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The Evolution of the SPF-SPLF Graft in Rebuilding the Dorsum in Revision Rhinoplasty-an Update in an Over 300 Case Series.
[BACKGROUND] Reconstruction of the dorsum in revision rhinoplasty remains a challenge, requiring the balance of volume, proportion, and long-term stability. Traditional approaches-solid rib grafts or diced cartilage in fascia (DCF)-present …
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Refining the SPLF Graft: Innovations in Revision Rhinoplasty.
Reconstructing the dorsum in revision rhinoplasty remains a complex challenge. Traditional methods such as solid rib grafts and diced cartilage fascia (DCF) grafts present significant limitations, including warping, displacement, and insuff…
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Combining Piezo and Power Tools for a Better Outcome in Hybrid Structural-Preservation Rhinoplasty.
[INTRODUCTION] Over the past decade, rhinoplasty has seen an unprecedented evolution in concepts, techniques and tools. New concepts have led to new techniques, prevalently but not exclusively related to preservation rhinoplasty, and the us…
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Preservation Concepts in Secondary Rhinoplasty: Is There Any Role?
Secondary rhinoplasty presents complex challenges due to anatomical distortions, scar tissue, and multiple iatrogenic deformities.Although a traditional structural approach is the time-honored benchmark against which any other technique sho…
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Rib Plaster: A Versatile, Moldable Derivative from Scraping the Periphery of the Rib.
A simple technique is described for obtaining rib plaster by scraping the whitish peripheral portion of residual segments of rib after the perichondrium is removed and appropriate multiple laminations are derived. This putty-like substance …
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Modified Dorsal Split Preservation Hybrid Rhinoplasty for Cartilaginous Pushdown and Full Letdown Applications: A PROM-Based Review of 100 Consecutive Cases.
Splitting the middle vault on an anatomical plane along the "Septal T" allows a new hybrid perspective on the many modifications of "surface" preservation techniques. The "dorsal split preservation" concept can be applied both to cartilagin…
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The "3 Points Compartmentalization" Technique in Subperichondrial-Subperiosteal Dissection in Primary Rhinoplasty to Reduce Edema and Define Contour.
Proper control of postoperative edema in rhinoplasty matters significantly, both regarding patient satisfaction and preventing loss of definition and aesthetic surface contour in the dorsum and tip. The "3 points compartmentalization" techn…
- Reply: Cone-Beam Computed Tomography: A User-Friendly, Practical Roadmap to the Planning and Execution of Every Rhinoplasty-A 5-Year Review.
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Cone-Beam Computed Tomography: A User-Friendly, Practical Roadmap to the Planning and Execution of Every Rhinoplasty-A 5-Year Review.
[BACKGROUND] Cone-beam computed tomography has recently rapidly developed worldwide as a versatile and convenient alternative to traditional computed tomography for imaging of the maxillofacial region. However, most surgeons performing rhin…
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The SPF-SPLF Graft: Building the Ideal Dorsum in Revision Rhinoplasty.
Achieving a natural appearing dorsum in secondary rhinoplasty remains an elusive goal. An inherent contradiction exists between the two most usually used techniques: solid rib segment and diced cartilage fascia constructs. The former will o…
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"Radix Pillow" Constructs with Fascial Extension for Radix Augmentation in Primary Rhinoplasty.
Temporalis fascia and diced cartilage, in varying combinations, are currently commonly employed for augmentation of the radix in rhinoplasty. Although existing literature is replete with papers and suggested variations, there is some lack o…
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A Modified Dorsal Split Preservation Technique for Nasal Humps with Minor Bony Component: A Preliminary Report.
[BACKGROUND] In scenarios of a dorsal hump with minor bony cap, ideal esthetic dorsal lines can be preserved and refined by component separation of the upper lateral cartilages from the septal T, resection of a septal strip and ethmoid bone…