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At least 469 records · Page 26Linked to original sources
PubMed1981

A new type of prosthesis for augmentation rhinoplasty: our experience in 1600 cases.

Study of the elasticity of the skin of the nose, the direction of muscle movement and the mobility of the nasal cartilages shows clearly that the human nose is not simply a lump of flesh consisting of bone, cartilage, muscle and skin, but a subtle aesthetic combination of anatomical form and physiological function. A new basal prosthesis has been introduced which avoids the drawbacks of a rigid prosthesis of uniform hardness. By incorporating silicones of varying hardness and using a new design we have a choice of three different prostheses which can fulfill many of the desired aesthetic and functional requirements of reconstructive rhinoplasty. This new type of prosthesis has now been used in 1600 cases with satisfying results.

Female↗
PubMed1984

The importance of symmetry in forehead flap rhinoplasty.

Five patients who have undergone forehead flap rhinoplasty at the West Midlands Regional Plastic and Jaw Surgery Unit are described. The variations in technique are outlined with particular reference to the symmetrical appearance of the reconstructed nose.

Adult↗
PubMed1985

The noselift procedure for rhinoplasty in the older patient.

It is contended that, contrary to previous beliefs, many older patients can benefit from an orthodox cosmetic rhinoplasty but they usually require a nasal "skin lift" procedure in addition. This refinement is described and illustrated.

Dermatologic Surgical Procedures↗
PubMed1993

A preliminary report on one stage open tip rhinoplasty at the time of lip repair in bilateral cleft lip and palate: the Alor Setar experience.

This paper is a preliminary report on a strategy to perform open tip rhinoplasty at the time of lip repair in bilateral cleft lip and palate deformity. This method was devised to suit unique socio-economic circumstances in the Malaysian centre of Alor Setar. Of 8 cases having surgery in 1991, 7 returned for follow-up with results being documented photographically. It is concluded that this aggressive approach is justified in severe bilateral cleft lip and palate deformity because of the cost effectiveness of limiting the number of interventions. Furthermore, it provides optimally orientated nasal tip anatomy and reduces the social stigma of cleft lip nose appearance from the earliest possible time in the child's development.

Child↗
PubMed1991

Correction of the skeletal nasal base in rhinoplasty.

The anatomic abnormalities responsible for the unesthetic nose have been rather extensively described and detailed in clinical studies, applied clinical research (anthropometric) evaluations, and laboratory investigations. These include alterations in the nasal bones, septum, upper lateral cartilage, lower lateral cartilages, skin, nerves, and vessels. However, little attention has been directed to the nasal base, which is frequently deficient and/or asymmetrical in people with nasal deformities. The importance of recognizing this deformity when evaluating patients for rhinoplasty and its subsequent correction as part of the procedure are discussed.

Durapatite↗
PubMed1991

Rhinoplasty: contemporary management of the nasal tip.

Surgical management of the nasal tip in esthetic rhinoplasty has long proved to be a challenging and frustrating task. While standard reductive tip techniques work well in many cases, there are those cases that require augmentation to yield an ideal cosmetic result. In this article, both reductive as well as augmentation techniques are presented to illustrate the advantages of each treatment.

Adult↗
PubMed2006

An algorithm for deciding alternative grafting materials used in secondary rhinoplasty.

Severe middle vault deformity with disturbed nasal form and function is one of the most challenging procedures to correct in a secondary rhinoplasty. Reconstructing the deformity with autologous septal cartilage would be the primary choice of most surgeons, if it were always available. However in certain cases the lack of a sufficient quantity of autologous cartilage has forced surgeons to explore other viable options. This paper discusses our experience with the combined use of spreader and dorsal onlay grafts from various materials in the reconstruction of severe middle vault deformity in 110 patients. In follow up, (between 6 and 42 months; mean 21 months) all patients were noted to have improved in both aesthetics and function with no major complications noted. In summary, this study proposes that any engrafting material can be used safely when the proper surgical principals and technique are employed.

Adult↗
PubMed2005

Reduction structured rhinoplasty.

The reduction structured rhinoplasty has evolved based on an increased understanding of nasal function and structural anatomy. The discussion begins with the philosophic origins of this technique. Next, the preoperative visit is outlined including the history, physical examination, basic facial analysis, and surgical planning. The procedure is detailed and the postoperative care is described.

Humans↗
PubMed2005

Structure approach in rhinoplasty.

Over the past decade, rhinoplasty techniques have moved away from excisional methods and focused more on repositioning and restructuring existing tissues. These changes in surgical technique were made in part because of some of the untoward long-term complications noted in noses that were treated with excisional techniques. The incidence of many of these complications is greater in patients with certain nasal anatomy. It is the responsibility of the surgeon to identify these anatomic variants and make necessary adjustments in surgical technique to avoid complications.

Cartilage↗
PubMed2006

Psychologic aspects of revision rhinoplasty.

This article is designed to provide some utility in identifying favorable prospective patients for revision rhinoplasty having balanced yet slightly divergent views, expectations, and more importantly, unfavorable candidates who are best left unrevised. The management after-the-fact of the few patients who meet with and unsatisfactory outcome is also discussed.

Body Image↗
PubMed2006

Nasal trauma, two prior rhinoplasties.

This article reviews a case of a woman presenting with nasal deformity following childhood nasal trauma and two subsequent rhinoplasties. Discussion for correction of these problems includes tip dome graft, shield and cap graft, superior and inferior cartilage onlay grafts, spreader graft, columellar strut, and lateral osteotomies. Pre- and postoperative photographs are provided with corresponding preoperative diagrams and schematics.

Adult↗
PubMed1999

Considerations before rhinoplasty.

Patient evaluation and selection for aesthetic facial surgery and rhinoplasty in particular goes beyond assessment of anatomical indications. The selection of appropriate candidates involves an understanding of the patient's motivations for the procedure, expectations for the surgical outcome, and ego strength for tolerating the stress of operative intervention. The patient interview must be structured to give the surgeon ample information to determine the psychological and emotional stability of the candidate. Psychiatric consultation may be required if evidence is uncovered indicating psychiatric illness. Time spent informing the patient preoperatively will pay off great dividends in the postoperative period. If patient dissatisfaction does occur, validate and address the patient's concerns with a nondefensive posture.

Communication↗
PubMed1999

Grafts amd implants in rhinoplasty and nasal reconstruction.

The quest for nasal symmetry and balance with the face often mandates the need for implantable materials to sculpt and rebuild the nasal skeleton and the overlying tissues. A suitable implant must be biocompatible, strong, and elastic. Implant materials that may be used in the nose can be divided into four groups: autografts, homografts, xenografts, and alloplasts. Each type of implant is reviewed and discussed in the context of rhinoplasty and nasal reconstruction.

Biocompatible Materials↗
PubMed1999

Powered instrumentation for rhinoplasty and septoplasty.

Advances in surgical instrumentation are generally intended to allow the performance of a surgical maneuver more efficiently and accurately. Powered instrumentation may allow improved precision and ease in certain aspects of rhinoplasty and septoplasty. Through improved precision, tissue trauma can be minimized.

Electric Power Supplies↗