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At least 631 records · Page 35Linked to original sources
PubMed1983

[Long-term results of rhinoplasty in nose injuries in childhood].

In 83 children who were 3 to 15 years of age, long-term results after rhinoplasty are analysed. In 32 cases we observed recurrent septal deviations, 12 children (14.5%) showing signs of significant nasal obstruction. No inhibition of bone growth was seen in 22 cases in connection with additionally performed osteotomies. Both the errors in surgery and the disturbances due to unpredictable growth of septal cartilage are discussed.

Adolescent↗
PubMed1981

Current concepts in cosmetic rhinoplasty.

Modern concepts in the technique of cosmetic rhinoplasty and the psychological evaluation of a patient, together with the surgeon-patient relationship, are discussed. A revision rate of 7, 1% in a total of 882 cases over an 8-year period falls within internationally accepted standards. The reasons for patient dissatisfaction are reviewed.

Adolescent↗
PubMed1981

Aesthetic reconstructive rhinoplasty.

Aesthetic reconstructive rhinoplasty by definition means the creation of a nose that blends happily with its face and enjoys patent bilateral airways. This goal requires the construction of a delicate but dependable support to the bridge and tip, adequate viable lining, and cover of the correct color and texture. All this should be accomplished without distracting donor scars. It is important that the bridge and tip stand proudly, the alae an columella contours be sculptured, and the scars lie unnoticeable in the regional unit lines camouflaged by light and shadows.

Esthetics↗
PubMed1981

Nasal tip reduction - predictable part of rhinoplasty.

Anatomical and esthetic analysis of the nasal tip is carried out. Critical review of various surgical maneuvers applicable in tip reduction is provided. Comments are made on the dynamics of tip alterations. A new method of nasal tip reduction with excision of skin through external rhinoplasty is described. Its advantages over the currently used tripod excision for grossly projecting nasal tips are outlined.

Female↗
PubMed1981

Recent advances in external rhinoplasty.

The introduction, resistance to, and acceptance of external rhinoplasty are reviewed. Technical advances - butterfly incision, electrocautery, drainage incisions, and use of the rotating burr - are discussed; and illustrations are used to support the author's belief in advantages of the external approach.

Adolescent↗
PubMed1981

[A rare and late complication of rhinoplasties (author's transl)].

The majority of failures after rhinoplasty are of operative origin and rapidly become evident. The two cases of complications reported here were on the contrary late since they occurred after respective periods of 4 and 10 years. They involved mucoid cysts by inclusion of nasal mucosa, requiring complete excision via an external approach.

Adult↗
PubMed1980

External rhinoplasty.

The external rhinoplasty approach extends the usual marginal nasal incisions to include a notched transcolumellar incision. This maneuver enhances surgical exposure for the analysis and correction of all types of nasal bone, nasal septum and nasal cartilage deformities. Nasal septal perforation, nasal bone grafting and hypophysectomy my be operated upon through this excellent avenue of exposure.

Cartilage↗
PubMed1994

[Block hydroxyapatite artificial bone in augmentation rhinoplasty: experimental study and clinical applications].

The lower dense block hydroxyapatite artificial bone (BHAB), a new material for augmentation rhinoplasty, having the characteristic of easy to be carved and contoured, was used in 18 New Zealand white rabbits. The results demonstrated BHAB had good biocompatibility and well maintained the augmented contour. Satisfactory effects were gained in 13 clinical applications.

Animals↗
PubMed1994

Rhinoplasty and rib grafts: evolving a flexible operative technique.

A flexible operative technique for utilizing rib grafts in difficult rhinoplasty and nasal reconstruction cases requiring support is presented. An osseocartilaginous rib segment is used for dorsal contour or support, while a rigid cartilaginous strut provides for both tip projection and columellar contour. The bone is contoured extensively, while the cartilage is altered minimally. An open approach is employed. A bony fixation platform is established by radix reduction followed by bony fixation with ultramicroscrews. Distally, the grafts are united when nasal lengthening or total support is required; otherwise, the grafts are juxtaposed to allow lateral movement. The operative technique and technical difficulties are described in detail based on experience in 14 patients.

Adult↗
PubMed1994

[Acute post-rhinoplasty dacryocystitis. Apropos of a case].

Lacrimal ducts are exposed to surgical wounds during cosmetic surgery of the nose because of the anatomic situation. Beside minor and transitory injuries exist major injuries needing a surgical solution. The authors report a case of an acute dacryocystitis after an aesthetic rhinoplasty. After reviewing the literature and studying the possible traumatic mechanisms, the authors propose to treat the lacrymal injury by a bicanaliculonasal intubation before than performing a dacryocystorhinostomy.

Acute Disease↗
PubMed1994

The incompetent external nasal valve: pathophysiology and treatment in primary and secondary rhinoplasty.

The size of any nasal airway depends not only on the width and contour of the septal partition and inferior turbinates but also on the position and stability of the lateral nasal wall under the pressure changes that occur during the dynamic process of ventilation. Thus any congenital or acquired weakness of the upper or lower lateral cartilages or their investing soft tissues may profoundly affect the ability to draw adequate volumes of air through the nose. Sixty-one surgical patients treated for incompetence of the external nasal valves (comprising the cutaneous and skeletal support of the mobile alar walls) are the subjects of this paper. Rhinomanometric data on 16 patients with "pure" external valvular incompetence showed a twofold increase in total mean nasal airflow following valvular reconstruction with septal cartilage or bone grafts or with composite conchal cartilage-skin grafts for patients with associated vestibular skin deficiencies. Seven patients with combined external valvular and septal pathology derived most of their postoperative airflow improvement from correction of the valvular defect. The external nasal valve may be a substantial cause of nasal airway obstruction in some patients; its pathophysiology and treatment are discussed in primary and secondary rhinoplasty.

Adolescent↗
PubMed1993

The mask rhinoplasty: a technique for the treatment of Binder's syndrome and related disorders.

Congenital and acquired facial deformities in which the nose is small relative to the rest of the face present a problem in reconstruction. Binder's syndrome is the most common of such deformities, where the noise is both short and lacking tip projection. A method of reconstructing such deformities is described. By means of a coronal skin incision and an approach through the upper buccal sulcus, the nasal soft tissues including the alar cartilages are mobilized. Nasal lengthening and improved tip projection are achieved and supported by a cantilevered graft of lyocartilage. The defect created within the nasal vestibule is repaired by means of mucosal flaps raised from the upper buccal sulcus. Ten cases have so far been treated successfully using this technique we call mask rhinoplasty.

Adult↗
PubMed1996

Dynamic interplays during rhinoplasty.

One of the complicating factors in rhinoplasty procedures is its intricate dynamics. Not only is there a complex interaction between the soft tissue and nasal bone frame on each nasal zone, there is an intriguing interaction between the different zones of the nose and the surrounding facial structures. Understanding these interplays is mandatory to proper design and execution of the aesthetic surgical plans. This article has covered the dynamic effects that occur along the different nasal zones, elucidated the control that the nasal frame has on the soft tissue, and reviewed the different ways in which the intended aesthetic objectives can be obtained.

Esthetics↗
PubMed1996

Rhinoplasty with advancing age. Characteristics and management.

The aging nose presents several unique challenges to diagnosis and management. Although classically it presents as a drooping nasal tip secondary to loss of tip support with a relative dorsal hump, there are associated changes in the nasal skin, bony architecture, and airway that mandate consideration. Methods of correction emphasize restoration of tip support with nondestructive suture techniques. Use of osteotomies is minimized. Airway patency is improved or maintained by restoring the internal nasal valve, often with dorsal spreader grafts. Finally, special consideration is given to the patients' unique expectations and motivation. Rhinoplasty in the patient with advancing age is a rewarding operative procedure if one follows the guidelines delineated here to optimize the functional and aesthetic results.

Aged↗
PubMed1995

[Anatomic structure of the soft tissue of nasal dorsum and its applications in augmentation rhinoplasty].

The nasalis--procerus aponeurosis and its clinical applications in augmentation rhinoplasty were described in this paper. According to our experience, the silicone frame can be put in three anatomical layers of the nasal dorsum for augmentation. The paper showed the manipulating points and problems of the operations done through various anatomical layer, and also pointed out that good results can be obtained with the silicone frame being put on or beneath the nasalis--procerus aponeurosis.

Adult↗
PubMed1995

[Recent developments in esthetic rhinoplasty].

Over the last two decades, the concepts of cosmetic rhinoplasty have advanced, essentially due to the influence of J. Sheen. The importance of the anatomy of osteocartilaginous structures, their dynamic role, and the repercussions of their modification on the external shape has led to a more conservative surgery. Innovations have essentially concerned nose tip surgery and cartilage grafts. The revival of external approach and its popularity constituted the second major development; this can be explained by the direct, visualisation of cartilaginous structures and by the desire or necessity to preserve or reconstruct these structures. The indications for cartilage grafts have become more frequent and graft techniques have been developed and refined. The difficulties encountered in the use of autologous grafts have favoured the development of many new implants. Parietal cranial grafts occupy an increasingly important place in the indications for nasal bone grafts.

Adult↗
PubMed1996

How to assess the nose for rhinoplasty.

Rhinoplasty is one of the most demanding of all cosmetic procedures. The surgeon has to have a knowledge of facial and nasal esthetics and must work within the framework of the structure of the nose at hand. The total preoperative evaluation of the patient is discussed including the process of consultation and recognition of risk factors. The guidelines that we use to structure our esthetically pleasing nose are discussed.

Humans↗