scholarly journals Use of Spreader Flaps Without Dorsal Hump Reduction and the Effect on Nasal Function

2017 ◽  
Vol 19 (4) ◽  
pp. 287-292 ◽  
Author(s):  
Justin C. Sowder ◽  
Andrew J. Thomas ◽  
Cristian D. Gonzalez ◽  
Nikhil S. Limaye ◽  
Preston Daniel Ward
2021 ◽  
pp. 014556132098144
Author(s):  
Olcay Cem Bulut ◽  
Dare Oladokun ◽  
Burkard M. Lippert ◽  
Ralph Hohenberger

Objectives: This study was conducted to examine the impact of sexual activity on nasal breathing and compare such effect to that of a nasal decongestant. Methods: We evaluated nasal breathing at 5 different times: (1) before sexual activity (baseline), (2) immediately after sexual activity, (3) 30 minutes, (4) 1 hour (5), and 3 hours after sexual climax. Same measurements were taken on the second day following application of nasal decongestant spray. For evaluation of nasal breathing, we used a visual analogue scale (VAS). Additionally, we used a portable rhinometric device to measure resistance and nasal flow. Results: Nasal breathing improved significantly after sexual intercourse with climax to the same degree as after application of nasal decongestant for up to 60 minutes, as measured subjectively with the VAS (sex −3.6, P < .001; spray −3.2, P < .001). This was confirmed in the objective rhinometric data as mean nasal flow (mL/s) increased while resistance decreased immediately (flow sex +214, P < .001; flow spray +235, P < .001), 30 (flow sex +249, P < .001; flow spray +287, P < .001), and 60 minutes (flow sex +180, P < .001; flow spray +287, P < .001) post-intervention. Nasal breathing was back to the baseline level after 3 hours following sexual intercourse, while it continued to be improved for longer after application of nasal decongestant. Only participants having nasal obstruction (Nasal Obstruction Symptom Evaluation score >30) showed nasal function improvement after sex. Conclusions: Sexual intercourse with climax can improve nasal breathing to the same degree as application of nasal decongestant for up to 60 minutes in patients having nasal obstruction.


2016 ◽  
Vol 7 (3) ◽  
pp. 168-172
Author(s):  
Jessica W Scordino ◽  
Frederick J Stucker

ABSTRACT Aim: To describe an approach for the diagnosis and management of patients presenting with crooked nose. Background Patients with crooked nose suffer from functional ailments, most significant nasal obstruction, as well as esthetic concerns which may impact their self-image as well as others’ perception of them. As such, management of the crooked nose is an especially challenging task in that it demands careful attention to both nasal function and appearance. There are a plethora of surgical techniques which may be utilized, and the surgeon's approach must be tailored to each individual patient's presentation. Technique Accurate diagnosis is imperative for a successful outcome and relies on a thorough history and careful physical examination. Surgical intervention may be addressed by either an endonasal or open approach based on the location and severity of the deformity. It is helpful to break down the nose in vertical thirds when planning your surgical approach. Different techniques are used to address the upper third comprising the nasal bones, middle third composed of the upper lateral cartilages and septum, and the lower third composed of the lower lateral cartilages and caudal septum. Conclusion Management of the crooked nose is a technically challenging endeavor that highlights the need to address both form and function for a successful outcome. Effective treatment can significantly improve a patient's quality of life leading to a high level of satisfaction for both the patient and the surgeon. How to cite this article Scordino JW, Stucker FJ. Management of the Crooked Nose. Int J Head Neck Surg 2016;7(3):168-172.


2001 ◽  
Vol 111 (1) ◽  
pp. 153-158 ◽  
Author(s):  
Chae-Seo Rhee ◽  
Dong-Young Kim ◽  
Tae-Bin Won ◽  
Hyo-Jung Lee ◽  
Seok-Won Park ◽  
...  

2011 ◽  
Vol 13 (2) ◽  
pp. 103-108
Author(s):  
Jason D. Bloom ◽  
Evan R. Ransom ◽  
Marcelo B. Antunes ◽  
Daniel G. Becker
Keyword(s):  

Author(s):  
Guy S. Kenyon ◽  
John Pickett
Keyword(s):  

2020 ◽  
Author(s):  
Ginger Xu ◽  
Paul Hwang ◽  
Nargiz Seyidova ◽  
Samuel J. Lin

Rhinoplasty is often considered the black box of plastic surgery. This apprehension can be overcome by having a fine-tuned understanding of nasal anatomy, developing an appreciation for nasal aesthetics, and becoming well-versed in the array of surgical techniques available to address specific cosmetic and functional concerns. Technical care and finesse are required in this type of surgery, where even 1 mm of change can result in a profound difference. Nasal function must also be assessed and preserved during rhinoplasty. Aside from these technical points, it is equally important to accurately and thoroughly understand each patient’s goals and to communicate the realistic outcomes and limitations of what can be done through surgery.   Key words: open rhinoplasty, nasal anatomy, nasofacial analysis, rhinoplasty techniques, rhinoplasty preoperative evaluation, rhinoplasty postoperative management, lateral nasal osteotomies, nasal tip grafts, nasal tip suture techniques This review contains 23 figures, 2 tables, and 43 references.


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