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Venous Thromboembolism in Otolaryngology-Head and Neck Surgery: Systematic Review and Meta-Analysis.
[UNLABELLED] Venous thromboembolism (VTE) is a serious perioperative complication associated with morbidity and mortality. Although otolaryngology-head and neck surgery (OHNS) has lower rates of VTE than other surgical specialties, VTE rate…
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Postoperative Pain Management in Rhinoplasty: A Double Blind Randomized Controlled Trial.
[BACKGROUND] There is inadequate evidence for the utilization of nonnarcotic pain medications for postoperative pain management following rhinoplasty. [OBJECTIVE] To compare the effectiveness of opioid and non-opioid medications for postop…
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Exploring Facial Asymmetry Metrics Correlated with Pre-operative SCHNOS Scores Using AI.
[BACKGROUND] Facial asymmetry is often overlooked in evaluations of nasal function and aesthetics, despite its potential impact on assessments in facial plastic surgery. [OBJECTIVE] This study aims to utilize AI tools to identify facial as…
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Knowing that Someone Had Facial Plastic Surgery Does Not Modify Perceptions of Attractiveness or Social Attributes.
[BACKGROUND] Attractive individuals receive higher ratings on independent social attributes including intelligence, success, and likability. The authors sought to determine whether knowledge that a person in a photograph had facial plastic …
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Features of Importance in the Nasal Exam in Rhinoplasty.
[BACKGROUND] The most critical exam components in patients seeking rhinoplasty have not been established. [OBJECTIVE] To identify concordance among experienced rhinoplasty surgeons regarding the most important exam features for various def…
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Evaluation of Rhinoplasty Information from ChatGPT, Gemini, and Claude for Readability and Accuracy.
[OBJECTIVE] Assessment of the readability, accuracy, quality, and completeness of ChatGPT (Open AI, San Francisco, CA), Gemini (Google, Mountain View, CA), and Claude (Anthropic, San Francisco, CA) responses to common questions about rhinop…
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Effectiveness of Isotretinoin Administration in Rhinoplasty: A Systematic Review.
To investigate the effectiveness of isotretinoin use in patients with thick nasal skin to improve rhinoplasty outcomes. The Population Intervention Comparison Outcome framework was utilized for selecting relevant studies for review. The da…
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Postoperative Differences in Dorsal Aesthetic Lines in Patients Undergoing Dorsal Preservation Rhinoplasty and Conventional Hump Resection.
[BACKGROUND] Dorsal preservation rhinoplasty (DPR) and conventional hump resection techniques (CHR) are two distinct methods for nasal hump reduction, affecting dorsal aesthetic lines (DALs) and midvault stability differently. There is limi…
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Patient Outcomes in Lateral Crural Repositioning and Reconstruction in Revision Rhinoplasty.
In revision rhinoplasty, lateral crural repositioning/reconstruction is considered a complex maneuver. The aim of this study is to measure patient outcomes after lateral crural repositioning/reconstruction in revision rhinoplasty. In this …
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Outcomes of Diced Cartilage Dorsal Augmentation in Dorsal Aesthetic Deformities.
To investigate the effectiveness of diced cartilage graft for dorsal augmentation in rhinoplasty. In a retrospective study, patients who underwent rhinoplasty with dorsal augmentation using diced cartilage graft from June 2017 to December …
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Prevalence and Characteristics Associated with Positive Body Dysmorphic Disorder Screening Among Patients Presenting for Cosmetic Facial Plastic Surgery.
Many patients with body dysmorphic disorder (BDD) seek out cosmetic surgery to alleviate their symptoms of distress related to a perceived defect in their appearance; however, the prevalence and risk factors for BDD among patients with cosm…
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Rhinoplasty Outcomes in Patients With Symptoms of Body Dysmorphia.
[BACKGROUND] Patients with symptoms of body dysmorphia often seek consultation for aesthetic rhinoplasty. While body dysmorphic disorder is a formal psychiatric diagnosis, recent evidence indicates that patients with symptoms of this condit…
- Increased Prevalence of Positive Body Dysmorphic Disorder Screening Among Rhinoplasty Consultations During the COVID-19 Era.
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Surgical complications in combined rhinoplasty and endoscopic sinus surgery.
Complications in combined surgery are equivalent to ESS but are higher than rhinoplasty alone. The most common complications are pneumonia, stroke, and epistaxis. Rhinoplasty surgeries with graft use have a higher risk of complications.…
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Difference in Perception of Nasal Aesthetic Appearance Between Surgeons and Rhinoplasty Patients: A Single-Center Perspective.
[BACKGROUND] Patient satisfaction is an essential outcome measure after a rhinoplasty. Yet it is not known whether the opinions of rhinoplasty patients and surgeons on nasal aesthetic appearance differ. [OBJECTIVES] The aim of this study w…
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Matched Cohort Comparison of Dorsal Preservation and Conventional Hump Resection Rhinoplasty.
[BACKGROUND] Structural preservation techniques (SPR) minimize disruption of the dorsal aesthetic lines, with potential aesthetic and functional benefits over conventional hump resection techniques (CHR). The goal of this study is to compar…
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Automating the Standardized Cosmesis and Health Nasal Outcomes Survey Classification with Convolutional Neural Networks.
Currently, the aesthetic appearance and structure of the nose in a rhinoplasty patient is evaluated by a surgeon, without automation. To compare the assessment of convolutional neural networks (CNNs) (machine learning) and a rhinoplasty su…
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Global Practice Patterns of Dorsal Preservation Rhinoplasty.
Dorsal preservation rhinoplasty (DPR) has recently received significant academic attention in part due to theoretical benefits over excisional surgical methods. The purpose of this study was to assess the global practice patterns regarding …
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Comparison of the Distribution of Standardized Cosmesis and Health Nasal Outcomes Survey Scores Between Symptomatic and Asymptomatic Patients.
The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) is a validated patient-reported outcome measure that evaluates subjective cosmetic and functional complaints. The goal of this study was to compare scores between patients …
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The Safety and Efficacy of Spreader Grafts and Autospreaders in Rhinoplasty: A Systematic Review and Meta-analysis.
[BACKGROUND] The aim of this study was to systematically evaluate the evidence of surgical outcomes and complications of spreader grafts and autospreader flaps in the context of middle vault reconstruction after dorsal hump removal. [MATER…
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Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty.
[OBJECTIVES/HYPOTHESIS] To explore the natural history of nasal obstruction and cosmesis following rhinoplasty by utilizing the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). [STUDY DESIGN] Retrospective chart study. [ME…
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Preservation Rhinoplasty: Evolution and Current State of Practice in the United States.
Classic Joseph hump reduction techniques have been a hallmark of current rhinoplasty practice and teaching. Recently, there has been a renewed global interest in preservation rhinoplasty techniques, although these techniques are not new. Th…
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Functional Outcomes of Septal Extension Grafting in Aesthetic Rhinoplasty: A Cohort Analysis.
Septal extension grafts (SEGs) are used widely in rhinoplasty as a means of controlling tip position. Grafts positioned in a side-to-side configuration may cause nasal airway obstruction. Retrospective cohort analysis of patients undergoin…
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Effect of Lateral Crural Procedures on Nasal Wall Stability and Tip Aesthetics in Rhinoplasty.
[OBJECTIVES/HYPOTHESIS] To evaluate the lateral nasal wall stability, nasal function, and cosmesis when creating an aesthetically pleasing nasal tip subunit utilizing lateral crus (LC) altering procedures. [STUDY DESIGN] Retrospective coho…
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Examining Preoperative Expectations and Postoperative Satisfaction in Rhinoplasty Patients: A Single-Center Study.
In Rhinoplasty, understanding patient expectations are pivotal in achieving an optimal surgical outcome. To understand preoperative expectations and postoperative satisfaction in patients undergoing rhinoplasty for functional, aesthetic, o…
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Comparison of Reconstructive Plastic Surgery Rates and 30-Day Postoperative Complications Between Patients With and Without Psychiatric Diagnoses.
[BACKGROUND] Psychiatric comorbidity is associated with greater 30-day postoperative complication rates in various surgical specialties, but is not well characterized for reconstructive plastic surgery. [OBJECTIVES] The aim of this study w…
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Outcomes of Combined Anterior Septal Reconstruction and Dorsal Hump Reduction.
[OBJECTIVES/HYPOTHESIS] Deviations of the caudal nasal septum can impact airflow and aesthetics. The anterior septal reconstruction (ASR) technique, a modification of extracorporeal septoplasty, addresses this issue while preserving a segme…
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Correlation of the Standardized Cosmesis and Health Nasal Outcomes Survey With Psychiatric Screening Tools.
[BACKGROUND] Identifying mental health disorders, including body dysmorphic disorder (BDD), is important prior to rhinoplasty surgery; however, these disorders are underdiagnosed, and screening tools are underutilized in clinical settings. …
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Evaluation of Antibiotic Prophylaxis in Rhinoplasty: A Systematic Review and Meta-analysis.
[IMPORTANCE] Although antibiotic prophylaxis following rhinoplasty is widespread, the evidence on antibiotic prophylaxis effectiveness and the superiority of particular administration regimens is controversial. To date, a meta-analysis on t…
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Relationship of Sociodemographic Factors and Outcomes in Functional Rhinoplasty.
The objective of this article was to compare the effect of such sociodemographic factors as gender, age, marital status, employment status, race, and income on short- and long-term rhinoplasty outcomes using a validated disease-specific ins…