1,652 results match your criteria Rhinoplasty Tip Surgery


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

Changes in Nasal Tip and Lateral Nostril Characteristics After the Semi-Tongue-in-Groove Technique in Open Rhinoplasty Surgery.

J Craniofac Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of Otolaryngology-Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Introduction: This study aimed to evaluate postsurgical changes of nasal tip and lateral nostril characteristics after semi-tongue-in-groove (TIG) technique in open rhinoplasty surgery.

Materials And Methods: This prospective observational study was performed in a before-after setting on 22 patients who underwent open rhinoplasty surgery using semi-TIG technique. Postoperative photographs were analyzed for nasal tip and lateral nostril changes at several time points (1, 4, and 12 weeks after surgery) and were compared with preoperative photographs. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005076DOI Listing
December 2018

Component Restoration in the Unilateral Intermediate Cleft Tip Rhinoplasty: Technique and Long-Term Outcomes.

Plast Reconstr Surg 2018 Dec 26. Epub 2018 Dec 26.

Division of Plastic and Reconstructive Surgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California.

Background: The intermediate cleft tip rhinoplasty (ICTR) is performed in childhood to address residual tip asymmetries during the most critical period of psychosocial development. We describe and evaluate long-term outcomes of an ICTR approach for the unilateral cleft lip and palate (UCLCP) patient based on the concept of individual restoration of each abnormal anatomical component.

Methods: Photomorphometric analyses of UCLCP patients (n=50) who underwent ICTR using the component restoration technique were evaluated preoperatively (t0) and postoperatively at <1 year (t1), 1-3 years (t2), and >3 years (t3) and compared to age-matched UCLCP control patients. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005367DOI Listing
December 2018
1 Read

A Safer Non-surgical Filler Augmentation Rhinoplasty Based on the Anatomy of the Nose.

Aesthetic Plast Surg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, Republic of Korea.

Background: Filler augmentation rhinoplasty is a quick, non-surgical procedure that can produce outcomes comparable to open rhinoplasty surgery. However, the increased frequency of vascular complications has emerged as an important issue. The present study aimed to investigate measures to overcome the vascular complications based on the anatomy of the nose. Read More

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http://link.springer.com/10.1007/s00266-018-1279-7
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http://dx.doi.org/10.1007/s00266-018-1279-7DOI Listing
December 2018
5 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

Anatomically Based Optimization of Outcomes in Middle Eastern Rhinoplasy.

Plast Reconstr Surg Glob Open 2018 Oct 22;6(10):e1862. Epub 2018 Oct 22.

Faculty of Medicine, Menoufia University, Egypt.

Background: The predominant character in the Middle Eastern noses is the thick skin, weak cartilages, amorphous bulbous nasal tip, and high incidence of postoperative supra-tip swelling, compared with the Caucasian noses. The purpose of this study was to describe some anatomical findings and find techniques to improve outcomes in these patients.

Methods: This is retrospective study in 624 patients of Middle Eastern origin, where the characteristic anatomical findings are described and the surgical endeavors to combat their detrimental effect on the outcomes of rhinoplasty are explained. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250469PMC
October 2018
2 Reads

Autogenous control augmentation system - A refinement in diced cartilage glue graft for augmentation of dorsum of nose.

Indian J Plast Surg 2018 May-Aug;51(2):202-207

Department of Plastic and Cosmetic Surgery, Sir Ganga Ram Hospital, New Delhi, India.

Background: In the context of different grafts being used for dorsal augmentation, diced cartilage with glue has gained worldwide acceptance.

Aims: To develop a system of tools to objectively evaluate the desired dimensions of the required graft for dorsal augmentation and to prepare a corresponding customized-glued-diced cartilage construct.

Materials And Methods: A modification of the diced cartilage glue technique called Autogenous control augmentation system (ACAS) was used in ten patients. Read More

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http://dx.doi.org/10.4103/ijps.IJPS_69_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219360PMC
December 2018

Middle Eastern Rhinoplasty: Relationship of the Nasal Spine and Caudal Septum to Tip Projection and Columellar-Labial Angle.

OTO Open 2017 Oct-Dec;1(4):2473974X17742857. Epub 2017 Dec 27.

Department of Biostatistics, Beaumont Health Research Institute, Beaumont Hospital Royal Oak, Royal Oak, Michigan, USA.

Objective: To measure the anterior nasal spine length (ANSL) and septal caudal extension (SCE), as well as assess the strength of association between these variables and tip projection in the Middle Eastern nose. Our secondary aim was to assess if columellar-labial angle (CLA) or columellar-spinal angle (CSA) vary as a function of ANSL and/or SCE.

Study Design/setting: Prospective single institutional study. Read More

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http://journals.sagepub.com/doi/10.1177/2473974X17742857
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http://dx.doi.org/10.1177/2473974X17742857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6239157PMC
December 2017
3 Reads

A New Technique for Augmentation Rhinoplasty Using Hybrid Autologous Grafts with Septal Extension Grafts in Asian Patients.

Authors:
Tsutomu Mizuno

Facial Plast Surg 2018 Nov 2. Epub 2018 Nov 2.

Aesthetic Surgery, Anesis Biyou Clinic, Nagoya, Aichi, Japan.

Augmentation rhinoplasty is commonly performed to raise the nasal dorsum in Asian individuals. However, materials used for dorsal augmentation are associated with various surgical challenges and complications. In this article, the authors present a novel dorsal augmentation technique combining hybrid autologous costal grafts with septal extension grafts. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1666992
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http://dx.doi.org/10.1055/s-0038-1666992DOI Listing
November 2018
7 Reads

Beyond the L-Strut: Redefining the Biomechanics of Rhinoplasty Using Topographic Optimization Modeling.

Aesthet Surg J 2018 Oct 31. Epub 2018 Oct 31.

Department of Mechanical Engineering, University College London (UCL), London, UK.

Rhinoplasty utilizes cartilage harvested from the nasal septum as autologous graft material. Traditional dogma espouses preservation the "L-strut" of dorsal and caudal septum which is as less resistant to axial loading than virgin septum. With the 90° angle between dorsal and caudal limbs the traditional L-strut also suffers from localized increases in internal stresses leading to premature septal 'cracking', structural-scale deformation or both. Read More

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http://dx.doi.org/10.1093/asj/sjy301DOI Listing
October 2018
1 Read

[Clinical features and treatment of patients with class III malocclusion combined with and increase and lengthening of the nose].

Stomatologiia (Mosk) 2018 ;97(5):59-64

Privolzhsky Research Medical University, Nizhniy Novgorod, Russia.

The aim of the study was to study the effect of orthognathic surgery using the developed method of correction of dentoalveolar anomalies on the shape of the nose in patients with Class III tooth-jaw anomalies, according to Engle's classification, combined with an increase and lengthening of the nose. In the period from 2014-2017 on the basis of FGBBO VO 'PIMU' of the Ministry of Health of Russia treated 45 patients with maxillofacial anomalies, among them 31 people diagnosed with upper retro microburnia, lower macrognathia, Engle III class, skeletal type. All patients were between the ages of 21 and 45, without severe co-morbidities. Read More

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http://dx.doi.org/10.17116/stomat20189705159DOI Listing
January 2018
5 Reads

Measuring Projection of Nasal Tip with Syringe in Rhinoplasty.

Authors:
Chen Zhang

Aesthetic Plast Surg 2018 Sep 21. Epub 2018 Sep 21.

Institute of Plastic Surgery, Dalian University, No 10, Campus Drive, Dalian Economic Technological Development Zone, Dalian, 116622, Liaoning, China.

Preoperative and intraoperative assessments are very important for surgeons to plan or regulate tip projection. But how to measure the tip projection is a difficult problem even with a ruler or on full-size pictures. In this paper, the author introduces a method to measure the nasal tip projection with a remodeled syringe. Read More

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http://dx.doi.org/10.1007/s00266-018-1224-9DOI Listing
September 2018
3 Reads
1.189 Impact Factor

Nasal Tip Grafts.

J Craniofac Surg 2018 Oct;29(7):1914-1921

Northwestern University Feinberg School of Medicine, Chicago, IL.

Objectives: The nasal tip is the most prominent part of the nose. The aim of this paper is to review nasal tip grafts with detailed explanation and figures.

Methods: The authors searched PubMed, Google, Google Scholar, and Proquest Central database of the Kirikkale University. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005044DOI Listing
October 2018
7 Reads

Nasal Elongation with Septal Half Extension Graft: Modification of Conventional Septal Extension Graft Using Minimal Septal Cartilage.

Aesthetic Plast Surg 2018 Dec 14;42(6):1648-1654. Epub 2018 Sep 14.

Migo Plastic Surgery Clinic, 838 Nonhyeon-ro, Gangnam-gu, Seoul, 06025, Korea.

Background: In Asian rhinoplasty, a septal extension graft can be used for both tip projection and derotation of the alar cartilage. However, patients often do not have enough harvestable septal cartilage to create the septal extension graft. We therefore devised a method with which to fix the derotated alar cartilage with a small amount of septal cartilage. Read More

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http://dx.doi.org/10.1007/s00266-018-1219-6DOI Listing
December 2018
2 Reads

Tongue-in-Groove Technique for Rhinoplasty: Technical Refinements and Considerations.

Facial Plast Surg 2018 Oct 14;34(5):529-538. Epub 2018 Sep 14.

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

A key concept in successful rhinoplasty surgery is maintaining or increasing tip support, and addressing tip projection and rotation. The tongue-in-groove (TIG) technique is a method to achieve this goal using sutures to create a strong connection between the septum and medial crura to change tip rotation and projection. Criticisms of this method include that it may cause stiffness of the nasal tip and columellar retraction. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1670647
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http://dx.doi.org/10.1055/s-0038-1670647DOI Listing
October 2018
14 Reads

Ideal Soft Tissue Facial Profile in Iranian Males and Females: Clinical Implications.

World J Plast Surg 2018 May;7(2):179-185

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

Background: Proper pre-operative facial analysis that includes a thorough evaluation of both the bony and soft tissue anatomy is paramount to success in performing aesthetic surgery of the face. Ethnic variations in soft tissue profile add an important variable to pre-operative facial analysis. The aim of our study was to determine the role of ethnic variations in soft tissue facial profiles through profile analysis of Iranian male and female patients. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066709PMC
May 2018
2 Reads

Persistent Nasal Infantile Hemangioma: A Surgical Treatment Algorithm.

J Craniofac Surg 2018 Sep;29(6):1509-1513

Servicio de Dermatología, Clínica Alemana.

Treatment of infantile hemangioma is usually medical. The nose is one of the most important aesthetic and functional units of the face; therefore, surgical management is preferred in persistent lesions (fibro-fatty tissue component) that do not respond to medical treatment. Herein, the authors analyze the results of surgical nasal hemangioma treatment in their center, a literature review and propose an algorithm for surgical management. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004778DOI Listing
September 2018
4 Reads

Causes of the Removal of High-Density Polyethylene Sheets (Medpor) in Revision Rhinoplasty.

J Craniofac Surg 2018 Oct;29(7):1730-1732

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to identify the causes of complications in rhinoplasties using Medpor. The medical records of 71 patients who had undergoing a reoperation after a rhinoplasty using Medpor were reviewed. From each patient's history, examination records, and operative records, the method of the previous rhinoplasty using Medpor was extracted. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004717DOI Listing
October 2018
14 Reads

Rhinoplasty for South East Asian Nose.

Authors:
Eduardo C Yap

Facial Plast Surg Clin North Am 2018 Aug 8;26(3):389-402. Epub 2018 Jun 8.

Section of Facial Plastic Surgery, Belo Medical Group, Manila 1229, Philippines. Electronic address:

The South East Asian nose is usually small with voluminous thick skin, low dorsum, wide and hanging ala, bulbous tip, and retracted premaxilla. The surgical approach of rhinoplasty for these types of noses includes the following: dorsal augmentation, counterrotation and projection of the tip, and correction of hanging ala and alar flare/base. A usual ideal rhinoplasty outcome of a South East Asian nose should be a nose that fits the face with good function and has all the aesthetic landmarks achieved: natural looking dorsum, supratip break, tip, subtip break, columellar show, good alar-columellar relationship, improved premaxilla, improved nostril, and improved alar flare. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183002
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http://dx.doi.org/10.1016/j.fsc.2018.03.012DOI Listing
August 2018
20 Reads

Correction of Short Nose.

Facial Plast Surg Clin North Am 2018 Aug 7;26(3):377-388. Epub 2018 Jun 7.

Shimmian Rhinoplasty Clinic, 375, Gangnam-daero, Seocho-gu, Seoul 06620, Republic of Korea.

To correct an Asian short nose with low dorsum, short columella, and poorly defined nose tip, augmentation rhinoplasty has been popularized. A simple augmentation no longer is considered an efficient rhinoplasty approach for Asians aesthetically; most surgeons simultaneously perform nasal elongation and augmentation during rhinoplasty. To extend the nose length successfully, important factors are cartilages, mucosal and skin conditions, and presence and degree of fibrotic changes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183002
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http://dx.doi.org/10.1016/j.fsc.2018.03.011DOI Listing
August 2018
15 Reads

Hump Nose Correction in Asians.

Authors:
Tae-Bin Won

Facial Plast Surg Clin North Am 2018 Aug;26(3):357-366

Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jonno-gu, Seoul 03080, Republic of Korea. Electronic address:

Nasal hump surgery is frequently regarded as a reduction surgery in most Western rhinoplasty textbooks and referred to as reduction rhinoplasty. Most Asian hump noses have a small hump frequently associated with a low nasal dorsum and underprojection of the nasal tip. Correcting a hump nose in Asians has distinct differences in concept and technique. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183001
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http://dx.doi.org/10.1016/j.fsc.2018.03.009DOI Listing
August 2018
15 Reads

Tip Grafting for the Asian Nose.

Facial Plast Surg Clin North Am 2018 Aug;26(3):343-356

Department of Otolaryngology, National Medical Centre, Seoul, Republic of Korea.

Tip surgery during rhinoplasty is particularly difficult in Asians. Tip grafting is the best approach. Conchal cartilage with perichondrium and costal cartilage are powerful grafting materials. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.008DOI Listing
August 2018
21 Reads

Septal Extension Graft in Asian Rhinoplasty.

Facial Plast Surg Clin North Am 2018 Aug;26(3):331-341

Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Guro Hospital, Korea University Medical Center, 148, Gurodong-ro, Guro-Gu, Seoul 152-703, Republic of Korea. Electronic address:

A septal extension graft (SEG) can control nasal tip projection, shape, and rotation. SEG and dorsal alloplastic implants have predominated in Asian rhinoplasty, leading to iatrogenic complications such as a foreshortened nose and destruction of remaining septum. The lower nasal two-thirds can be enhanced anteriorly and caudally using the septal L-strut extension graft in Asians with relatively small noses. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.007DOI Listing
August 2018
22 Reads

Injection Rhinoplasty Using Filler.

Authors:
Hyoung Jin Moon

Facial Plast Surg Clin North Am 2018 Aug;26(3):323-330

Beup Aesthetic Plastic Surgery Clinic, Seoul, Republic of Korea. Electronic address:

Rhinoplasty is a commonly performed cosmetic surgery in Asia. Rhinoplasty using filler is preferred because has fewer side effects and shorter down time. The part of external nose between the skin and bone or cartilages consists of 4 layers. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183001
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http://dx.doi.org/10.1016/j.fsc.2018.03.006DOI Listing
August 2018
18 Reads

A Novel Technique of Asian Tip Plasty: Rein-Shaped Columellar Strut Graft.

Aesthetic Plast Surg 2018 Jun 29. Epub 2018 Jun 29.

JW Plastic Surgery Center, Samsin Building 836 Nonhyeon-ro, Gangnam-gu, Seoul, Korea.

Background: The columellar strut graft is one of the most commonly used invisible grafts in tip plasty techniques for nasal tip projection. However, the columellar strut graft induces cephalic rotation of the dome with nasal tip projection. This is an effective change in Western people with a long nose; however, this change should be avoided in Asians who have a relatively short nose and visible nostrils. Read More

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http://dx.doi.org/10.1007/s00266-018-1185-zDOI Listing
June 2018
13 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
1 Read

Adjunctive Use of the Dermocartilaginous Ligament for Dorsal Irregularities in Primary Rhinoplasty.

J Craniofac Surg 2018 Sep;29(6):e618-e621

Department of Otorhinolaryngology, Bezmialem Vakif University, Istanbul, Turkey.

Nasal dorsal irregularity is a common postrhinoplasty complication in spite of meticulous smoothing. Utilization of the dermocartilaginous ligament in 2 different fashions for different purposes was described before. A novel utilization of the dermocartilaginous ligament as a flattened and pedicled flap from the cephalic attachment for nasal dorsal irregularities was presented in this article. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004682DOI Listing
September 2018
2 Reads

The Differential Use of Bilobed and Trilobed Transposition Flaps in Cutaneous Nasal Reconstructive Surgery.

Plast Reconstr Surg 2018 08;142(2):511-519

Cleveland, Ohio; East Greenwich and Providence, R.I.; and Worcester, Mass. From the Department of Dermatology, Cleveland Clinic Foundation; Dermatology Professionals, Inc.; the Department of Dermatology, Warren Alpert Medical School at Brown University; and the Division of Dermatology, University of Massachusetts Medical School.

Background: Bilobed and trilobed transposition flaps are versatile random pattern transposition flaps that reliably restore nasal symmetry, topography, light reflex, and contour and are frequently used in cutaneous nasal reconstructive surgery. The authors wish to compare the characteristics of bilobed and trilobed flaps in cutaneous reconstructive surgery and to identify scenarios for their differential use.

Methods: A retrospective chart review over 7 years of consecutive patients who underwent reconstruction with a bilobed or trilobed flap after Mohs micrographic surgery was performed. Read More

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http://Insights.ovid.com/crossref?an=00006534-201808000-0003
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http://dx.doi.org/10.1097/PRS.0000000000004583DOI Listing
August 2018
6 Reads

Association of Dorsal Reduction and Tip Rotation With Social Perception.

JAMA Facial Plast Surg 2018 Sep;20(5):362-366

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

Importance: Social perception by laypersons of people who have undergone rhinoplasty primarily for cosmetic purposes has not been fully described.

Objective: To evaluate the social perception of patients who have undergone cosmetic rhinoplasty.

Design, Setting, And Participants: Preoperative images of 4 patients with dorsal hump and tip ptosis were selected using the Delphi method. Read More

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http://dx.doi.org/10.1001/jamafacial.2018.0317DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233610PMC
September 2018
13 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
4 Reads

Dissatisfaction with Nasal Tip Shape: Secondary Tip Maneuvers.

Authors:
Jeffrey S Moyer

Facial Plast Surg 2018 Jun 1;34(3):278-286. Epub 2018 Jun 1.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.

Dissatisfaction with the appearance of the nasal tip is a common compliant in patients seeking revision surgery after rhinoplasty. Revision rhinoplasty is more technically difficult and unpredictable given the frequent presence of scar contracture, impaired skin envelope quality, and missing alar cartilage. This article describes some of the more common causes for tip revision surgery and techniques to address these abnormalities. Read More

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http://dx.doi.org/10.1055/s-0038-1653988DOI Listing

Triangular Resection of the Upper Lateral Cartilage for Middle Vault Deviation.

Clin Exp Otorhinolaryngol 2018 Dec 2;11(4):275-280. Epub 2018 Jun 2.

Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Objectives: Middle vault deviation has a significant effect on the aesthetic and functional aspects of the nose, and its management continues to be a challenge. Spreader graft and its modification techniques have been focused, but there has been scarce consideration for removing surplus portion and balancing the upper lateral cartilage (ULC). This study aimed to report the newly invented triangular-shaped resection technique ("triangular resection") of the ULC and to evaluate its efficacy for correcting middle vault deviation. Read More

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http://dx.doi.org/10.21053/ceo.2017.01816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222193PMC
December 2018
5 Reads

[Application of thin-ribbed cartilage with the perichondrium in correction of secondary cleft lip nasal deformity as lateral crural onlay graft].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 May;32(5):601-606

Department of Reparative and Reconstructive Surgery, Bethune First Hospital of Jilin University, Changchun Jilin, 310021,

Objective: To explore the application and effectiveness of thin-ribbed cartilage with the perichondrium in the correction of secondary cleft lip nasal deformity as the lateral crural onlay graft.

Methods: A retrospective study was performed based on the data of 28 patients with secondary nasal deformity of cleft lip between October 2015 and April 2017. There were 16 males and 12 females with an average age of 24 years (range, 18-31 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201711147DOI Listing
May 2018
2 Reads

Three-Dimensional Imaging in Rhinoplasty: A Comparison of the Simulated versus Actual Result.

Aesthetic Plast Surg 2018 Oct 22;42(5):1331-1335. Epub 2018 May 22.

Yale New Haven Hospital, Section of Plastic and Reconstructive Surgery, New Haven, CT, USA.

Purpose: Computer imaging has become increasingly popular for rhinoplasty. Three-dimensional (3D) analysis permits a more comprehensive view from multiple vantage points. However, the predictability and concordance between the simulated and actual result have not been morphometrically studied. Read More

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http://link.springer.com/10.1007/s00266-018-1151-9
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http://dx.doi.org/10.1007/s00266-018-1151-9DOI Listing
October 2018
5 Reads

An Innovative and Easy Dome Holding Technique for Transdomal Suture in Rhinoplasty.

J Craniofac Surg 2018 Sep;29(6):e585-e588

Luleburgaz State Hospital, Kirklareli, Turkey.

Suture tip plasty is one the most used methods in nasal tip surgery. Transdomal suture (TDS) used for this purpose is utilized for providing the dome symmetry, thinning the nasal tip, and enhancing the nasal tip projection and rotation. However, there are not sufficient visual data on what the dome position should be during TDS. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004619DOI Listing
September 2018
6 Reads

Reinforcement of Lower Lateral Cartilage Using Sliced Costal Periphery to Reconfigure Nasal Tip in Asian Rhinoplasty.

J Craniofac Surg 2018 Jul;29(5):1212-1215

Shanghai Mylike Medical Cosmetic Hospital, Shanghai, China.

Background: Reinforcement of lower lateral crura (LLC) is an imperative prophylaxis against the secondary deformity of alar and nasal tip in Asian rhinoplasty. The common limitation of the existing techniques is loss of nasal tip's mobility to a large degree in exchange for structural stability. In search for a natural and animated postoperative nasal tip, the elasticity and rigidity of coastal periphery was taken into account. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004536DOI Listing
July 2018
5 Reads

Nasal Obstruction in Children With Cleft Lip and Palate: Results of a Cross-Sectional Study Utilizing the NOSE Scale.

Cleft Palate Craniofac J 2018 Jan 1:1055665618772400. Epub 2018 Jan 1.

1 Division of Plastic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Objective: To characterize the epidemiology and risk factors for nasal obstruction among subjects with cleft lip and/or cleft palate (CL/P) utilizing the well-validated Nasal Obstruction Symptom Evaluation (NOSE) survey.

Design: Retrospective cross-sectional study.

Setting: Cleft Lip and Palate Program, Children's Hospital of Philadelphia. Read More

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http://dx.doi.org/10.1177/1055665618772400DOI Listing
January 2018
10 Reads

Lower Lateral Cartilage Cephalic Malposition: An Over-Diagnosed Entity.

Aesthetic Plast Surg 2018 Jun 11;42(3):867-876. Epub 2018 Apr 11.

St. Fatima Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Lower lateral cartilage malposition is represented by anterior convexity of the lower lateral cartilage (LLC) dome with posterior pinch, as defined by Sheen and Constantian. This anatomic variation consists of cephalic, or upward and inward, rotation of lateral crura, particularly in bulbous tip patients. In most cases, "bulbous pinch" LLC is positioned toward the medial canthus, not laterally, so it is referred to as cephalic displacement. Read More

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http://dx.doi.org/10.1007/s00266-018-1136-8DOI Listing
June 2018
2 Reads
1.190 Impact Factor

Bone and Soft Tissue Nasal Angles Discrepancies and Overlying Skin Thickness: A Computed Tomography Study.

Aesthetic Plast Surg 2018 Aug 11;42(4):1085-1089. Epub 2018 Apr 11.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Asanbyeongwon-gil 86, Songpa-gu, Seoul, 138-736, Korea.

Background: The aim of this study was to derive the normal values for bone and soft tissue nasal angles as well as the overlying skin thickness and to attempt to determine the correlation between differences in bone and soft tissue angles and overlying skin thickness in Middle Eastern patients.

Materials And Methods: Three-dimensional cephalometric analysis was performed for 100 patients who underwent computed tomography of the paranasal sinuses. The nasofrontal angle, pyramidal angle-nasal root, pyramidal angle-tip of the nasal bone, and overlying skin thickness were measured, and the results were analyzed according to sex, age, and body mass index (BMI). Read More

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http://link.springer.com/10.1007/s00266-018-1127-9
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http://dx.doi.org/10.1007/s00266-018-1127-9DOI Listing
August 2018
7 Reads

Three component cartilage framework reconstruction for correction of post-traumatic nasal septal collapse.

Indian J Plast Surg 2017 Sep-Dec;50(3):236-243

Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India.

Background: Post-traumatic nasal septal collapse results in flat, broad, non-projecting nose due to mid-vault collapse. These patients may have airway obstruction due to poorly supported internal valve. Traditional techniques like 'cantilever graft technique' or conventional 'L-graft technique' produce a rigid lobule as the single unit framework extends to the tip. Read More

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http://www.ijps.org/text.asp?2017/50/3/236/226927
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http://dx.doi.org/10.4103/ijps.IJPS_74_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868101PMC
April 2018
4 Reads

Effects of the Tongue-in-Groove Maneuver on Nasal Tip Rotation.

Aesthet Surg J 2018 Sep;38(10):1065-1073

Background: A change in nasal tip rotation is a very common maneuver performed during rhinoplasty. Among the many techniques used to achieve this goal is the tongue-in-groove (TIG).

Objectives: This study addresses the long-term effect of the TIG on the nasal tip rotation 1 year after rhinoplasty. Read More

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http://dx.doi.org/10.1093/asj/sjy078DOI Listing
September 2018
8 Reads

Improvement of Aesthetic and Nasal Airway in Patients With Cleft Lip Nasal Deformities: Rhinoplasty With Septal Cartilage Graft and Septoplasty.

Cleft Palate Craniofac J 2018 Apr 14;55(4):554-561. Epub 2017 Dec 14.

1 Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Shen Yang, Liaoning Province, People's Republic of China.

Objective: To assess the improvement of nasal morphologies and ventilation after septal cartilage graft and septoplasty of patients with unilateral cleft lip and palate (UCLP).

Design: Retrospective case-control study.

Setting: Tertiary stomatology hospital. Read More

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http://dx.doi.org/10.1177/1055665617746260DOI Listing
April 2018
5 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
10 Reads

The effect of lateral crural overlay surgical technique on elasticity of nasal ala.

Eur Arch Otorhinolaryngol 2018 May 7;275(5):1235-1237. Epub 2018 Mar 7.

Department of Otolaryngology-Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Introduction: The nasal tip refinement is the most difficult stages of rhinoplasty surgery; whereas, the most important part in terms of beauty and performance is the projection refinement. Lateral crural overlay (LCO) is a common technique in rhinoplasty used to reduce nasal tip projection and increase nasal tip rotation. Given the important role of lower lateral cartilage (LLC) in the non-collapse of nasal external valve and air passage, it is necessary to evaluate the changes in nasal elasticity caused by surgery. Read More

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http://dx.doi.org/10.1007/s00405-018-4926-3DOI Listing

The Infratip Lobule Butterfly Graft: Balancing the Transition from the Tip Lobule to the Alar Lobule.

Plast Reconstr Surg 2018 03;141(3):651-654

Dallas, Texas From the Dallas Plastic Surgery Institute.

The nasal alae and the soft-tissue triangles are delicate structures, the contours of which are largely dependent on soft tissue and the indirect influence of the lower lateral cartilages. Creating appropriate and continuous contour from the tip lobule to the alar lobule can be challenging. The alar contour graft is one reliable method of achieving predictable contour. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004179DOI Listing
March 2018
2 Reads

Association of Nasal Tip Rotation Outcome Estimation With the New Domes Technique in Primary Rhinoplasty.

JAMA Facial Plast Surg 2018 Jul;20(4):292-299

Department of Facial Plastic Surgery, CES University, Bogotá, Colombia.

Importance: The postoperative changes in the rotation of the nasal tip in rhinoplasty must be estimated for the surgical planning.

Objective: To determine whether the outcome in the rotation angle of the nasal tip can be estimated in patients undergoing primary rhinoplasty with the new domes technique.

Design, Setting, And Participants: This retrospective analytic cohort study included 323 patients undergoing primary rhinoplasty with the new domes technique in a private clinic in Bogotá, Colombia, by a single surgeon from January 1, 2011, through January 31, 2016. Read More

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http://dx.doi.org/10.1001/jamafacial.2017.2450DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876867PMC
July 2018
1 Read

Safety and Efficacy of Cosmetic Augmentation of the Nasal Tip and Nasal Dorsum With Expanded Polytetrafluoroethylene: A Randomized Clinical Trial.

JAMA Facial Plast Surg 2018 Jul;20(4):277-283

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Importance: Expanded polytetrafluoroethylene (ePTFE) is a widely used alloplast, but studies of augmentation of the nasal tip and nasal dorsum with ePTFE are lacking.

Objective: To investigate whether attaching the conchal cartilage as shield grafts at the distal end of the graft can prevent extrusion and whether the use of ePTFE in the nasal tip can achieve a stable aesthetic outcome.

Design, Setting, And Participants: A randomized clinical trial was performed from April 1, 2006, to October 31, 2008. Read More

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http://archfaci.jamanetwork.com/article.aspx?doi=10.1001/jam
Publisher Site
http://dx.doi.org/10.1001/jamafacial.2017.2423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876884PMC
July 2018
28 Reads

Adjuvant Therapy for Revision Rhinoplasty of Contracted Nose Using Polydeoxyribonucleotide and Invasive Bipolar Radiofrequency.

Plast Reconstr Surg Glob Open 2018 Jan 16;6(1):e1645. Epub 2018 Jan 16.

Fresh Facial Aesthetic Surgery and ENT Clinic, Seoul, Korea; Department of Dermatology and Cutaneous Biology Research Center, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea; and Kangskin Dermatology Clinic, Seoul, Korea.

Most cases of severely contracted nose require revision rhinoplasty and septoplasty, wherein preoperative and/or intraoperative expansion of nasal soft tissue is necessary for tension-free revision surgery. The present study aimed to evaluate the efficacy and safety of pre- and postoperative adjuvant therapy using polydeoxyribonucleotide (PDRN) and invasive, pulsed-type, bipolar, alternating current radiofrequency (RF) for revision surgery of a contracted nose. In total, 30 patients were treated with 16 sessions (8 preoperative sessions and 8 postoperative sessions) of intralesional injection of PDRN and invasive RF treatment using microneedle electrodes at 1-week intervals. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811300PMC
January 2018
27 Reads

Long-term results after restoring nasal tip support using auricular cartilage as an intercrural columellar strut graft: the "I-Beam" technique.

Rhinology 2018 Jun;56(2):183-188

Department of Otorhinolaryngology, Head, Neck and Facial Plastic Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.

Background: The lack of nasal tip support resulting in poor protection and projection of the nose is a common cause of nasal obstruction and cosmetic impairment. Although septal cartilage is preferred for restoration of nasal tip support, there is often not enough septal cartilage available. We describe an intercrural columellar strut graft in a circumferential soft tissue pocket: the I-Beam technique. Read More

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http://dx.doi.org/10.4193/Rhin17.184DOI Listing
June 2018
2 Reads

Use of 5-Fluorouracil for Management of the Thick-Skinned Nose.

Facial Plast Surg 2018 Feb 6;34(1):9-13. Epub 2018 Feb 6.

Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Patients with a thick nasal skin and soft tissue envelope can have unpredictable results and irregular scarring after rhinoplasty surgery. These patients typically have sebaceous tissue over the nasal tip and are particularly susceptible to soft tissue polly beak formation and excess scar tissue in the radix, tip, and septum. Targeted injections of 5-fluorouracil alone or mixed with low concentrations of steroid can be useful to prevent and treat excess postoperative scar tissue deposition. Read More

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http://dx.doi.org/10.1055/s-0037-1617420DOI Listing
February 2018
2 Reads