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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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Middle Vault Dorsal Augmentation in Rhinoplasty as "Push-up" Preservation Technique or as "Modified Dorsal Split Extended Push-up" Procedure.
[BACKGROUND] Primary or secondary dorsal augmentation rhinoplasty addresses aesthetic and functional issues related to a deficient, under-projected, or depressed nasal dorsum, frequently in middle vault. Traditional treatments often involve…
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Hybrid Dorsal Preservation Techniques.
The term "Hybrid" has recently come to designate an specific intermediate entity between Preservation and Structural techniques, with the tip being done structural and the dorsum by preservation. This limits the indications to patients who …
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The Quadrangular Cartilage in Rhinoplasty: A Surgically Focused CT Dimensional Analysis of Black African and Caucasian Populations.
The apparent lack of quadrangular cartilage in Black African noses is commonly observed both from a radiological and clinical point of view. To the best of our knowledge, only a few research papers have been conducted on the facial proporti…
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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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Rhino(septo)plasty Informed Consent. Consensus by the European Rhinoplasty Course Faculty-EUFOREA.
[BACKGROUND] Patients seeking rhino(septo)plasty need to be adequately informed by their surgeon or surgical team members about the procedure, the expected outcomes, complication risks and post-operative care, and the available alternatives…
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Artificial Intelligence Versus Expert Plastic Surgeon: Comparative Study Shows ChatGPT "Wins" Rhinoplasty Consultations: Should We Be Worried?
Large language models, such as ChatGPT, hold tremendous promise to bridge gaps in patient education and enhance the decision-making resources available online for patients seeking nasal surgery. To compare the performance of ChatGPT in ans…
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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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Managing the Midvault - Autospreaders, Spreader Grafts or What?
The stabilization of the midvault of the nose is an important facet of rhinoplasty. There are several techniques available to accomplish this. The use of autospreader flaps, and spreader grafts are among the most common techniques used. The…
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The Use of Costal Cartilage in Rhinoplasty.
Autologous cartilage can be easily and safely harvested as a reliable source of cartilage in rhinoplasty through a small, well-hidden incision. Rib cartilage can be utilized during a primary rhinoplasty when there is insufficient cartilage …
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Hybrid Dorsal Preservation Rhinoplasty: Reediting an Aesthetic Dorsum.
[BACKGROUND] The prerequisite of a well-shaped dorsum with proper dorsal aesthetic lines that needs no modifications in its width and symmetry is key to letdown and push-down techniques as classically described. The common current concept i…
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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…
- Permissive Hypotension in Rhinoplasty: A Literature Review of Therapeutics and Associated Outcomes.
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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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Current Practices in Dorsal Augmentation Rhinoplasty.
[BACKGROUND] Dorsal augmentation rhinoplasty addresses the aesthetic and functional impairments caused by a deficient nasal dorsum. Augmentation rhinoplasty can be performed using a variety of different surgical techniques and grafting mate…
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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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Three-Dimensional Technology in Rhinoplasty.
Rhinoplasty is uniquely suited to capitalize on different aspects of three-dimensional (3D) modeling technology. Currently, 3D surface imaging of preoperative and postoperative nasal structure provides a platform for better surgical plannin…
- Fine Tuning of the Supratip in Rhinoplasty: An External Approach.
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Rhinosurgery during and after the COVID-19 Pandemic: International Consensus Conference Statement on Preliminary Perioperative Safety Measures.
[BACKGROUND] The coronavirus disease of 2019 (COVID-19) pandemic has widely affected rhinosurgery, given the high risk of contagion and the elective nature of the aesthetic procedure, generating many questions on how to ensure safety. The S…
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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…
- New Tools and Proven Techniques in Rhinoplasty.
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Current Practical Concepts for Using Rib in Secondary Rhinoplasty.
Rhinoplasty is universally considered as the most demanding procedure in facial plastic surgery. Secondary rhinoplasty is its crown jewel, even more complex, and likewise highly fascinating. The evolution of thought and practice in rhinopla…
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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…
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Shaping the nasal dorsum.
Shaping a proper dorsum must constitute an essential part of rhinoplasty. This article addresses the main current concepts that play a significant role in dorsal modifications: proper exposure at the keystone, component separation and incre…
- Use of the "Septal T" as a Spacer and Conformer for a Properly Contoured Nasal Tip in Rhinoplasty.