, rhinosinus endoscopy, rhinomanometry, acoustic rhinometry and electromyography. Read More

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June 1996
7 Reads

The supraorbital tubed frontotemporal island flap for cutaneocartilagenous nose tip repair.

Authors:
J F Hönig

Acta Stomatol Belg 1994 Sep;91(3):155-62

Dept. of Maxillofacial Surgery University Hospital, Göttingen, Germany.

A variety of different approaches in tumor surgery have been proposed for the functional and cosmetic treatment of cutaneocartilagenous defects of the nose. This paper describes the various reconstructive methods which use the supraorbital tubed frontotemporal flap techniques after SCHMID and modified by MEYER and KESSELRING. We present our handling of this flap technique. Read More

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September 1994

Nasal reconstruction with articulated irradiated rib cartilage.

Arch Otolaryngol Head Neck Surg 1991 Mar;117(3):327-30; discussion 331

Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle.

Nasal structural reconstruction is a formidable task in cases where there is loss of support to both the nasal dorsum and tip. A multitude of surgical approaches and materials have been used for the correction of the saddle-nose deformity with varying degrees of success. Articulated irradiated rib cartilage inserted through an external rhinoplasty approach was used to reconstruct nasal deformities in 18 patients over a 6-year period. Read More

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March 1991
1 Read

[What has changed in esthetic and functional corrective surgery of the nose?].

Authors:
E Kastenbauer

Laryngorhinootologie 1989 Jan;68(1):4-11

Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.

The septo-rhinoplasty is a standard procedure in head and neck surgery. Only slight modifications have been developed during the last years concerning especially the surgery of the septum, the tip of the nose and the osteotomies. The presently well favored "external rhinoplasty" is not of any advantage and should be restricted to only few indications. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-2007-998276
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http://dx.doi.org/10.1055/s-2007-998276DOI Listing
January 1989
13 Reads

The "Pinocchio" nasal deformity--hemangioma vs. angiolipoma: esthetic correction and etiology.

Authors:
C F Koopmann

J Otolaryngol 1988 Jun;17(4):169-72

Department of Otolaryngology--Head and Neck Surgery, University of Michigan Hospitals, Ann Arbor 48109-0312.

The author presents the first reported case of a nasal angiolipoma presenting as "Pinocchio" nasal tip deformity. The two types of angiolipomas (infiltrating and non-infiltrating) are discussed as are two surgical approaches to this deformity. The author feels that the external rhinoplasty technique is an excellent way to approach this problem, especially in patients who are suffering severe emotional stress due to peer pressure. Read More

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