The role of internal sutures in stabilization of nasal dorsum in primary rhinoplasty

2021 ◽  
Author(s):  
Emrah Kağan Yaşar ◽  
Can İlker Demir ◽  
Buket Dursun ◽  
Murat Şahin Alagöz
Keyword(s):  
Nasal Dorsum ◽  
Primary Rhinoplasty

scholarly journals Analysis of the causes of unsuccessful rhinoplasty

2021 ◽  
pp. 11-16
Author(s):  
K. P. Artykov ◽  
K. N. Azizov ◽  
O. F. Soliev ◽  
N. M. Mirzoev
Keyword(s):  
Nasal Septum ◽  
Health Facilities ◽  
Nasal Dorsum ◽  
Respiratory Dysfunction ◽  
Caudal Region ◽  
Secondary Rhinoplasty ◽  
Primary Rhinoplasty ◽  
Study Results ◽  
Surgical Operations

Aim. To study results of unsuccessful primary rhinoplasty that require repeated interventions.Material and methods. The work summarizes the analysis of the causes of unsuccessful rhinoplasty in 106 patients who had previously suffered a primary septorhinoplasty in various health facilities in Tajikistan in the period from 1 to 7 years. The main reason for the visit was dissatisfaction with the previous rhinoplasty.Results and discussion. After primary rhinoplasty, patients most often had the following deformities: deformity of the tip of the nose (72 patients); deformity of the “parrot beak” type (14 patients); deformation similar to the inverted “V” (12 patients); deformation of the contours of the nasal dorsum (13 patients); defects of the nasal septum in the lower caudal region (21 patients). All patients underwent secondary rhinoplasty.Conclusion. Unsuccessfully executed as a primary rhinoplasty leads to respiratory dysfunction and aesthetic defects that require more complex secondary surgical operations.

Supracrural Ligament Graft in Rhinoplasty

2020 ◽  
Author(s):  
Kirkland N. Lozada ◽  
Garrett D. Locketz ◽  
Daniel G. Becker
Keyword(s):  
Potential Risk ◽  
Fascia Lata ◽  
Nasal Dorsum ◽  
Temporalis Fascia ◽  
Graft Size ◽  
Initial Exposure ◽  
Nasal Tip ◽  
Primary Rhinoplasty ◽  
Thin Skin ◽  
Areas Of Concern

AbstractIrregularities of the nasal dorsum or tip are a potential risk after rhinoplasty. Patients with thin skin are considered to be at a higher risk of these irregularities. Different materials and grafts to address areas that may result in a contour irregularity postoperatively include diced or crushed cartilage, temporalis fascia, fascia lata, and AlloDerm. We describe a new graft, the supracrural ligament graft, which can be used to camouflage or add bulk during primary rhinoplasty. The graft is harvested easily during the initial exposure and does not require additional surgical sites or extra dissection. In this research, we described the use of the supracrural ligament graft in 49 patients. We found the average graft size to be 0.6 × 0.4 cm. The graft was used in the following locations: nasal tip (49%), radix (40%), and nasal dorsum (10%). No complications were seen using the graft in any of the 49 patients. In conclusion, the supracrural ligament graft is a safe, simple, and effective camouflage graft for commonly encountered irregularities in rhinoplasty. Common areas of use include the nasal dorsum and nasal tip. Routine harvest of this graft may obviate the need to use either additional grafting material or an additional surgical site to help camouflage areas of concern in thin skin patients.

scholarly journals The Development of Dorsal Nasal Cyst Formation after Rhinoplasty and Its Reconstruction with Conchal Cartilage

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Tolgar Lütfi Kumral ◽  
Yavuz Uyar ◽  
Güven Yıldırım ◽  
Güler Berkiten ◽  
Yavuz Atar ◽  
...  
Keyword(s):  
Late Complication ◽  
Surgical Excision ◽  
Cyst Formation ◽  
Nasal Dorsum ◽  
Conchal Cartilage ◽  
The Past ◽  
Primary Rhinoplasty ◽  
Subcutaneous Space ◽  
Mucous Cyst

The dorsal nasal cyst formation is a rare and late complication of rhinoplasty. It has been rarely reported in the literature and it is usually mucous cysts. Migration and planting to the subcutaneous space during the surgical procedure has been recognized as the formation mechanism. This case report has presented 42-year-old male patient with a destructing dorsal nasal mucous cyst that developed 10 years after the rhinoplasty operation. There was no complication in the primary rhinoplasty and the patient was satisfied with his appearance. There was a swelling of the nasal dorsum over the past year and surgical excision of the cyst was performed. During the surgery, the defect was reconstructed with conchal cartilage. There was no recurrence during follow-up.

scholarly journals Role of Fat Grafting in Primary Rhinoplasty

2012 ◽  
Vol 130 ◽  
pp. 44-45 ◽  
Author(s):  
Eser Yuksel ◽  
Melvin Spira ◽  
Hande Yazgan
Keyword(s):  
Fat Grafting ◽  
Primary Rhinoplasty

Complications in Reductive Profileplasty

2019 ◽  
Vol 35 (05) ◽  
pp. 476-485 ◽  
Author(s):  
Stephen W. Perkins ◽  
Scott Shadfar
Keyword(s):  
Nasal Dorsum ◽  
Nasal Valve ◽  
Secondary Rhinoplasty ◽  
Primary Rhinoplasty ◽  
Wide Range ◽  
Chief Complaints

AbstractThe ability of a surgeon to create an aesthetically pleasing and functionally competent nasal dorsum weighs heavily on following the foundations of rhinoplasty, beginning with the examination and analysis. These same fundamental principles should be used and applied in secondary rhinoplasty. The most common chief complaints of those patients seeking primary rhinoplasty relates to the presence of a hump or dorsal convexity, and similarly complications surrounding the dorsum are the most common indications for secondary rhinoplasty. The surgeon must be able to appropriately evaluate and correct deformities in patients who have already undergone rhinoplasty with dorsal profileplasty. Patients can present with a wide range of postoperative deformities within the bony pyramid or middle vault, including, but not limited to, contour irregularities and internal nasal valve compromise, respectively. The authors will outline the evolving methods by which these techniques can be executed to correct deformities and give a balanced functional and aesthetically pleasing profile.

Guidelines for Dorsum Preservation in Primary Rhinoplasty

2021 ◽  
Author(s):  
Yves Saban ◽  
Sylvie de Salvador
Keyword(s):  
Decision Making ◽  
Risk Ratio ◽  
Revision Rate ◽  
Decision Making Process ◽  
Primary Rhinoplasty ◽  
Nasal Anatomy ◽  
And Cartilage

AbstractThe multiplication of scientific articles related to the fast-growing interest in preservation rhinoplasty (PR) may lead to confusion in the decision-making process, thus requiring a need for guidelines through a focus on benefit–risk ratio and revisions. This study analyzes a 352 consecutive primary rhinoplasties series during a 3 year (2016 to 2019) period with 1-year follow-up. The evaluation of the most appropriate procedure to the patient's nasal anatomy and expectations requires to correlate (1) a convenient classification of nasal profile lines; (2) a review of the dorsum preservation techniques (DP) classified as: full DP, DP + resurfacing, bony cartilaginous disarticulation, and finally traditional rhinoplasty; (3) the role of septoplasties, subdividing this series in two main groups; (4) analyzing the revisions in the different subgroups and to the literature. Thirty-five revisions (9.94%) were done. Correlations between profile lines, surgical procedures, and revisions show (1) 129 straight noses underwent full DP in 88 cases with 5.68% revisions; however, DP+ hump resurfacing in 32 patients with no revision. (2) Among 71 tension noses, 33 underwent full DP with 6 revisions (18.18%), while 32 patients had bony cap resurfacing, 1 revision (3.13%). (3) Among 109 kyphotic noses, 64 patients underwent DP + resurfacing with 10 revisions (15.63%); 27 patients had cartilage-only DP with two revisions (7.41%). (4) In the 43 difficult noses group, revisions were done equally in DP + resurfacing and cartilage-only subgroups. Septum stability modifies the correlations, introducing Cottle's septorhinoplasty in the paradigm. The revision rate is jumping ×2.50% when a septoplasty is associated with the rhinoplasty. Correlated to the benefit–risk ratio and the revisions, the following guidelines may be suggested in primary rhinoplasty: (1) Straight noses: full DP, (2) tension noses: DP + dorsum resurfacing and/or Cottle's variations, (3) kyphotic noses: cartilage-only DP, and (4) difficult noses: traditional rhinoplasties.

scholarly journals Unusual Postrhinoplasty Complication: Nasal Dorsum Cyst

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Pier Giorgio Giacomini ◽  
Davide Topazio ◽  
Roberta Di Mauro ◽  
Stelio Mocella ◽  
Matteo Chimenti ◽  
...  
Keyword(s):  
Foreign Body ◽  
Treatment Options ◽  
Nasal Bone ◽  
Nasal Reconstruction ◽  
Open Approach ◽  
Nasal Dorsum ◽  
First Case ◽  
Primary Rhinoplasty ◽  
Aesthetic Rhinoplasty ◽  
Cystic Masses

Among all the possible complications of aesthetic rhinoplasty, a rare one is the development of cystic masses on the nasal dorsum: several theories suggest that cysts develop commonly by entrapment of nasal mucosa in the subcutaneous space, but they can also originate from foreign body reactions. This report deals with two cases of nasal dorsum cysts with different pathogenesis: both patients had undergone aesthetic rhinoplasty in the past (26 years ago and 14 years ago, resp.). Both cystic masses were removed via a direct open approach and nasal reconstruction was performed successfully with autologous vomer bone. The pathologic investigations showed a foreign body inclusion cyst associated with latex rubber in the first case and a sequestration of a mucosal-lined nasal bone was not removed at the time of primary rhinoplasty in the second case. A brief review of the literature focuses on the pathophysiology and treatment options for nasal dorsal cysts following aesthetic rhinoplasty.

scholarly journals Long-Term Nasal Growth after Primary Rhinoplasty for Bilateral Cleft Lip Nose Deformity: A Three-Dimensional Photogrammetric Study with Comparative Analysis

2019 ◽  
Vol 8 (5) ◽  
pp. 602 ◽  
Author(s):  
Hyung Joon Seo ◽  
Rafael Denadai ◽  
Lun-Jou Lo
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Normal Subjects ◽  
Width Ratio ◽  
Nasal Dorsum ◽  
Nasal Tip ◽  
Primary Rhinoplasty ◽  
Bilateral Cleft Lip

Nasal deformity is associated with congenital cleft lip and palate. Primary rhinoplasty for reconstruction of the nasal deformity at the time of bilateral cleft lip repair is a controversial issue in cleft care due to traditional teaching concerning the potential impairment of nasal growth. This study assessed long-term nasal growth in patients with bilateral cleft lip and palate who underwent primary rhinoplasty by a single surgeon between 1995 and 2002 and reached skeletal maturity (n = 39; mean: 19 ± 2 years). Normal age-, gender-, and ethnicity-matched subjects (n = 52) were enrolled for comparative analyses. Three-dimensional nasal photogrammetric measurements (10 linear, 4 angular, 6 proportional, 1 surface area, and 1 volume parameter) were collected from patients with bilateral cleft lip and palate and normal subjects. Patients who underwent rhinoplasty presented with significantly (all p < 0.05) smaller nasal tip projection and nasal tip angles, but greater values for nasal dorsum length, nasal protrusion, alar width, columellar height, dome height, columellar angle, labiocolumellar angle, nasal tip height ratio, nasal index, alar width/intercanthal distance ratio, and alar width/mouth width ratio compared to normal subjects. There were no differences (all p > 0.05) in nasal height, tip/midline deviation, nasal dorsum angle, dome-to-columella ratio, columella height/alar width ratio, area surface, and volume parameters between the two groups. This study shows that primary rhinoplasty performed in patients with bilateral cleft lip and palate during infancy does not result in deficiency of the nasal dimensions relative to controls.

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