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At least 577 records · Page 32Linked to original sources
PubMed1992

[Secondary rhinoplasties: failures at the bone stage].

Based on a personal experience, the author exposes the problems and describes the failures who can occur during and after the "bony stage" of the rhinoplasty. The surgical treatment will be exposed. Successively: correction of the dorsum (resection of the bony hump) with incorrect nasofrontal angle, residual hump, "saddle nose"; lateral osteotomy and bony step; transversal and paramedian osteotomy with possibility of "open roof" so as residual deviation.

Adult↗
PubMed1992

The external rhinoplasty approach for rhinologic surgery.

The technique of external rhinoplasty has enjoyed a renaissance over the last ten years, primarily for cosmetic and functional septorhinoplasty, and we have found this to be an effective method for nasal reconstruction. Moreover, we have recognized the versatility of this approach for a variety of rhinologic problems and have utilized it for transsphenoidal hypophysectomy, sphenoidotomy, unilateral choanal atresia, septal perforation, nasal valvuloplasty and rhinophyma. We describe our technique and the rationale for employing it. We conclude that the enhanced exposure provided by the cutaneous decortication of the nose facilitates surgery of both the soft tissues and the supportive architecture of the nose.

Dermatologic Surgical Procedures↗
PubMed1978

Current thoughts on implants in rhinoplasty.

Since the birth of modern rhinoplastic surgery in the early 20th century, most attention has been directed to the reduction rhinoplasty with ever improving and increasingly sophisticated approaches and techniques. Augmentation procedures, on the other hand, have been used on a far lesser scale. The employment of implants, although used sporadically in the past and often with poor results, now appears to be gaining in popularity as new inert materials are being synthesized and proven safe for medical usage. It is the purpose of this paper to review the synthetic material available for nasal implantation, as well as their place in the rhinologist's armamentarium.

Bone Transplantation↗
PubMed2003

Corrective rhinoplasty: medical and legal aspects.

Preoperative planning of any surgical procedure, especially rhinoplasty, is crucial in order to achieve an optimal outcome which will satisfy both the surgeon and patient. Use of imaging and the possibility of virtually displaying the changes planned by the surgeon definitely lead to a better understanding between doctor and patient. Although these new technologies have led to undeniable advantages, they have also generated unprecedented medical and legal problems. The Authors discuss a number of reflections on the legal consequences of image digital processing, the problems related to the storage of such images, and the appropriate way to draft an informed consent.

Adult↗
PubMed1992

[Classic failures of rhinoplasty and their treatment].

On the basis of a personal experience and a review of the literature, the author describes the problems of the most common and classical failures of the rhinoplasty. The surgical treatment is exposed in the second part of the publication.

Adult↗
PubMed2005

[Rhinoplasty--functional and esthetic surgery on the nose].

With the aid of rhinoplasty, functional or cosmetic defects affecting the nose can be surgically corrected. In cases of disturbed nasal breathing due to septum deviations, hypertrophy of the conchae or a crooked nose which, for example, has led to deformation of the inside of the nose and thus to a functional disturbance, there is no question that the insurance will cover the costs. In the case of mild deformities, however, an expertise is first required. Purely cosmetic corrections are not covered by the health insurance and must be paid for by the patient him/herself. At the end of the operation, the nose is supported with splints and tamponades. Any subsequent surgery should be done at the earliest after one year.

Adult↗
PubMed1991

[The evaluation of complications following augmentation rhinoplasty with silicon gel].

Since 1985, 15 patients who suffered from complications after augmentation rhinoplasty by injection of silicone gel have been reoperated on in our department. These complications included: (1) unsatisfactory aesthetic result in nine cases; (2) ulceration in three cases; (3) ophthalmic complications, including blindness of one-eye (2 cases) and two-eyes with severe vision disorders (1 case). The reasons for unsatisfactory aesthetic result and other complications were analysed and evaluated.

Adolescent↗
PubMed2006

Functional rhinoplasty with batten and spreader grafts for correction of internal nasal valve incompetence.

OBJECTIVE: We a describe technique for correction of internal nasal valve incompetence (INVI) using functional rhinoplasty (FRP) with combined cartilaginous batten and spreader grafts and report the functional and cosmetic outcomes. DESIGN: Prospective series using subjective improvement in nasal airway and quality of life. SETTING: Subregional ENT centre, one operating rhinologist. PARTICIPANTS: Twenty-three consecutive adults presenting to ENT department at North Hertfordshire NHS Trust with symptomatic INVI. MAIN OUTCOMES MEASURES: Pre and post-operative symptom scores for nasal obstruction and its impact on overall quality of life using visual analogue scales (1-100mm). Cosmetic outcome graded using subjective scores. Statistical analysis performed using the Wilcoxon signed rank test. RESULTS: We found a median subjective improvement on the visual analogue scale of 55 mm for nasal patency (p<0.001) and of 49 mm for quality of life (p<0.001). Twenty-two patients felt that the appearance of their nose had not changed or had significantly improved post operatively. CONCLUSION: Combined use of batten and spreader grafts for the correction of INVI in normal or narrow nasal vaults is effective without compromising cosmesis.

Cartilage↗
PubMed1990

[Apropos of a case of infection after esthetic rhinoplasty].

Infection after rhinoplasty is infrequent occurring in less than 1% of cases. When it does occur it may be due to devascularised spicule of bone or in a hematoma. Of much less frequent occurrence is the toxic shock syndrome associated or not with nasal packing and due to staphylococcus aureus. When administering prophylactic antibiotic in nasal surgery one must take into consideration their own hazards: drug reaction, candida infection or resistant staphylococcus aureus.

Adult↗
PubMed1991

[Sagittal rhinoplasty for broad noses].

Normal profile wide noses, without osteo-cartilaginous bump, are rare and very few cases have been described in the literature, to our knowledge. Based on a short experience of 4 cases, we describe a surgical variant of the classic rhinoplasty technique. The resection of two osteo-cartilaginous symmetrical quadrilaterals resolves this specific problem with no risk of profile modification with sagging and necessity of reinclusion.

Esthetics↗
PubMed1991

[Conchal cartilaginous delta graft in secondary or post-traumatic rhinoplasties].

The authors study several cases of surgical revision in post-traumatic or secondary rhinoplasty. Cartilaginous grafts with temporal fascia are recommended. The removal of ear cartilage is performed via a posterior approach for the concha cartilage associated with a septum or an alar cartilage removal. They describe the delta graft associating a concha cartilage supported by a prop (auricular or septal) to repair a defect of the middle or lower third of the pyramid.

Cartilage↗
PubMed1991

Rhinoplasty.

The nose is one of a person's most noticeable features, a feature with which he or she personally identifies and by which he or she may be known and recognized by others. When there is a facial disharmony by virtue of this important feature being relatively unflattering, disproportionate, disfiguring, or dysfunctional, then surgical change can make an important contribution physically, functionally, psychologically, and socially. Rhinoplasty involves a considerable normal concern on the part of the patient and presents a very significant professional challenge to the surgeon. Both the patient and the surgeon are likely to receive a great deal of personal satisfaction from surgery well done.

Esthetics↗
PubMed1991

Autogenous auricular concha cartilage transplant in corrective rhinoplasty. Practical hints and critical remarks.

Numerous materials have been suggested for correction of nasal defects, especially for the saddle nose. We present here our experience with the autogenous cartilage transplant from the auricular concha in our collective of 32 patients. The concha cartilage is used for saddle nose corrections and reconstruction of the alar cartilages. Auricular concha cartilage is an almost ideal transplant material for corrective rhinoplasty because: 1. Harvesting of the material is a low-risk procedure that is not time-consuming and can be performed under local anaesthesia. 2. Concha cartilage is stable enough for support and elastic enough for contouring. 3. It can easily be shaped as desired. 4. Concha cartilage shows little tendency towards dislocation. 5. Resorption is negligible and thus plays no role in connection with these transplants. 6. Rejection or infection rarely occurs.

Ear Cartilage↗
PubMed1991

[Critical study of surgical approaches in esthetic rhinoplasty].

Not only the approach is the first but also one of the most important steps of every surgical operation. This is specially true about the nose, which is a cavernous, complex and inextensible structure. Nevertheless these difficulties it is possible to have a good exposure allowing to make the greatest number of aesthetic rhinoplasties, from endonasal incisions. In spite of a recent vogue external incisions seem to be reserved for few special and difficult cases or secondary corrections.

Esthetics↗
PubMed1991

External rhinoplasty approach to transsphenoidal hypophysectomy.

The external rhinoplasty approach is a modification of the well recognized transseptal transsphenoidal hypophysectomy technique first introduced by Cushing in 1910. Our approach has been used successfully in 75 cases over a six year period, demonstrating its efficacy and safety. It provides a simple, reliable, rapid technique for exposing the septum and the floor of the nose with excellent exposure to the sphenoid sinus and pituitary gland. There has been no loss of nasal tip projection or other cosmetic deformity.

Adolescent↗
PubMed1991

External rhinoplasty approach for nasal dermoids in children.

Nasal dermoid is an uncommon condition but is still the most likely diagnosis when a child presents with a swelling on the nose visible at or shortly after birth. Total excision is the only treatment and this may require two procedures if there is an intracranial extension. The standard vertical midline scar is a common cause of dissatisfaction. We have used an external rhinoplasty approach for this problem and feel that it gives a better exposure with a superior cosmetic result.

Child, Preschool↗
PubMed1991

The external rhinoplasty for the correction of unilateral choanal atresia in young children.

The external rhinoplasty approach has been utilized in three young children for the correction of unilateral choanal atresia. It has been demonstrated to be technically feasible to utilize this technique in young children. It provides excellent exposure of the atresia plate with the ability to correct the atresia in a precise and confident way. This technique is an elegant alternative to transnasal puncture and transeptal resection.

Child, Preschool↗