Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “RHINOPLASTY”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 505 records · Page 28Linked to original sources
PubMed2003

Considerations in ethnic rhinoplasty.

Although it is difficult to define specific ethnic groups as they are multiracial mixtures determined by historical, geographical, and cultural factors, we can define basically five non-Caucasian groups that commonly request rhinoplasty. The specific anatomy, surgical options, implant material, grafts, and possible complications are discussed. The importance of blending the "new" nose with the ethnic features to achieve harmony in the facial aesthetic components is emphasized.

Biocompatible Materials↗
PubMed2003

Rhinoplasty in the aging nose.

The aging nose presents a difficult challenge for the rhinoplastic surgeon. To best address the patient's wishes, the surgeon must possess a sound understanding of the atrophic changes associated with the aging nose, including tip ptosis, increased nasal bulbosity, a lengthened nasal appearance, and altered nasal airflow patterns. Surgical emphasis is placed on conservative structured reduction to address functional concerns. Overresection risks destabilizing the nasal tip and altering the patient's concrete self-image. This article outlines our approach to rhinoplasty in the aging nose with a special emphasis on the use of porous polyethylene alloimplants to provide added structural support.

Aging↗
PubMed2003

Secondary cleft-lip rhinoplasty utilizing porous high-density polyethylene.

Secondary nasal deformity associated with cleft lip is a difficult surgical task. For more than 100 years, numerous surgical methods have been created to address the structural changes that occur over time after the primary surgery. Although early surgical methods have relied on various rotational flaps and local tissue manipulation, the recent advent of synthetic materials has provided facial plastic surgeons with more tools to correct the structural and supportive deficiencies. In this article, we describe our 10-year experience with porous high-density polyethylene (PHDPE) implants in secondary cleft-lip rhinoplasty. PHDPE implants have been well tolerated and achieved excellent long-term aesthetic results through fibrovascular ingrowth to the surrounding tissue.

Adult↗
PubMed2006

Functional rhinoplasty: treatment of the dysfunctional nasal sidewall.

Treatment of nasal obstruction caused by nasal valve dysfunction requires a thorough evaluation of the mechanics of normal nasal anatomy and function. Surgical correction of nasal valve dysfunction is based on determining the epicenter of dysfunction, whether it is a static obstruction of the internal nasal valve or a dynamic collapse of either the external nasal valve or the intervalve area. Spreader grafts, flaring sutures, and butterfly grafts are used to widen and support the narrow internal nasal valve. Alar batten grafts will add support to the collapsing nasal sidewall seen in external nasal valve and intervalve dysfunction. Correction of dynamic collapse from paradoxical concavity of the lateral crura may be obtained from the lateral crural flip-flop graft or by reconstructing the lateral crura using cartilage grafts. A strut graft may correct dynamic obstruction caused by a malformed, easily collapsible lateral crura. This article discusses the evaluation, treatment, and correction of the dysfunctional nasal sidewall and emphasizes the avoidance of iatrogenic damage to the sidewall while performing cosmetic rhinoplasty.

Cartilage↗
PubMed1994

[A personal rhinoplasty concept for patients with cleft lip, jaw, palate].

In the treatment of patients with cheilognathouranoschisis, rhinoplasty is a great challenge, since the cleft lip and palate will also produce nasal deformation requiring surgical correction. Unilateral cleft lip and palate is usually associated with a pronounced septal deformity resulting in "crooked nose" as well as typical asymmetry of the apex of the nose and of the nasal vestibule. The anterior part of the septum is dislocated in the direction of the unaffected side and the lower border of the septum is at the same time subluxated to the opposite side. The dorsal part of the septum presents with a convex deformity towards the cleft side extending in horizontal and vertical direction. Severe septal deformities cannot usually be adequately corrected on the spot, i.e. loco, but since septal correction is of paramount importance for the appearance and functioning of the nose we performed an extracorporeal correction of the septum in 191 cleft patients during the period from January 1980 through May 1993. Another characteristic feature of the cleft nose is the oblique modiolus, or columella cochleae, which is shortened on the cleft side, and the S-shaped deformity of the lateral alar cartilage, which presents with a cranial dislocation in the dome, caudal deviation in the lateral part, and an overhanging ala. After correction of the entire cartilaginous nasal framework the surgeon is usually confronted with asymmetry of the soft tissue. Satisfactory correction can be achieved by means of a three-flap technique in the region of the modiolus, nasal ala and vestibular skin: A modiolus-based transpositional flap results in a symmetrical height of the modiolus.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1980

Complications of augmentation rhinoplasty in the Japanese.

Augmentation rhinoplasties in our clinic were surveyed for complications during the five years 1974 to 1978. Our finding of three main complications--malposition, a too-large or too-high prosthesis, and perforation--is reported here. Prevention of such complications is also discussed.

Female↗
PubMed1983

Aesthetic rhinoplasty in patients with thick nasal skin.

Results of rhinoplasty in patients with thick nasal skin are presented. An approach is utilized that yields a predictable result without the necessity for external skin incisions or frequent secondary procedures. The aesthetic result is maximized by attention to preoperative skin preparation, thorough modification of the soft tissue of the distal nose prior to the skeletal remodeling, and a meticulous postoperative regimen of controlled splinting and compression exercises.

Humans↗
PubMed1984

Basic anatomy: clinical application in rhinoplasty.

In responding to the request to update an article from a previously published work, I selected the subject of anatomy and rhinoplasty. The information presented, along with videotapes on the same material, has been frequently sought and, I hope, has been helpful in guiding residents who are learning to do a given operation. An updated application of basic anatomy to the correction of excesses and deficiencies of the nose is presented. The authors hope this will help trainees obtain good functional and aesthetic results.

Cartilage↗
PubMed1986

Local infection following aesthetic rhinoplasty.

Local infection is a rare complication after aesthetic rhinoplasty. In the past serious complications and 1 death have been reported. We present 5 cases of local infection after primary and secondary procedures. Infection seems to have more to do with technical details during an operation, such as the external lateral osteotomy, than with the presence of saprophytic bacteria. Care must be taken in the management of cartilage grafts. There is not enough support for the use of prophylactic antibiotics. Usually the organism implicated is Staphylococcus aureus. Once the infection has developed, treatment should be aggressive in view of the grave complications reported in the literature.

Adolescent↗
PubMed1990

An accurate tip rhinoplasty marking technique.

A marking technique is presented for use in tip rhinoplasty. It enables the intended location of the lower lateral cartilage resection border to be transferred from the external to the vestibular nasal surface.

Anthropometry↗
PubMed1991

Use of costal cartilage cantilever grafts in negroid rhinoplasties.

Dorsal augmentation and nasal tip refinement are important objectives in Negroid rhinoplasty. Use of a costal cartilage cantilever graft will achieve these objectives. We report on our experience in 19 patients. The technique offers an excellent solution to supplying the large amount of material often required to adequately augment the dorsum in these patients. The graft is also versatile enough to allow nasal tip refinement. There are additional aesthetic benefits as the cantilever causes a lengthening in the nasal columella, a reduction in the flare of the nostrils, and increases the columellar-labial angle. The procedure is relatively simple to perform. The problem of warping is minimized by symmetrical carving and the use of large grafts with a substantial cross-section.

Anthropometry↗
PubMed1992

Open tip rhinoplasty.

An open tip rhinoplasty was used to correct moderate to severe secondary cleft lip nasal deformities in 122 patients from January 1986 to January 1988. The results of the surgery on 92 patients who were followed for 1 year or more were evaluated. When the surgery was performed after the age of 3 years, 60% of the patients had a satisfactory result. The pathology of the deformity included 32% with deficiencies of the nasal lining, 35% needed framework support such as a columellar strut, and 45% required correction of columellar deficiencies. Patients using a postoperative nasal stent had a 71% satisfactory result compared with a 37% satisfactory result when the stent was not used. The pathology and techniques to correct the nasal deformity are described.

Child, Preschool↗
PubMed1992

Rhinoplasty and facial expression.

Based on the philosophical concept that facial beauty is not merely harmony of static anatomical structures but also the dynamic expression of the face (especially when one smiles), I propose that plastic surgeons approach the problem of aesthetic improvement of the human face not only in response but also when the face moves. I call this "surgery of the facial expression." I describe here the use of a new surgical procedure to correct a certain condition with which plastic surgeons are frequently confronted when patients consult and request rhinoplasty. Many patients have added defects that are exposed only when they begin to make facial movements and gestures; moreover, these added defects become even more manifest when they smile. I call this phenomenon "rhino-gingivolabial syndrome of the smile," and describe the technique I have used not only to improve the form of the nose but also to enhance the patient's smile.

Facial Expression↗
PubMed1994

The external rhinoplasty approach for the treatment of acromegaly.

Acromegaly produces a syndrome of physiological and physical derangements. Patients afflicted with this disease are often as concerned with the changes in their appearance as with the pituitary tumor. The external rhinoplasty approach to transphenoid hypophysectomy has recently been shown to improve visualization and to have fewer complications compared with the sublabial approach devised initially by Cushing. Three patients are presented in whom this approach was used to simultaneously treat the physiological derangement of acromegaly and to correct the nasal deformity.

Acromegaly↗
PubMed1996

Extended open-tip rhinoplasty with three V-flaps for secondary correction of bilateral cleft lip nasal deformity.

Many procedures have been developed to correct the secondary cleft lip nasal deformity, including the depressed nasal tip, flaring nasal aperture, and a very short columella. The forked flap, cartilage graft, or strut and bony graft have been applied for many years. We propose the extended open-tip rhinoplasty with three V-flaps, which we have performed on 12 patients during the past 3 years. An extended incision for the nasal skin flap exposes all deformities to direct vision, makes the advancement and rotation of the nasal skin flap complete, and makes the corrective procedures easy and accurate. A large V-flap (with V-Y advancement for columellar lengthening) and two small V-flaps (with back-cut incisions on the nasal lining) are used to elevate and suspend the alar domes and cartilage to create two symmetrical and piriform apertures, and to ensure adequate columellar length. Columellar lengthening averaged from 2.5 mm preoperatively to 10 mm postoperatively. A protruded nasal tip with two delicate and small dimples over the alar rims, and a piriform aperture of the nasal nares were achieved in our series. No hypertrophic scar, nasal obstruction, or exposure of hairy nares were noted. No cartilage graft or strut and bone graft were required.

Adolescent↗
PubMed2001

Nasal dermoid sinus cysts and the role of open rhinoplasty.

All suspected congenital abnormalities of the nose require further evaluation. The nasal dermoid sinus cyst (NDSC) is one of the many midline nasal masses that often pose diagnostic and treatment dilemmas for the plastic and reconstructive surgeon. NDSCs are distinct from other facial dermoids in their potential for involving deeper contiguous structures, and intracranial extension. Accurate diagnosis and effective treatment are essential to avoid craniofacial skeletal deformation, cyst rupture, and infection that could cause cutaneous, ocular, or intracranial complications. A comprehensive discussion of the embryogenesis, pathogenesis, diagnosis, and surgical management of the NDSC is presented to delineate the role of open rhinoplasty in optimizing the management of this congenital nasal deformity.

Adolescent↗