Rhinoplasty Research Today is a free monthly online journal that collates and summarizes the latest research about Rhinoplasty, including details on nose job, nose surgery, reconstruction.

Olfactory function following open rhinoplasty: A 6-month follow-up study.

Shemshadi H, Azimian M, Onsori MA, Azizabadi Farahani M

ABSTRACT: BACKGROUND: Patients undergoing any type of nasal surgery may experience degrees of postoperative olfactory dysfunction. We sought to investigate "when" the olfactory function recovers to its preoperative levels. METHODS: In this cohort design, 40 of 65 esthetic open rhinoplasty candidates with equal gender distribution, who met the inclusion criteria, were assessed for their olfactory function using the Smell Identification Test (SIT) with 40 familiar odors in sniffing bottles. All the patients were evaluated for the SIT scores preoperatively and postoperatively (at week 1, week 6, and month 6). RESULTS: At postoperative week one, 87.5% of the patients had anosmia, and the rest exhibited at least moderate levels of hyposmia. The anosmia, which was the dominant pattern at postoperative week 1, resolved and converted to various levels of hyposmia, so that no one at postoperative week 6 showed any such complain. At postoperative week six, 85% of the subjects experienced degrees of hyposmia, almost all being mild to moderate. At postoperative six month, the olfactory function had already reverted to the preoperative levels: no anosmia or moderate to severe hyposmia. A repeated ANOVA was indicative of significant differences in the olfactory function at the different time points. According to our post hoc Benfronney, the preoperative scores had a significant difference with those at postoperative week 1, week 6, but not with the ones at month 6. CONCLUSIONS: Esthetic open rhinoplasty may be accompanied by some degrees of postoperative olfactory dysfunction. Patients need a time interval of 6 weeks to 6 months to fully recover their baseline olfactory function.

Published 3 October 2008 in BMC Ear Nose Throat Disord, 8(1): 6.
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Articles on Rhinoplasty published 1 October 2008:

Tip shaping in primary rhinoplasty: an algorithmic approach.   Plast Reconstr Surg, 122(4): 1229-41.

BACKGROUND: Underprojection and lack of tip definition often coexist. Techniques that improve both nasal tip refinement and projection are closely interrelated, and an algorithmic approach can be developed to improve the predictability of the dynamic changes that occur. Use of nondestructive and nonpalpable techniques that enhance nasal tip shape are emphasized. METHODS: A retrospective review of primary rhinoplasty patients was undertaken to delineate the precise role of preoperative analysis, ... [Abstract] [Full-text]

"Stuffy nose" rhinoplasty: diced cartilage grafts for correction of cleft nasal tip deformities.   Plast Reconstr Surg, 122(4): 1138-43.

BACKGROUND: Numerous techniques exist to address poor nasal tip projection in the cleft nose deformity. The authors describe a secondary closed rhinoplasty technique using diced cartilage nasal tip grafting. METHODS: Cleft patients who previously underwent lower lateral cartilage repositioning with residual poor nasal tip projection underwent the "stuffy nose" rhinoplasty technique in which diced septal cartilage grafts were placed in a pocket made from a unilateral marginal incision ... [Abstract] [Full-text]

Nasoalveolar molding improves appearance of children with bilateral cleft lip-cleft palate.   Plast Reconstr Surg, 122(4): 1131-7.

BACKGROUND: Bilateral cleft lip-cleft palate is associated with nasal deformities typified by a short columella. The authors compared nasal outcomes of cleft patients treated with banked fork flaps to those of patients who underwent nasoalveolar molding and primary retrograde nasal reconstruction. METHODS: A retrospective review of 26 consecutive patients with bilateral cleft lip-cleft palate was performed. Group 1 patients (n = 13) had a cleft lip repair and nasal correction with banked fork ... [Abstract] [Full-text]

Articles on Rhinoplasty published 24 September 2008:

Nasal shapes and related differences in nostril forms: a morphometric analysis in young adults.   J Craniofac Surg, 19(5): 1402-8.

Being aware of the morphologic differences in the nasal anatomy between men and women during the cosmetic rhinoplasty is essential because feminization of a male nose is not a very rare complication. Although there is no difference in the techniques of male and female rhinoplasty, the anthropometric differences have to be considered. This morphometric study evaluated the nasal shapes in both sexes and the related differences in the nostril forms. The nostril forms were separated into 4 main ... [Abstract] [Full-text]

A new modified forked flap with subcutaneous pedicles for adult cases of bilateral cleft lip nasal deformity: from normalization to aesthetic improvement.   J Craniofac Surg, 19(5): 1374-80.

In adult cases of bilateral cleft lip nasal deformity, an esthetically satisfying result can not be obtained only by manipulation inside the nose with the nasal tip pointing upward. The nasal tip should be made in a more anterior direction for nasal esthetic improvement. Additional tissue beyond the nose is needed, and the forked flap is a useful method in such cases. However, the blood circulation of long and narrow flaps containing the scar, especially after open rhinoplasty, is unstable. We ... [Abstract] [Full-text]

A novel approach to cleft lip nose deformity: posterior dome graft technique.   J Craniofac Surg, 19(5): 1359-63.

The pathology of "nasal tip complex" remains as a problem to be solved in unilateral cleft lip nose deformity wherein open rhinoplasty and cartilage grafts are used frequently. For this reason, the research for the treatment of cleft-side tip projection lost and ala depression still continues. Our technique is to put the cartilage graft at posterior dome area after the release of cleft-side ala from vestibular mucosa and skin to elevate the ala depression and tip projection. This ... [Abstract] [Full-text]

Open-tip approach: evolutions in rhinoplasty.   J Craniofac Surg, 19(5): 1323-9.

Modifications and innovations in open-structure rhinoplasty that have occurred as this technique has evolved are discussed. In addition, the philosophy and fundamentals of open-tip approach in rhinoplasty are reexamined. A retrospective review of representative patients in a hospital practice setting was performed. All surgical procedures were conducted in a department of plastic surgery of the University of Rome Tor Vergata. The preoperative and long-term results of each patient are compared ... [Abstract] [Full-text]

Articles on Rhinoplasty published 22 September 2008:

Viability of human septal cartilage after 1.45 microm diode laser irradiation.   Lasers Surg Med, 40(8): 562-9.

BACKGROUND AND OBJECTIVES: Chondrocyte viability following laser irradiation and reshaping has not been established for human nasal septal cartilage. Knowledge of the relationship between thermal injury and laser dosimetry is needed in order to optimize septal laser cartilage reshaping. The objective of this study was to determine the depth and width of thermal injury in human septal cartilage following laser irradiation. STUDY DESIGN/MATERIALS AND METHODS: Excess fresh nasal septal cartilage ... [Abstract] [Full-text]

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