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Augmentation Rhinoplasty in Asian Patients.
[AIM AND BACKGROUND] Asian rhinoplasty presents unique challenges due to distinct anatomical features, including a low nasal dorsum, weak cartilaginous framework, and thick soft tissue envelope. This article examines contemporary surgical a…
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Surgical treatment for benign tumours in the external nose: an 18-year experience.
[OBJECTIVE] Managing benign tumours of the external nose involves balancing optimal excision with the preservation of nasal function and aesthetics. This study aims to identify histologic diagnoses, surgical strategies and post-operative ou…
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Free Crushed Cartilage Filler Graft to Optimize Tip Aesthetics in Asian Rhinoplasty.
[BACKGROUND] The thick skin and weak cartilages make tip rhinoplasty very challenging in Asian patients. Most require an open approach for structural grafting in order to achieve the desired projection and rotation. This need for substantia…
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Factors Affecting the Surgical Outcome in Nasal Septal Perforation Repair.
[OBJECTIVE] Nasal septal perforation (NSP) repair is challenging surgery considered in patients with symptomatic NSP intractable to conservative treatments. This study aimed to assess the success rate and identify factors affecting the surg…
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Changes in Nasal Tip Aesthetics Over Time Following Asian Tip Plasty.
[OBJECTIVES] This study aimed to evaluate the sequential postoperative changes in tip aesthetics, by evaluating the aesthetic performance of the septal extension graft with or without tip grafting. [METHODS] A total of 62 patients who unde…
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Aesthetic Outcomes of Rhinoplasty Performed in the Early Posttrauma Period after Nasal Bone Fracture.
The optimal timing of rhinoplasty for patients with nasal bone fractures remains controversial. We investigated whether the timing of rhinoplasty after nasal trauma affects the aesthetic outcome of the procedure. A total of 41 adult patient…
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Reprojecting the Severely Damaged Nose.
Reprojecting the severely damaged nose is a challenging operation fraught with pitfalls. This panel discussion covers 6 fundamental questions answered by 3 surgeons, each with decades of experience. Discussion points include management of t…
- Drawbacks and Limitations of Thread Rhinoplasty.
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Revision Rhinoplasty Using Glued Diced Costal Cartilage Shaped With Mold for Management of Complicated Silicone Rhinoplasty.
[BACKGROUND] Complicated silicone nose is a common clinical problem. Selection of replacement material for revision dorsal augmentation is a challenging task. [OBJECTIVES] The authors presented their experience in the use of molded glued d…
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Dissection Manual for Open Rhinoseptoplasty in a Silicone Nose Model.
Open rhinoseptoplasty has been widely performed in the field of otorhinolaryngology. However, from the perspective of beginners, rhinoseptoplasty is a hard-to-learn surgery that involves a relatively steep learning curve. Therefore, practic…
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Histomorphological Findings of Cartilage and Surrounding Tissues According to Thickness and Manipulations in Rabbits.
[BACKGROUND] Costal cartilage is commonly employed as a dorsal implant in Asian rhinoplasty. To achieve better outcomes, it is important to know which types of costal cartilage are most appropriate for dorsal augmentation. [OBJECTIVES] The…
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Incidence and Predisposing Factors of Postoperative Infection after Rhinoplasty: A Single Surgeon's 16-Year Experience with 2630 Cases in an East Asian Population.
[BACKGROUND] This study evaluated the incidence and clinical characteristics of postoperative infection following rhinoplasty. [METHODS] This article is a retrospective review of 2630 East Asian rhinoplasty cases performed by a single surg…
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Dorsal Augmentation Using a Glued Diced Cartilage Graft Fashioned with a Newly Developed Mold in Asian Rhinoplasty.
[BACKGROUND] In dorsal augmentation, costal cartilage can be used in a number of different ways: monobloc, fascia wrapped, or glued diced cartilage grafting (GDCG). The authors developed a mold to make the use of GDCG more convenient. This …
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Rhinoplasty Considerations in the Ethnic Patient: The East-Asian Patients.
To achieve an esthetically satisfying surgical outcome in rhinoplasty of East Asians, it is most important to emphasize the augmentation of the flattened nose. However, correction of the accompanying nasal deviation or hump reduction togeth…
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Negative pressure pulmonary edema in a patient undergoing open rhinoplasty: A case report.
[RATIONALE] Negative pressure pulmonary edema (NPPE) is associated with serious postoperative complications. Compact nasal packing is always done after an open rhinoplasty procedure which makes it difficult to achieve positive pressure vent…
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Reconstruction of a Severely Damaged Cartilaginous Septum with a Bypass L-Strut Graft using Costal Cartilage.
[OBJECTIVE] Reconstruction of a weakened septal cartilage is a key procedure for the correction of deformed noses. However, when septal mucoperichondrium dissection is technically challenging, reconstruction of the lower two-thirds of the …
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Dorsal Augmentation Using Crushed Autologous Costal Cartilage in Rhinoplasty.
[OBJECTIVE/HYPOTHESIS] For dorsal augmentation in rhinoplasty, autologous costal cartilage can be used in many different forms, including its crushed form. While only few studies have reported the outcome of dorsal augmentation using the cr…
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Radiologic Findings of Complicated Alloplastic Implants in the Nasal Dorsum.
[OBJECTIVES] When performing cosmetic rhinoplasty with alloplastic materials, complications such as implant visualization, inflammation, dislocation, and extrusion should be thoroughly evaluated. Although computed tomography (CT) can provid…
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Special Consideration in Rhinoplasty for Deformed Nose of East Asians.
Typical Asian deformed nose has many different types: concave nasal dorsum, low nasal dorsum, wide nasal dorsum, deviated nose, convex nasal dorsum, saddle nose, short-nose deformity, and deformities involving irreversible damage of skin/so…
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Alar Lifting Technique for the Correction of Tilted Alar Base.
[BACKGROUND] Frequently, a tilted alar base characterized by a discrepant level of the nostril sill and alar insertion on both sides is encountered in patients seeking rhinoplasty. Herein, we report our surgical technique and outcome of ala…
- Facial Plastic Surgery for the Non-Caucasian Population.
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Incidence and Radiological Findings of Incidental Sinus Opacifications in Patients Undergoing Septoplasty or Septorhinoplasty.
[OBJECTIVES] Although the routine use of computed tomography (CT) is controversial, it is employed in the preoperative screening of patients undergoing septoplasty or septorhinoplasty. The aim of this study was to evaluate the incidence and…
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Use of Nasal Implants and Dorsal Modification When Treating the East Asian Nose.
Dorsal augmentation and tip surgery are essential procedures for East Asians seeking rhinoplasty, because they generally have thicker skin and poorly developed nasal dorsum and tip. For dorsal augmentation, many Asian surgeons prefer using …
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Centering a Deviated Nose by Caudal Septal Extension Graft and Unilaterally Extended Spreader Grafts.
[OBJECTIVE] The deviated nose presents a tremendous challenge for rhinoplasty surgeons, especially the correction of the cartilaginous dorsum deviation. In this study, we introduce the surgical techniques of correcting a deviated cartilagin…
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Video Standards for Rhinoplasty Education: A Review and Recommended Guidelines.
Intraoperative videography is widely used to record rhinoplasty procedures, yet little is known about the optimal surgical vantage points at critical procedural steps. To assess commonly used camera angles in public and proprietary intraop…
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Special Consideration in the Management of Hump Noses in Asians.
Although not as prevalent as in Caucasian rhinoplasty, correction of a hump nose also poses a significant problem for East Asian rhinoplasty. The hump noses in East Asians can be classified as generalized humps, isolated humps, and relative…
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Rib cartilage in Asian rhinoplasty: new trends.
[PURPOSE OF REVIEW] Costal cartilage has many advantages over other grafting materials because of its large quantity and high biocompatibility. As a result, it has been considered as a good option for Asian rhinoplasty. However, costal cart…
- Aesthetic Orthognathic Surgery and Rhinoplasty by Derek Steinbacher.
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Dorsal Augmentation in Facial Profiloplasty.
Nasal profile line has central importance in forming an aesthetically balanced facial profile. Thus, rhinoplasty is a critically necessary surgery in shaping ideal profile line. For successful rhinoplasty, meticulous preoperative evaluation…
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Caudal Septal Division and Interposition Batten Graft: A Novel Technique to Correct Caudal Septal Deviation in Septoplasty.
[BACKGROUND] Correction of caudal septal deviation is a challenging task that may require multiple surgical approaches. [OBJECTIVE] To introduce a novel technique - caudal septal division and interposition batten graft - and evaluate its s…