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At least 433 records · Page 24Linked to original sources
PubMed1986

The periosteoperichondrial flap in external rhinoplasty.

A technique for raising a laterally based periosteoperichondrial flap over the nasal bones and the upper lateral cartilages has been used successfully. The patient's nasal skin is temporarily elevated, as in standard external rhinoplasty, and then the periosteum is incised on the right side of the frontal process of the maxilla just caudal from the synostosis of the maxilla and the frontal bone. The incision is extended caudally, gently curving over the upper lateral cartilage, ending at the septal tip. The periosteoperichondrial flap is then elevated, using Cottle's knife, over the midline to a corresponding line on the other side. After all rhinoplastic maneuvers are completed, the periosteoperichondrial flap is replaced and sutured in its original position. The periosteoperichondrial flap provides excellent covering for the reconstructed bony and cartilaginous nasal pyramid, smoothens the new nasal dorsum, stabilizes the medial osteotomies, and prevents supratip protrusion.

Adolescent↗
PubMed1987

'Tissue clay'. A new technique for augmentation rhinoplasty.

A new technique for dorsal augmentation during rhinoplasty was utilized in 58 patients over a period of four years. Microfibrillar collagen (Avitene) was combined immediately before the operation with autogenous whole blood, forming a "tissue clay," which was then sculpted into the desired dorsal contour. Tissue clay solidifies after one week and becomes palpably similar to bone. Long-standing results of four years have documented the ability of the substance to augment the nose up to 1 cm in height. There have been no complications to date, and the average resorption rate over a two- to four-year period was 16%. The esthetic and functional results in 58 cases were deemed excellent, safe, and effective.

Blood↗
PubMed1987

Supramid tip implants in rhinoplasty. Review of 98 cases.

The nasal tip procedure is the most sophisticated aspect of a rhinoplasty, particularly in certain known problem types of nasal tips. A new approach, using Supramid tip implants, is introduced. Precise guidelines for the preoperative planning and operative techniques are developed, and the so-called pocket, experience, positioning, shape and size, and incision (PEPSI) rule is outlined. A comparative discussion of the advantages and disadvantages of the Supramid implant vs cartilage grafts and/or repositioning of alar cartilages is presented. The Supramid implant was used in the tip area for nasal tip alteration in a total of 98 cases. Patients were monitored for a period of six months to four years. The results were satisfactory.

Female↗
PubMed1987

Blindness as a complication of rhinoplasty.

Blindness following elective cosmetic surgery can be a devastating complication, for the patient as well as the surgeon. A case of unilateral blindness secondary to central retinal artery occlusion following an open septorhinoplasty is presented. Possible causes of blindness following rhinoplasty and steps to prevent this complication are addressed.

Adult↗
PubMed1990

Dorsal nasal cyst formation. A rare complication of cosmetic rhinoplasty.

A dorsal nasal cyst is a rare complication of cosmetic rhinoplasty. The cause of this complication is unknown; however, entrapment of nasal mucosa and subsequent growth through osteotomy sites are thought to be the basis for formation of these masses. We describe two patients with these dorsal nasal cysts and provide a review of the English-language literature. The maintenance of mucosal integrity together with the meticulous removal of debris from the operative site may prevent postrhinoplasty nasal cysts.

Adult↗
PubMed1991

Nasal tip projection. Quantitative changes following rhinoplasty.

Fifty-one patients were enrolled in a study and underwent primary rhinoplasty. Serial nasal tip projection measurements were made preoperatively, intraoperatively, and 6 months postoperatively. Actual changes in measured nasal tip projection were evaluated with respect to preoperative goals and specific procedures used to accomplish these goals in the nasal tip. Several useful observations are made from these data: (1) The most important components of nasal tip projection in the postsurgical nasal tip are the medial crura, their attachment to the caudal septum, and the presence of additional cartilaginous grafts placed between the medial crura or beneath the crural feet. (2) Actual nasal tip projection will decrease postoperatively, unless measures to increase the length and strength of the medial crural segment are taken (ie, McCollough-modified Goldman tip procedure, cartilage struts, plumping grafts, etc), regardless of the preoperative goal. (3) The double-dome unit procedure is effective in narrowing the wide or bulbous lobule but alone does not permanently increase nasal tip projection. (4) Conservative tip procedures, such as a complete strip, result in decreased nasal tip projection and should therefore be used in patients in whom retrodisplacement of the nasal tip is the intended result.

Adult↗
PubMed1991

Steroids and rhinoplasty. A double-blind study.

Many facial plastic surgeons use perioperative steroids to reduce postoperative edema and morbidity. This use of steroids is based more on theory and anecdotal experience than on controlled studies. We studied 49 patients undergoing rhinoplasty in a randomized, double-blind fashion to evaluate the effects of perioperative and postoperative steroid use. We found significantly less postoperative eyelid and paranasal edema in those patients receiving steroids. In addition, trends toward less ecchymosis, less intranasal edema, and less discomfort in the patients receiving steroids were noted.

Adolescent↗
PubMed1992

Chin augmentation. An important adjunctive procedure to rhinoplasty.

Augmentation mentoplasty is a cosmetic procedure designed specifically to supplement deficient fullness of the mental area. Patients seeking care from rhinoplastic surgeons for nasal corrective procedures may not be aware of a deficiency, which is the most common abnormality in this area. Complete evaluation of the full facial profile, which should be performed in all potential rhinoplasty patients, identifies such abnormalities. The general concepts of preoperative evaluation, corrective options available, including make of implant materials, and complications are discussed. Patients with mild to moderate microgenia can be simply corrected by augmentation mentoplasty to balance the facial profile. The most common method of adding fullness in the chin area is use of an implantable material. This article discusses the advantages and disadvantages of the available materials.

Chin↗
PubMedDate not supplied

Browplasty as an adjunct to rhinoplasty.

Brow modifications are discussed with respect to their role as aids in achieving certain aesthetic effects when rhinoplasty is being performed. If a deep nasofrontal angle should not be brought forward, reduction of the brow may be indicated. If the nasofrontal angle should not be retrodisplaced to deepen a shallow angle, brow augmentation may prove helpful in separating the nose from the forehead or in making the nose appear shorter in the vertical dimension. Augmentation and reduction browplastic techniques are discussed, and selected methods are illustrated. Some involve additional resection of frontal bone or procerus muscle at the time of nasal-hump removal. Others employ grafts of bone and/or cartilage removed from the nose at the time of septorhinoplasty. The versatile aesthetic surgeon should be capable of changing all structures adjacent to the nose. Certain difficult cosmetic problems are best treated by directing appropriate attention to these structures and to the nose rather than by concentrating on the nose alone. That the brow is one of these important abutting landmarks is demonstrated.

Bone Transplantation↗
PubMedDate not supplied

Importance of the columellar-labial junction in rhinoplasty.

Concentration on tip positioning may draw a surgeon's attention away from modifying positions of the nasofrontal angle and of the columellar-labial junction. All three landmarks are, however, vital to the establishment of desirable profiles. This article emphasizes that changes in the positioning of the columellar-labial junction may (1) eliminate certain hazards involved in changing tip position, (2) make it possible to produce aesthetic effects that cannot be achieved with tip positioning alone, and (3) make rhinoplasty safer and more predictable in certain difficult cases. Also presented are techniques that have been found to work most satisfactorily in changing angle and position. A few patients selected from among several thousand rhinoplastic cases are analyzed to underscore the significance of this area in rhinoplastic planning. Follow-up varied from several months to several years.

Esthetics↗
PubMed1984

Cosmetic rhinoplasty: radiological features.

The usual radiologic postoperative appearance of the bony nasal pyramid following a typical cosmetic rhinoplasty is demonstrated, and possible atypical sequelae are discussed. More specifically, the sites of the osteotomies performed as part of this surgical procedure are diagrammatically illustrated. It is believed that because of the increasing popularity of rhinoplastic operations, it is timely to acquaint radiologists with the postsurgical stigmata which, though minor, might be erroneously interpreted as resulting from accidental trauma or other pathologic processes. Beyond academic considerations, potential medicolegal implications also exist. A brief historical overview is included.

Chin↗
PubMedDate not supplied

Rhinoplasty and the aesthetic of the smile.

The resection of the columella and nasal depressor muscles is a simple operation to perform and one which allows an improvement in the facial physiognomy of many patients. This operation can be done alone or in conjunction with the classic rhinoplasty, thus achieving an improvement in the aesthetics of the smile. It has also been proved, contrary to common belief, that the action of these muscles has no connection with physiological breathing mechanisms.

Facial Muscles↗
PubMed1988

Aesthetic rhinoplasty in early adolescence.

Aesthetic rhinoplasty was performed on a small number of select youngsters who were less than 14 years old. During the early years of the clinical study only patients with a significant anatomic deformity and a very strong desire for surgery to correct it were accepted for surgery. There was close postoperative followup. In no case was recurrence of pathology noted and no additional surgery was performed. The psychological benefit that the surgery afforded during puberty, a very critical time in emotional development, was found to be significant.

Adolescent↗
PubMed1988

Augmentation rhinoplasty.

Augmentation rhinoplasty using a silicone implant is the most popular operation in Japan, but is not without several complications such as exposure of the implant and its deviation. We obtained good results in preventing these complications by a fixation at the hollow which is made by chiseling the frontal bone and by fibrous tissue which grows through the small holes of the implant tail.

Cleft Lip↗
PubMed1984

Bilateral nasal glandular cysts: an occasional finding in rhinoplasty.

Clinical and pathological aspects of an unusual case of bilateral, multiple glandular cysts of the nasal mucosa, originating from both inferior turbinates, are herewith described, as an occasional finding in rhinoplasty. Although cystic structures are common in the upper respiratory tract, the development of a mucous cyst in the nasal cavity is a very rare occurrence. The differential diagnosis of nasal glandular cysts from other cystic conditions appearing in the nasal cavity is discussed.

Adult↗
PubMed1986

The management of ala ptosis in Oriental rhinoplasty.

We use the term ala ptosis to describe a condition in which the nostril sidewall is bulbous with overhanging of the alar margin. This hides the columella from view, especially in profile. The management of ala ptosis in Oriental rhinoplasty is done in two steps, i.e., to reduce the bulbous nostril sidewall by manipulating the alar cartilage and to reduce the alar margin to a gentle, graceful curve by means of selective rim excision after wide undermining of the ala. The definitive alar margin runs more or less parallel to the white roll of the upper lip.

Asian People↗
PubMed1986

John Orlando Roe--not Jacques Joseph--the father of aesthetic rhinoplasty.

By a careful analysis of numerous medical articles, this article emphasizes that John Orlando Roe (1848-1915), an otolaryngologist from Rochester, New York, was the true father of aesthetic rhinoplasty--in contrast to the claims that incorrectly assign this role to Jacques Joseph of Berlin.

Germany↗