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At least 649 records · Page 36Linked to original sources
PubMed1996

[Functional problems before and after rhinoplasty].

Rhinoplasties raise relatively specific esthetic problems, but less clearly defined functional problems, particularly in the presence of respiratory obstructive disorders. Nasal mucosal obstructions are essentially due to vasomotor rhinitis (allergic or nonallergic) which becomes chronic. They must be controlled medically as they often induce postoperative respiratory distress. Structural nasal obstructions (septal, turbinates, valves) essentially raise problems of operative indications, particularly for deviated septa. Various clinical, radiological, and rhinomanometric criteria allow evaluation of the structures involved in the increased nasal resistance, definition of the operative indication, selection of the most appropriate surgical technique and quantification of the preoperative and postoperative results.

Humans↗
PubMed1979

Localized cerebritis following an esthetic rhinoplasty.

We report a case of Wernicke's sensory aphasia, caused by a localized cerebritis of the left temporal lobe. The condition developed in the second week after an esthetic rhinoplasty. There was an associated small abscess in the right inner canthal area.

Adult↗
PubMed1997

[Secondary rhinoplasty (analysis of failures over a 5-year period)].

It is well known that secondary or revised rhinoplasty is big problem in plastic surgery. During the five year period (1987-1991) 273 rhinoplastic surgeries were done at the ORL-clinic in Rijeka, out of which 42 have been submitted to revision (15.2%). We divided the postsurgical deformations, according to the anatomical criterion, into 3 groups; the upper, the lower and the middle part of the nose. The most frequent deformations of the lower, middle and upper third of the nose are acute septolabial angle, i.e. a dependent tip (19%), pollybeak (33%) and excessive dorsal removal (21%), respectively. The cases have been systematically studied out.

Humans↗
PubMed1996

[Simultaneous rhinoplasty and blepharoplasty].

Simultaneous rhinoplasty and blepharoplasty are the commonest facial cosmetic operation. The paper presents 73 cases who underwent this procedure with satisfactory results from Jan. 1989 to Nov. 1993. The authors described operation steps, e.g., making lacuna in the dorsum, lengthening nasal columella, nasal tip plasty. It was emphasized that the pretarsal flap should contain complete network of the superficial fascia, and the soft tissue underneath be trimmed. All the dissection should be kept in the same cleavage, which would reduce intraoperative bleeding and postoperative edema.

Adolescent↗
PubMed1997

[Rhinoplasty using the coronal approach after extensive facial skull fractures].

Functional, aesthetically perfect restoration of the face of patients suffering from a severely smashed facial skeleton requires exact centrifugal repositioning and miniplate osteosynthesis of all bony fragments. Nevertheless, the original height and form of the nose will not be restored with these means in some cases. Therefore, in 23 cases with shattered noses out of 487 midface-trauma patients in the years 1990-1995 the noses were onlay-grafted as the primary procedure in 9 cases via the coronal approach and as the secondary one when the metal plates were removed in 10 cases. A combination of primary and secondary procedures was done in 4 cases. Five times autogenous bone from outer calvarium was used and 22 times allogenic, conserved bone from organ donors (AAA bone). According to extent of the damage, mini-screws and/or mini-plates served to fixate the graft. In addition to the group of 13 patients in the years 1990-1993 with nasal bone grafts via the coronary approach, another group the same size with the same amount of trauma but without rhinoplasty was defined and compared to the first group. An aesthetic analysis was done by grading the results according to simple criteria from 0 to 6 points by the patient and by the examiner. Noses grafted via the coronary approach were evaluated as being significantly (P = 0.004, t-test for independent samples, SPSS) better (2.1 points on average +/- 1.1 SD) than conventionally treated noses (3.5 points on average +/- 0.8 SD).

Bone Plates↗
PubMed1997

Augmentation rhinoplasty by subcutaneous midline forehead flap simultaneous with implant removal.

Implant exposure after augmentation rhinoplasty with alloplastic materials is usually associated with some degree of infection, and it is commonplace to remove the implant and wait for several months before re-augmentation. However, some patients cannot accept the resultant deformity after implant removal. We introduced the midline forehead flap for augmentation simultaneous to the removal and obtained favorable results, even when considering the donor site scar on the forehead. We report the surgical technique and two patients treated with this procedure. The advantages and disadvantages of this procedure are also discussed.

Aged↗
PubMed1998

Open rhinoplasty: columellar scar analysis in an Arabian population.

This prospective study included 50 consecutive Saudi Arabian patients who underwent open rhinoplasty. All patients had a minimum follow-up of 1 year after surgery. The columellar scar was assessed objectively and subjectively at the final follow-up. An unsatisfactory scar was considered present if anything other than a barely visible, level, and thin-line scar without notching was evident. Objectively, 39 patients (78 percent) were considered to have a satisfactory columellar scar. The percentage of unsatisfactory scars (22 percent) was higher than expected prior to performing the study, and one patient was actually conscious about the deformity. Causes and prevention of unsatisfactory columellar scars were discussed.

Adolescent↗