폐쇄형 접근법 Closed Approach
피부 외부 절개 없는 접근
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Invited Discussion on: Video-Assisted Septo-Rhinoplasty, the Future of Endonasal Rhinoplasty-A Technical Note.
This discussion critically evaluates the paper "Video-assisted septo-rhinoplasty, the future of endonasal rhinoplasty-A Technical Note." This discussion recognizes the substantial advantages offered by the novel endoscopic technique, such a…
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Controlling Supratip Break and Tip Rotation and Projection with Preservation of the Pitanguy Ligament.
[SUMMARY] In this article, the author describes a new closed rhinoplasty technique in which the Pitanguy ligament was protected, ultimately resulting in better supratip break, tip projection, and tip rotation. Based on the inclusion and exc…
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Periorbital Ecchymosis Post Closed Rhinoplasty: Natural History, Risk Factors, and Validation of a New Scoring System.
[UNLABELLED] Postrhinoplasty periorbital ecchymosis is an inevitable side effect contributing to patients' psychological aspect and early postoperative morbidity. Efforts are constantly being made to reduce ecchymosis using different method…
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Fixation of the Cartilaginous Vault with Barbed Suture in Closed-Approach High-Septal-Resection Dorsal Preservation Rhinoplasty.
Fixation of the cartilaginous vault is an important maneuver in preservation rhinoplasty to reduce hump recurrences. This paper presents a cartilaginous vault fixation technique with a barbed suture. Forty-six patients who underwent closed-…
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Evolution of the Septal Extension Graft in Endonasal Rhinoplasty: Long-term Efficacy and Reliability.
[BACKGROUND] Proper nasal tip projection and rotation have a strong impact on nasal aesthetics. Septal extension graft (SEG) is one of the tools employed to improve tip projection and rotation when performing rhinoplasty. This graft typical…
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Secondary Cleft Rhinoplasty: A National Survey of Surgical Practice by Accredited Cleft Palate Teams.
[UNLABELLED] Patients with cleft lip often undergo a primary rhinoplasty at the time of lip repair, and further surgical correction with secondary cleft rhinoplasty (SCR) is often warranted for improved form and function. The purpose of thi…
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Concurrent management of nasal bone expansion from nasal polyposis (Woakes' disease).
[BACKGROUND] Woakes' disease is the eponymous name for severe chronic rhinosinusitis with nasal polyposis (CRSwNP) leading to thinning and expansion of the nasal pyramid. The endoscopic treatment of the sinus disease, while extensive, is st…
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Unrecognized Fracture of a Silicone Implant During Closed Rhinoplasty.
Rhinoplasty via a closed approach is rarely performed due to provide limited exposure and inadequate operative field. Nevertheless, there are some cases in which closed approach is performed using L-shaped silicone implants. The authors rec…
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Closed Rhinoplasty: A Single Surgeon Experience of 238 Cases over 2 Years.
Closed rhinoplasty is currently losing favour as a method of rhinoplasty reshaping procedure. Open rhinoplasties are usually performed by surgeons because of the greater degree of visualisation of the cartilages and bones within the nose th…
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Outcomes of Closed versus Open Rhinoplasty: A Systematic Review.
Open and closed rhinoplasty are two main approaches to perform nasal modifications. According to current literature, there is no current consensus among plastic surgeons and otolaryngologists on which technique is preferred in terms of aest…
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Preservation Rhinoplasty: Open or Closed?
[BACKGROUND] Preservation rhinoplasty (PR) is an evolving philosophy. [OBJECTIVES] The open approach was initially utilized, but the author felt a closed approach might be of benefit in certain patients. [METHODS] A total 162 primary rhin…
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Experience of Unilateral Cleft Lip Repair using the Anatomical Subunit Technique in an Omani Population over a Five-Year Period.
[OBJECTIVES] This study aimed to report the authors' experience with the anatomical subunit technique for unilateral cleft lip repair, which has gained popularity worldwide. [METHODS] From July 2015 to April 2020, 114 consecutive cases of …
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Reply to: Invited Discussion on: Quality of Life and Outcome After Preservation Rhinoplasty Using the Rhinoplasty Outcome Evaluation Questionnaire.
Rhinoplasty is certainly the most creative and exciting intervention in the field of plastic surgery due to the possibility of associating the technical procedures with the inventiveness and artistic sense of the surgeon. In addition, the p…
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Modified alar batten grafts for treatment in nasal valve dysfunction: Our experience.
[OBJECTIVE] Alar batten grafts are used to treat in nasal valve dysfunction (NVD). They can be placed by open or closed rhinoplasty using rib, septal, or auricular concha cartilage. Our surgical team used a modified placement of the classic…
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Closed Piezo Preservation Rhinoplasty.
[BACKGROUND] The application of piezoelectric instruments (PEIs), which made the work with the nasal pyramid a predictable and controlled stage of rhinoplasty, is still more often related to the open approach. The intranasal approach is con…
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Grafts in Endonasal Rhinoplasty.
Rhinoplasty is arguably one of the most challenging but rewarding procedures for the facial plastic surgeon. To adequately improve facial aesthetic parameters and preserve nasal function, the appropriate utilization of grafts is of utmost i…
- What We Have Lost by Forgetting Endonasal Rhinoplasty.
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Addressing the Upper Third of the Nose in Endonasal Rhinoplasty.
Effective management of the upper nasal vault is based on a thorough preoperative analysis and detailed understanding of the requisite principles and techniques utilized to modify the anatomic structures in this region. The surgeon must equ…
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Improving Projection of the Nasal Tip in Primary Endonasal Rhinoplasty.
Gaining, improving, and maintaining nasal tip projection is one of the most essential elements of successful endonasal rhinoplasty. For years the hallmark of inadequate nasal tip projection following rhinoplasty has been the Polly beak defo…
- Why Not Endonasal Rhinoplasty?