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. | ||||||
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Treatment Protocol for "Mestizo Nose" with Open Rhinoplasty.de la Peña-Salcedo JA, Soto-Miranda MA, Lopez-Salguero JF Institute for Plastic Surgery, Vialidad de la Barranca S/N, Huixquilucan, Estado de Mexico, Mexico, Mexico, abeldelapena@plasticsurgery.com.mx. BACKGROUND: The aim of this study was to develop an operative sequence to guide plastic surgeons on how to handle the challenges of "Mestizo nose" during rhinoplasty. This type of nose has characteristics quite different from the Caucasian nose. Rhinoplasties on Mestizo nose represent a surgical challenge because of the anatomical characteristics of a weak frame and thick skin. The Hispanic population has grown, and nowadays a large number of patients requesting rhinoplasty within the US belong to this ethnic group. METHODS: We have developed an operative sequence for the treatment of Mestizo nose. This operative sequence has been tested in 879 rhinoplasties (92.37% females and 7.62% males, aged 15-63 years, mean age = 39 years). All were primary cases. An algorithm on how to approach the different types of Mestizo nose is presented. RESULTS: We had overall good results using our algorithm, with an improvement in the nasal aesthetics of about 54.75%. Complications were postoperative bleeding (1.37%), pain (0.57%), septal hematoma (0.23%), unaesthetic scars (0.34%), and cartilage extrusion (0.11%). Our revision rate was 5%. We present ten complete cases to show our surgical results. CONCLUSION: This operative sequence has allowed us to get predictable and reliable surgical outcomes when used in Mestizo rhinoplasty operations. We think it can be very useful for every plastic surgeon who performs Mestizo nose rhinoplasty, although not all steps need to be performed in every case. Published 2 May 2011 in Aesthetic Plast Surg. Articles on Rhinoplasty published 27 April 2011: A Multilayer Cartilaginous Tip-Grafting Technique for Improved Nasal Tip Refinement in Asian Rhinoplasty. Otolaryngol Head Neck Surg. Objective. Tip surgery remains the most difficult part of rhinoplasty in Asian patients because of the lower lateral cartilage characteristics and thick skin. The objective of this study was to evaluate the multilayer cartilaginous tip-grafting technique used for tip refinement in Korean patients undergoing rhinoplasty. Study Design. Case series with chart review. Setting. Academic tertiary care medical center. Subjects and Methods. A retrospective study of 99 Korean patients who underwent open ... [Abstract] [Full-text] Articles on Rhinoplasty published 25 April 2011: Modified Turkish delight: morcellized polyethylene dorsal graft for rhinoplasty. Int J Oral Maxillofac Surg. Rhinoplasty is one of the most challenging facial aesthetic procedures. Achieving a desirable result depends on correct planning and execution and the tissue characteristics of the patient. Dorsal augmentation has been performed extensively using cartilage grafts harvested from the septum, alar cartilage, conchal artilage and costal cartilages as well as from bone harvested from the ilium or tibia. Carved or crushed cartilage used as a graft might be perceptible through the nasal skin when ... [Abstract] [Full-text] A case of a nasal dermoid presenting as a median upper lip sinus. Int J Oral Maxillofac Surg. Nasal dermoids are uncommon developmental abnormalities. Median upper lip fistulas are even rarer and recognized as a separate pathology. The authors present the unusual case of a child with a sinus on the philtrum of the upper lip and a sinus tract passing all the way to the anterior skull base through the nasal septum. The authors propose that nasal dermoids and medial upper lip fistulas have a common aetiology, and may be the same entity. The authors suggest they should all be managed like ... [Abstract] [Full-text] Articles on Rhinoplasty published 15 April 2011: Nasal septal abscess in children: From diagnosis to management and prevention. Int J Pediatr Otorhinolaryngol. BACKGROUND: Nasal septal abscess (NSA) is an uncommon condition. It is a collection of pus in the space between the nasal septum and its overlying mucoperichondrium and/or mucoperiosteum. If left untreated, there are risks of intracranial complications, facial deformity, and delayed facial growth. There is no universally agreed consensus on the treatment of this condition. This study reviews evidence in the literature to determine its etiology, presentation, investigation, management options, ... [Abstract] [Full-text] Nasal skin thickness measured using computed tomography and its effect on tip surgery outcomes. Otolaryngol Head Neck Surg, 144(4): 522-7. Objective. Skin thickness can be a major factor affecting rhinoplasty outcomes. However, few studies have examined the impact of nasal skin thickness on rhinoplasty aesthetic results. The aim of this study is to determine the effect of nasal skin thickness on the tip surgery outcome objectively. Study Design. Case series with chart review. Setting. Academic tertiary care medical center. Subjects and Methods. The study involved 77 patients who were evaluated using preoperative computed ... [Abstract] [Full-text] Use of tutoplast-processed fascia lata as an onlay graft material for tip surgery in rhinoplasty. Otolaryngol Head Neck Surg, 144(4): 528-32. Objectives. Tutoplast-processed fascia lata (TPFL) is a commercially available homograft that has been successfully used as human graft tissue for dorsal augmentation in rhinoplasty. The present study evaluated the use of TPFL as an onlay tip graft material in rhinoplasty. Study Design. Case series with chart review. Setting. Academic tertiary care medical center. Subjects and Methods. The study involved a retrospective analysis of rhinoplasty cases using TPFL as a tip onlay graft. The study ... [Abstract] [Full-text] Nasal septal abscess in children: From diagnosis to management and prevention. Int J Pediatr Otorhinolaryngol. BACKGROUND: Nasal septal abscess (NSA) is an uncommon condition. It is a collection of pus in the space between the nasal septum and its overlying mucoperichondrium and/or mucoperiosteum. If left untreated, there are risks of intracranial complications, facial deformity, and delayed facial growth. There is no universally agreed consensus on the treatment of this condition. This study reviews evidence in the literature to determine its etiology, presentation, investigation, management options, ... [Abstract] [Full-text] Nasal skin thickness measured using computed tomography and its effect on tip surgery outcomes. Otolaryngol Head Neck Surg, 144(4): 522-7. Objective. Skin thickness can be a major factor affecting rhinoplasty outcomes. However, few studies have examined the impact of nasal skin thickness on rhinoplasty aesthetic results. The aim of this study is to determine the effect of nasal skin thickness on the tip surgery outcome objectively. Study Design. Case series with chart review. Setting. Academic tertiary care medical center. Subjects and Methods. The study involved 77 patients who were evaluated using preoperative computed ... [Abstract] [Full-text] © 2005-2011 Rhinoplasty Research Today. All Rights Reserved. |
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