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Primary Rhinoplasty in Unilateral Cleft Lip.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Understand the embryologic and anatomical basis of the nose in a unilateral cleft lip. 2. Identify key challenges in achieving nasal symmetry and balan…
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Evaluation of presurgical infant orthopedics by the rhinoplasty appliance system with intraoral alveolar molding appliance in infants with bilateral cleft lip and palate: A preliminary study.
[OBJECTIVES] To evaluate the effectiveness of the Rhinoplasty Appliance System (RAS) in improving alveolar arch morphology and nasolabial morphology in infants with bilateral cleft lip and palate (BCLP) before primary lip repair. [MATERIAL…
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Component Primary Unilateral Cleft Rhinoplasty: Balancing Dynamics of Overcorrection and Relapse.
[BACKGROUND] Primary rhinoplasty (PR) to correct the cleft nasal deformity at the time of unilateral cleft lip repair seeks to achieve durable improvement of nasal symmetry and projection. However, neither the components of primary cleft rh…
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Internal Nasal Dilators After Septorhinoplasty: A Randomized Controlled Trial of Functional and Aesthetic Outcomes.
[BACKGROUND] Postoperative nasal obstruction and asymmetry can compromise satisfaction after rhinoplasty. Internal nasal dilators (INDs) may support early healing by maintaining valve patency and symmetry, but their postoperative efficacy h…
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Enhancing Nasal Tip Control: The Role of Septum Anchorage Sutures in Modern Rhinoplasty.
[INTRODUCTION] The septocolumellar suture technique has shown consistent efficacy in achieving precise nasal tip aesthetics for over 20 years. This study aims to evaluate the long-term outcomes of primary endonasal rhinoplasty. [METHODS] R…
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Unilateral Cleft Lip Repair: Reproducibility, Accessibility, and Durability.
Unilateral cleft lip (UCL) repair has evolved significantly over the past decades. In certain areas of the world, barriers such as limited surgical expertise, lack of equipment, and restricted access to general anesthesia make cleft care ch…
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A Comparative Analysis of Nasal Valve Surgery Methods.
[INTRODUCTION] Internal nasal valve insufficiency is a major cause of nasal obstruction. Alar batten grafts (ABGs) are commonly used, but data on lateral crural tensioning (LCT) remain limited. [OBJECTIVES AND HYPOTHESES] To compare the ef…
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Structured Surgical Algorithm for Lateral Wall Insufficiency (LWI): A 25-Patient Technical Case Series in Functional Rhino-Septoplasty.
[INTRODUCTION] Lateral wall insufficiency (LWI) is a major cause of dynamic nasal obstruction. Various techniques exist to reinforce the lateral nasal wall, but a structured, anatomy-driven surgical approach remains underreported. [MATERIA…
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Grafting in Rhinoplasty: A Survey of Surgeon Preferences When Donor Material Is Limited.
[BACKGROUND] Achieving functional results in nasal reconstruction necessitates a focus on structural integrity. Surgeons are often challenged by limited supply of donor material for grafting. This study aims to determine the types and mater…
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Middle Eastern Rhinoplasty: Balancing Form, Function, and Ethnic Harmony.
[INTRODUCTION] Middle Eastern rhinoplasty presents unique challenges that require a comprehensive understanding of the unique anatomical distinctions that set it apart from Western Caucasian ideals. Achieving natural, harmonious results nec…
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Photomorphometric Analysis-based Surgical Outcomes in Intermediate Cleft Rhinoplasties: An 18-Year Experience.
[BACKGROUND] Intermediate cleft rhinoplasty (ICR) addresses nasal deformities in children with cleft lip and/or palate (CL/P), yet the influence of surgical planning and outcomes remains underdefined. This study evaluates decision-making an…
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Effect of the Supine Position and Anesthesia on Nasal Anthropometric Measurements in Rhinoplasty Patients.
Body position and anesthesia may alter nasal anthropometric measurements, potentially affecting both preoperative assessment and intraoperative decisions in rhinoplasty. Quantifying these effects is essential for the accurate evaluation of …
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Correction of Alar Retraction by Articulated Alar Rim Graft Combined with V-Y Advancement.
[BACKGROUND] The alar-columellar relationship was crucial for aesthetic evaluation of the lower nasal area, with alar retraction being a common and challenging deformity in Asian rhinoplasty. [OBJECTIVES] This study aims to evaluate the ef…
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Structural Nasal Tip Grafting: Anatomy, Evaluation, and Technique Selection for Durable Aesthetic and Functional Outcomes.
[AIMS AND BACKGROUNDS] This study aims to review contemporary principles of structural nasal tip grafting and provide a practical framework for selecting techniques that achieve durable aesthetic and functional outcomes. [HISTORICAL ASPECT…
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When Reductive Rhinoplasty Goes Wrong and How to Make it Right.
Over-resection leads to many complications in rhinoplasty. Here, we detail the most common of these pitfalls and strategies to both avoid and repair them.The nose is frequently divided into thirds. The nasal bones represent the upper third.…
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Structural Rhinoplasty through the Endonasal Approach.
Structural endonasal rhinoplasty, unlike traditional reductive rhinoplasty, achieves aesthetic and functional objectives while maintaining key structural anatomical elements and minimizing complications.Previously, rhinoplasty was performed…
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Alarplasty: A Bibliometric Analysis of the Top 50 Cited Articles in Alar Base Reduction Techniques.
[BACKGROUND] Alarplasty, or alar base reduction, narrows the alar base and reduces nasal flaring. It is a rhinoplasty technique that has gained popularity in the last decade. This study evaluates the most cited articles, analyzes global tre…
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The Columellar Auto-Strut Technique: A Refined Approach to Nasal Tip Stabilization in Septorhinoplasty.
[BACKGROUND] The Columellar Auto-Strut Technique (CAST) is a refined modification of the Tongue-in-Groove (TIG) method, designed to provide stable nasal tip support while maintaining aesthetic flexibility. This study evaluates the clinical …
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Modified Ferreira-Ishida Type B Technique Combined with Polygon Tipplasty and Sliding Alar Cartilage Flaps: A Versatile Solution for Primary Caucasian Rhinoplasty.
[INTRODUCTION] Dorsal cartilage preservation techniques have gained significant popularity among rhinoplasty surgeons recently, as they present natural dorsal aesthetic lines, and avoid dorsal reconstruction procedures for the cartilage dor…
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Qualitative Terms Used In Rhinoplasty: A Scoping Review -Toward Establishing a Bridge Between Qualitative Terminology and Quantifiability.
[BACKGROUND] Rhinoplasty is one of the most commonly performed aesthetic surgical procedures. Both patients and surgeons rely on qualitative descriptors such as "plunging nose," "bulbous tip," or "twisted nose" to describe nasal features. D…