Closed Structural Rhinoplasty.
Abstract
[BACKGROUND] Closed rhinoplasty had initially been relegated to a reductive procedure that did not provide access to place structural sutures for tip support. Despite the influence of closed rhinoplasty advocates Sheen, Constantian, Guerrerosantos, Bravo, Kamburoglu, Tezel, Ersoy, Cakir, Valdivia and others who have produced excellent results, most surgeons prefer the open approach. The scar resulting from open rhinoplasty is considered a relatively innocuous necessity to achieve sophisticated results.
[METHODS] Endonasal methods to replicate the tip suturing techniques of open rhinoplasty were developed over 39 years by the senior author. This paper describes, and supplemental videos demonstrate, the tip suture passing and grafting techniques through the closed approach. To evaluate the frequency of columella scar negative consequences, a survey of ASPS members was done.
[RESULTS] Videos and photographic examples demonstrate the success of these original closed rhinoplasty suture techniques. In a survey of ASPS surgeons, 11% of respondents report that over 25% of patient's scars were noticeable at intimate distances.
[CONCLUSION] Tip restructuring with permanent sutures can be readily done via the delivery technique of closed rhinoplasty without creating a columella scar that may be problematic.
[LEVEL OF EVIDENCE V] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .
[METHODS] Endonasal methods to replicate the tip suturing techniques of open rhinoplasty were developed over 39 years by the senior author. This paper describes, and supplemental videos demonstrate, the tip suture passing and grafting techniques through the closed approach. To evaluate the frequency of columella scar negative consequences, a survey of ASPS members was done.
[RESULTS] Videos and photographic examples demonstrate the success of these original closed rhinoplasty suture techniques. In a survey of ASPS surgeons, 11% of respondents report that over 25% of patient's scars were noticeable at intimate distances.
[CONCLUSION] Tip restructuring with permanent sutures can be readily done via the delivery technique of closed rhinoplasty without creating a columella scar that may be problematic.
[LEVEL OF EVIDENCE V] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | rhinoplasty
|
코성형술 | dict | 7 | |
| 해부 | tip
|
코끝 | dict | 4 | |
| 기법 | closed rhinoplasty
|
폐쇄형 접근법 | dict | 4 | |
| 기법 | open rhinoplasty
|
개방형 접근법 | dict | 2 | |
| 합병증 | scar
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] Closed
|
scispacy | 1 | ||
| 약물 | [RESULTS] Videos
|
scispacy | 1 | ||
| 기법 | open approach
|
개방형 접근법 | dict | 1 | |
| 기법 | closed approach
|
폐쇄형 접근법 | dict | 1 | |
| 질환 | ASPS
|
C0206293
Asp snake
|
scispacy | 1 | |
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Humans; Rhinoplasty; Suture Techniques; Esthetics; Female; Male; Treatment Outcome; Adult; Nasal Septum
📑 인용 관계
이 논문이 참조한 문헌 30
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외부 PMID 19건 (DB 미수집)
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