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At least 811 records · Page 45Linked to original sources
PubMed2005

African American rhinoplasty.

This article describes the topographic and surgical anatomy of the African American nose and the surgical techniques used in the authors' practice.

Black or African American↗
PubMed2006

Correcting the short nose in revision rhinoplasty.

The scope of this article is directed toward strategic planning and surgical treatment of the postoperative short nose deformity. Emphasis is placed on controlled repositioning of the central compartment of the nose (tip and columella), followed by moving the nostrils back into a more natural position with the use of autologous grafting techniques. The overall goal is to achieve the desired esthetic transformation while maximizing nasal function with good long-term results.

Cartilage↗
PubMed2006

Septal considerations in revision rhinoplasty.

Abnormalities of the nasal septum subsequent to septorhinoplasty include structural deficits connected with incorrect excision of the cartilaginous portion, the persistence of deviation to varying degrees, and deformity of the supratip region. In the course of revision, the correction of septal anomalies constitutes an indispensable preliminary stage upon which the end result depends. A straight, sturdy, and flexible supporting septal structure is, in fact, an essential prerequisite if satisfactory results are to be obtained. The authors describe some techniques used to achieve this objective and provide guidelines for their selection. The septum is also involved in the repair strategy of revision operations. It constitutes a primary source of material for structural grafts to reconstruct numerous components of the nasal pyramid.

Cartilage↗
PubMed2006

Childhood nasal trauma with previous rhinoplasty and persistent deformity.

This article reviews a case of a young woman with a history of childhood trauma resulting in nasal deformity along with chronic nasal obstruction. Discussion for correction of these problems includes septoplasty, tip shield graft, cap graft, alar batten graft, an crushed cartilage graft. Pre- and postoperative photographs are provided with corresponding preoperative diagrams and schematics.

Adult↗
PubMed2005

Does creating a subperiosteal tunnel influence the periorbital edema and ecchymosis in rhinoplasty?

PURPOSE: The study goal was to determine whether creating a subperiosteal tunnel before lateral osteotomy had an effect on postoperative periorbital edema, ecchymosis, and subconjunctival ecchymosis. PATIENTS AND METHODS: Eighteen consecutive patients who underwent septorhinoplasty were included in the study. In all patients lateral osteotomies were carried out bilaterally, after creating a subperiosteal tunnel on a randomly chosen side and without creating a subperiosteal tunnel on the other side. The patients were seen on the second postoperative day, and a different surgeon who was unaware of the side with the periosteal tunnel determined the side of the face with more edema and ecchymosis. Subconjunctival ecchymosis was evaluated and recorded, as well. RESULTS: Creating subperiosteal tunnels before lateral osteotomy statistically increased periorbital ecchymosis. Although there was no statistically significant difference, creating subperiosteal tunnels also increased development and severity of subconjunctival ecchymosis and edema. CONCLUSIONS: We suggest performing lateral osteotomy without creating subperiosteal tunnels.

Adolescent↗
PubMed2004

Observations of the marginal incision and lateral crura alar cartilage asymmetry in rhinoplasty: a fixed cadaver study.

OBJECTIVE: This anatomical cadaver study was intended to incrementally determine the precise relationship between the alar rim skin margin and the caudal aspect of the lateral crus of the nose. The second intention was to preliminarily test the hypothesis of sexual dimorphism in the lateral crura size and of right to left asymmetry of the lateral crura in the same individual. STUDY DESIGN: Demographic information of 39 Caucasian cadavers was collected. Dissection of 28 unilateral and 11 bilateral noses included the removal of all of the soft tissue from the lateral surface of lateral crura cartilages. The distance from the caudal edge of the lateral crus to the alar margin was measured beginning at the junction of the middle and lateral crura moving posteriorly. The lateral crus was then completely dissected out from the remaining surrounding soft tissue for measurement of the length, height, and thickness. RESULTS: Comparison of the cartilage dimensions between the sexes showed significant differences between the length, height, and thickness of the cartilages. The distance between the caudal aspect of the lateral crus and alar skin margin was less than 6.7 mm on average for the anterior 15 mm of the lateral crus. Comparison for intraindividual right to left asymmetry showed significant differences in 3 infracartilaginous-alar skin margin distance measurements and in cartilage length and height. CONCLUSION: The marginal incision can be close to the alar skin margin in the first 15 mm. Right to left intraindividual asymmetry in the first 20 mm was significant. Intraindividual right to left asymmetry was significant in the lateral crura length and height. Sexual dimorphism in the lateral crura length, height, and thickness was observed.

Adult↗
PubMed2002

[External lateral osteotomy in rhinoplasty for the correction of nasal dorsal deviations].

We present a revision of 45 patients with nasal deviation operated on between 1993 and 2001. Septorhinoplasties were done in all cases using the external lateral nasal osteotomies technique. 67% of our patients were male and 33% were female with a mean age of 25. In all cases a septoplasty was performed. To correct nasal deviation, medial osteotomies through an intercartilaginous approach and external lateral nasal osteotomies were done. We did a postoperative follow-up of 35 patients. In terms of patient satisfaction, 78% of them felt that their nasal appearance had improved after surgery, and 22% felt that they had a great improvement. One case had to be reoperated on because of a traumatic nasal fracture after surgery. We believe this technique offers important advantages, such as: an excellent control of the fracture line, fewer incidences of open roof and lateral step, without causing visible scars.

Adolescent↗
PubMed2003

The upper buccal sulcus approach, an alternative for post-trauma rhinoplasty.

We suggest that it is possible to correct the stigmata of the post-traumatic nasal deformity by means of an upper buccal sulcus approach alone. This approach is demonstrated in a series of ten cadaveric subjects for the correction of nasal skeletal deviation or bossing. Furthermore, the technique, which avoids internal nasal scarring and violation of the internal nasal valve, has been successfully employed in four patients with a minimum of 9 months follow-up. We suggest that it is possible to conserve the internal nasal valve and avoid problems of nasal tip retractions using this approach in selected cases.

Accidents, Traffic↗