폐쇄형 접근법 Closed Approach
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Reply to: "Invited Discussion on: Video Assisted Septo-Rhinoplasty, the Future of Endonasal Rhinoplasty-a Technical Note".
We respond to Gryskiewic and Alameddine's commentary on our recent study regarding endoscopic use in rhinoplasty. Highlighting the context-dependent nature of technique superiority, we discuss the alternative approach of Video Assisted Rhin…
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Algorithm for the Treatment of Tip Malformation Combining a Clinical Qualitative Assessment and Specific Closed-Rhinoplasty Techniques Based on Retrospective Analysis of Pellegrini's Fellows 40 Years' Experience.
[BACKGROUND] The aesthetic importance of nasal tip and the complexity of its surgical correction make the surgery of this area one of the most fascinating facial surgical procedures. Despite description of different sculpturing techniques t…
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Narrowing the Nasal Roof with Paramedial Osteotomy in Preservation Rhinoplasty.
[INTRODUCTION] Rhinoplasty is frequently performed in aesthetic and plastic surgery, with hump deformity being common in Western populations. Osteotomies play a crucial role in managing this, especially for dorsal hump reduction in closed r…
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Improving the Supraalar Groove Aesthetic Subunit and Lateral Crura Convex-Concave Deformity.
[BACKGROUND] Lateral crura surface problems are one of the most difficult challenges in nose tip surgery. Closed preservation rhinoplasty (CPR) is a revolutionary concept that keeps nose tip flexibility and elasticity. By solving lateral cr…
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Augmented reality for rhinoplasty: 3D scanning and projected AR for intraoperative planning validation.
Rhinoplasty is one of the major surgical procedures most popular and it is generally performed modelling the internal bones and cartilage using a closed approach to reduce the damage of soft tissue, whose final shape is determined by means …
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Endonasal dome bind with incorporation of a columellar strut reduces Infratip fullness: a quantitative photographic analysis.
[OBJECTIVE] To demonstrate the effectiveness of the dome bind suture technique with incorporation of a columellar strut in reducing infratip lobule fullness in closed rhinoplasty by use of quantitative photographic analysis. [METHODS] A re…
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Analysis of influencing factors on postoperative complications of closed approach autologous granular rib cartilage rhinoplasty and construction and verification of nomogram.
[OBJECTIVE] To construct a nomogram prediction model based on the risk factors of complications after augmentation rhinoplasty with autogenous granular costal cartilage through closed approach, and to explore its clinical application value.…
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Saddle Nose Deformity Reconstruction with a Allograft Bone.
[OBJECTIVE] Providing lasting cosmetic and functional results for patients with saddle nose deformity with allograft. [METHODS] This report describes experience with using a of freeze-dried allograft bone allograft in 58 patients who under…
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Straightening Crooked Nose with Precise Bone Refining.
Crooked noses pose significant challenges in rhinoplasty due to their complex anatomy, particularly in the bony vault. Traditional methods focus on osteotomies but often do not equalize the lengths of the nasal bones. This study introduces …
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The TRICK-TIP Rhinoplasty: Tip of the Nose Preservation Using the Combined Synergy of Open and Closed Approaches.
[BACKGROUND] This study introduces and assesses the outcomes of a novel rhinoplasty technique, TRICK-TIP (Transcolumellar and Inter Cartilaginous Keystoning with Tip preservation), employing a combined open and closed approach with tip anat…
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Comparison of the efficacy of fat, cartilage, and bone grafts in traumatic and asymmetric noses.
[BACKGROUND] Correction of asymmetry and irregularity deformities with autologous grafts, without osteotomies, offers advantages to both plastic surgeons and patients with severe deviation. Various autologous tissues such as fat, bone, and …
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Autospreader Flaps in Closed Rhinoplasty: Our Technique and Long-Term Results.
[INTRODUCTION] Rhinoplasty is a common and complex surgical procedure. Respiratory and aesthetic dissatisfaction are major causes of revision surgeries. Multiple techniques were described to reconstruct the middle nasal vault and improve f…
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Implementation of delayed intervention in open approach rhinoplasty for patients with supratip scarring.
[INTRODUCTION] The columellar incision and dissection which were integral steps in open rhinoplasty play a crucial role in achieving optimal results. However, scarring in the supratip region may pose challenges to skin circulation, potentia…
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Sensory Changes in Nasal Subunits Following Open and Closed Rhinoplasty: A Randomized Controlled Trial.
[BACKGROUND] Skin sensation changes are common after rhinoplasty and can be troublesome for patients postoperatively. The closed technique may be considered as causing less sensory loss compared to the open technique due to its conservative…
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Symmetrization in primary tip rhinoplasty after resection of the cephalic portion of the lower-lateral cartilage.
[BACKGROUND] The cephalic trim allows the remodeling of the alar cartilages by removing the cranial portion of the lower-lateral cartilages; this resection determines raising the tip of the nose through its rotation. The objective of this s…
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Limited Incision Rhinoplasty: An Approach for All Primary and Revision Cases.
[INTRODUCTION] Rhinoplasty was one of the most frequently performed aesthetic surgeries in the USA in 2022. Traditionally, the open approach has been preferred by the majority of surgeons often due to familiarity and ease of visualization. …
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Primary rhinoplasty in patients with bilateral cleft lip: Longitudinal results and comparison between closed and semi-open approaches.
[BACKGROUND] Although several studies have shown that primary rhinoplasty in patients with cleft lip provides good outcomes with limited effect on nasal growth, the surgical procedure remains to be standardized. The purpose of this study wa…
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Patient-Reported Outcome Measures Including Nasal Breathing Improvement After Functional Rhinoplasty Using Endonasal Septal Extension Grafting.
To measure the change perceived by patients after endonasal rhinoplasty using a, septal extension graft (SEG), as measured by patient-reported outcome measures (PROMs). A retrospective review of patients with nasal obstruction underwent se…
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Clinical and surgical factors associated with opioid refill rates following septorhinoplasty.
[BACKGROUND] Septorhinoplasty is one the most common class of procedures performed worldwide, and opioids are frequently prescribed for post-operative pain [1]. [OBJECTIVE] The objective of this study was to examine the rate of post-operat…
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Video-Assisted Septo-rhinoplasty, the Future of Endonasal Rhinoplasty-A Technical Note.
[INTRODUCTION] Surgeons have sought to improve outcomes in rhinoplasty through innovative techniques. Although many publications illustrate the advantages of endoscopic septoplasty over conventional methods, few have evaluated the benefits …