Indications for Preservation Rhinoplasty: Avoiding Complications

2021 ◽  
Vol 37 (01) ◽  
pp. 045-052
Author(s):  
Mario Bazanelli Junqueira Ferraz ◽  
Guilherme Constante Preis Sella
Keyword(s):  
Nasal Bone ◽  
Nasal Dorsum ◽  
Ideal Candidate ◽  
Deviated Nose ◽  
Lateral Osteotomy ◽  
Upper Lateral Cartilage ◽  
High Radix ◽  
The One ◽  
Different Levels ◽  
The Ideal

AbstractNasal dorsal preservation surgery was described more than 100 years ago, but recently has gained prominence. Our objective is to show the surgical technique, the main indications and counterindications, and the complications. It is a technique that does not cause the detachment of the upper lateral cartilage (ULC) from the nasal septum, and has the main following sequence: preparation of the septum and its resection can be at different levels (high or low, i.e., SPAR [septum pyramidal adjustment and repositioning] A or B); preparation of the pyramid; transversal osteotomy; lateral osteotomy(s); and septopyramidal adjustment. The result is a nose with a lower radix than the original, a deprojection of the nasal dorsum tending to maintain its original shape; an increase in the interalar distance (IAD) and enlargement of the nasal middle ⅓; and loss of projection of the nasal tip and roundness of the nostrils. Thus, the ideal candidate is the one who benefits from such side effects, that is: tension nose, that is, high radix with projected dorsum, projected anterior nasal septal angle (ANSA), narrow middle ⅓, narrow IAD, thin nostrils and straight perpendicular plate of the ethmoid (PPE), and, depending on the characteristics, the deviated nose. The counterindications are low radix, irregularities in the nasal dorsum, ANSA lower than rhinion, and a wide middle ⅓. And the main stigmas are: a nose with a very low radix, middle ⅓ enlarged, residual hump, and saddling of the supratip area. Other issues of this technique are: the shape of the radix; the need or not to remove PPE; wide dorsum; irregular dorsum; ANSA lower than rhinion; weak cartilages; long nasal bone; deviated PPE; and obsessive patient. We conclude that this is a great technique for noses with characteristics suitable to it; care must be taken with the stigmas it can cause.

Medial Nasal Bone Scoring: A Novel Technique for Improving Osteotomies During Rhinoplasty

2019 ◽  
Vol 37 (3) ◽  
pp. 138-142
Author(s):  
Paul P. Daraei ◽  
Hardik Doshi ◽  
Louis M. DeJoseph
Keyword(s):  
Nasal Bone ◽  
Contralateral Side ◽  
Bone Architecture ◽  
Nasal Dorsum ◽  
Fracture Patterns ◽  
Lateral Osteotomy ◽  
Invasive Method ◽  
Upper Third ◽  
Formalin Fixed

Nasal bone osteotomies are commonly performed in rhinoplasty to manipulate the upper third of the nose. In patients with a dorsal hump, reduction is often performed, followed by lateral osteotomies to medialize the nasal bone complex. However, fracture patterns are often unknown in vivo. We intend to map nasal bone osteotomies and describe a novel and minimally invasive method of performing medial scoring osteotomies to improve fracture patterns and surgical speed, and decrease complications. In total, 19 formalin-fixed cadavers were dissected to reveal nasal bone architecture. The nasal dorsum (bony and cartilaginous) was reduced to form an open roof deformity. Osteotomies were then performed on all 19 specimens, followed by digital infracture. Medial scoring osteotomies were performed unilaterally, along with a lateral osteotomy. On the contralateral side, only lateral osteotomies were performed. Fracture patterns were mapped and compared. Of 19 cadaver specimens, 38 sides were examined in total: 19 sides underwent medial scoring and 19 sides served as controls. Fracture patterns were linear with less comminution on sides with medial scoring osteotomies. Sides with medial scoring osteotomies also achieved uniform closure of the open roof deformity, compared with 73% in sides without. Rocker deformity was not seen in either group. Osteotomies are integral to nasal dorsum reduction and modification of the upper third of the nose in rhinoplasty. Scoring of the medial nasal bone prior to lateral osteotomy and digital infracture allows for an increased rate of open roof closure. Furthermore, medial scoring osteotomies create smooth, linear fracture patterns that prevent bony spicules, comminution, and irregularities that may be evident in patients with thin nasal skin. Performing the medial scoring osteotomy is a fast, safe method of achieving consistent nasal bone infracture during rhinoplasty.

On the complementarity of liberalism and democracy – a reading of F.A. Hayek and J.M. Buchanan

2008 ◽  
Vol 4 (2) ◽  
pp. 139-161 ◽  
Author(s):  
VIKTOR J. VANBERG
Keyword(s):  
The Other ◽  
Public Realm ◽  
The Public ◽  
Principal Ideals ◽  
Democratic Principle ◽  
Normative Foundation ◽  
Private Autonomy ◽  
The One ◽  
Different Levels ◽  
The Ideal

AbstractThe principal claim of this paper is that liberalism and democracy are not only compatible ideals, as F.A. Hayek has suggested, but rather complementary ideals. The argument in support of this claim is based on a distinction between three different levels at which liberalism and democracy can be compared, the level of their institutional embodiment, the level of their principal ideals, and the level of their underlying normative premise. It is argued that liberalism and democracy share as their common normative foundation the principle of individual sovereignty, and that their respective core ideals, the liberal principle of private autonomy and the democratic principle of citizen sovereignty, can be best understood as applications of the ideal of individual sovereignty to the realm of the private law society on the one side and to the ‘public’ realm of collective-political choice on the other.

Differentiation of new coenomorph in context of the Belgard’s ecomorph system development

2017 ◽  
Vol 28 (1-2) ◽  
pp. 28-35 ◽  
Author(s):  
B. A. Baranovski
Keyword(s):  
Environmental Factors ◽  
Plant Species ◽  
Vascular Plants ◽  
Deciduous Forest ◽  
System Development ◽  
Vascular Plant ◽  
Tabular Form ◽  
Ecological Scales ◽  
The One ◽  
Different Levels

Nowadays, bioecological characteristics of species are the basis for flora and vegetation studying on the different levels. Bioecological characteristics of species is required in process of flora studying on the different levels such as biotopes or phytocenoses, floras of particular areas (floras of ecologically homogeneous habitats), and floras of certain territories. Ramensky scale is the one of first detailed ecological scales on plant species ordination in relation to various environmental factors; it developed in 1938 (Ramensky, 1971). A little later (1941), Pogrebnyak’s scale of forest stands was proposed. Ellenberg’s system developed in 1950 (Ellenberg, 1979) and Tsyganov’s system (Tsyganov, 1975) are best known as the systems of ecological scales on vascular plant species; these systems represent of habitat detection by ecotopic ecomorphs of plant species (phytoindication). Basically, the system proposed by Alexander Lyutsianovich Belgard was the one of first system of plant species that identiified ectomorphs in relation to environmental factors. As early as 1950, Belgard developed the tabulated system of ecomorphs using the Latin ecomorphs abbreviation; he also used the terminology proposed in the late 19th century by Dekandol (1956) and Warming (1903), as well as terminology of other authors. The article analyzes the features of Belgard’s system of ecomorphs on vascular plants. It has certain significance and advantages over other systems of ecomorphs. The use of abbreviated Latin names of ecomorphs in tabular form enables the use shortened form of ones. In the working scheme of Belgard’s system of ecomorphs relation of species to environmental factors are represented in the abbreviated Latin alphabetic version (Belgard, 1950). Combined into table, the ecomorphic analysis of plant species within association (ecological certification of species), biotope or area site (water area) gives an explicit pattern on ecological structure of flora within surveyed community, biotope or landscape, and on environmental conditions. Development and application by Belgrard the cenomorphs as «species’ adaptation to phytocenosis as a whole» were completely new in the development of systems of ecomorphs and, in this connection, different coenomorphs were distinguished. Like any concept, the system of ecomorphs by Belgard has the possibility and necessity to be developed and added. Long-time researches and analysis of literature sources allow to propose a new coenomorph in the context of Belgard’s system of ecomorphs development: silvomargoant (species of forest margin, from the Latin words margo – edge, boundary (Dvoretsky, 1976), margo – margin, ad margins silvarum – along the deciduous forest margins). As an example of ecomorphic characterization of species according to the system of ecomorphs by Belgard (when the abbreviated Latin ecomorph names are used in tabular form and the proposed cenomorph is used), it was given the part of the table on vascular plants ecomorphs in the National Nature Park «Orelsky» (Baranovsky et al). The Belgard’s system of ecomorphs is particularly convenient and can be successfully applied to data processing in the ecological analysis of the flora on wide areas with significant species richness, and the proposed ecomorph will be another necessary element in the Belgard’s system of ecomorphs. 

Academic Freedom and the Politics of Truth

2018 ◽  
Author(s):  
Michael P. Lynch
Keyword(s):  
Academic Freedom ◽  
Democratic Deliberation ◽  
Public Mind ◽  
Epistemic Practice ◽  
The Public ◽  
The One ◽  
Rational Inquiry ◽  
The Ideal

This chapter argues that academic freedom is justified because it is an inherently epistemic practice that serves the ideals of democracy. With Dewey, it is argued that “The one thing that is inherent and essential [to the idea of a university] is the ideal of truth.” But far from being apolitical, the value of pursuing truth and knowledge—the value that justifies academic freedom, both within and without the public mind—is a fundamental democratic value, and for three reasons: the practices of academic inquiry exemplify rational inquiry of the kind needed for democratic deliberation; those practices serve to train students to pursue that kind of inquiry; and those practices are important engines of democratic dissent.

Embodying the culture of achievement: Culture between illness and perfection is a ‘thin line’ – obtaining the ideal female body as an act of achievement

2021 ◽  
pp. 1354067X2110040
Author(s):  
Josefine Dilling ◽  
Anders Petersen
Keyword(s):  
Experimental Study ◽  
Human Body ◽  
Female Body ◽  
The Body ◽  
Thin Line ◽  
Complex Processes ◽  
The Individual ◽  
Different Levels ◽  
The Ideal ◽  
Body Ideals

In this article, we argue that certain behaviour connected to the attempt to attain contemporary female body ideals in Denmark can be understood as an act of achievement and, thus, as an embodiment of the culture of achievement, as it is characterised in Præstationssamfundet, written by the Danish sociologist Anders Petersen (2016) Hans Reitzels Forlag . Arguing from cultural psychological and sociological standpoints, this article examines how the human body functions as a mediational tool in different ways from which the individual communicates both moral and aesthetic sociocultural ideals and values. Complex processes of embodiment, we argue, can be described with different levels of internalisation, externalisation and materialisation, where the body functions as a central mediator. Analysing the findings from a qualitative experimental study on contemporary body ideals carried out by the Danish psychologists Josefine Dilling and Maja Trillingsgaard, this article seeks to anchor such theoretical claims in central empirical findings. The main conclusions from the study are used to structure the article and build arguments on how expectations and ideals expressed in an achievement society become embodied.

scholarly journals Toward a Better Understanding of Metal Nanoparticles, a Novel Strategy from Eucalyptus Plants

Plants ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 929
Author(s):  
Hanadi Sawalha ◽  
Rambod Abiri ◽  
Ruzana Sanusi ◽  
Noor Azmi Shaharuddin ◽  
Aida Atiqah Mohd Noor ◽  
...  
Keyword(s):  
Metal Nanoparticles ◽  
Woody Plants ◽  
Woody Species ◽  
Forest Products ◽  
Ideal Candidate ◽  
Promising Tool ◽  
Novel Strategy ◽  
The Ideal

Nanotechnology is a promising tool that has opened the doors of improvement to the quality of human’s lives through its potential in numerous technological aspects. Green chemistry of nanoscale materials (1–100 nm) is as an effective and sustainable strategy to manufacture homogeneous nanoparticles (NPs) with unique properties, thus making the synthesis of green NPs, especially metal nanoparticles (MNPs), the scientist’s core theme. Researchers have tested different organisms to manufacture MNPs and the results of experiments confirmed that plants tend to be the ideal candidate amongst all entities and are suitable to synthesize a wide variety of MNPs. Natural and cultivated Eucalyptus forests are among woody plants used for landscape beautification and as forest products. The present review has been written to reflect the efficacious role of Eucalyptus in the synthesis of MNPs. To better understand this, the route of extracting MNPs from plants, in general, and Eucalyptus, in particular, are discussed. Furthermore, the crucial factors influencing the process of MNP synthesis from Eucalyptus as well as their characterization and recent applications are highlighted. Information gathered in this review is useful to build a basis for new prospective research ideas on how to exploit this woody species in the production of MNPs. Nevertheless, there is a necessity to feed the scientific field with further investigations on wider applications of Eucalyptus-derived MNPs.

scholarly journals Two-phase CFD simulation of the monodyspersed suspension hydraulic behaviour in the tank apparatus from a circulatory pipe

2008 ◽  
Vol 10 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Roch Plewik ◽  
Piotr Synowiec ◽  
Janusz Wójcik
Keyword(s):  
Cfd Simulation ◽  
Fluidised Bed ◽  
Cfd Simulations ◽  
Two Phase ◽  
Hydraulic Behaviour ◽  
Hydraulic Conditions ◽  
The One ◽  
Cfd Method ◽  
Multi Phase ◽  
The Ideal

Two-phase CFD simulation of the monodyspersed suspension hydraulic behaviour in the tank apparatus from a circulatory pipe The hydrodynamics in fluidized-bed crystallizers is studied by CFD method. The simulations were performed by a commercial packet of computational fluid dynamics Fluent 6.x. For the one-phase modelling (15), a standard k-ε model was applied. In the case of the two-phase flows the Eulerian multi-phase model with a standard k-ε method, aided by the k-ε dispersed model for viscosity, has been used respectively. The collected data put a new light on the suspension flow behaviour in the annular zone of the fluidised bed crystallizer. From the presented here CFD simulations, it clearly issues that the real hydraulic conditions in the fluidised bed crystallizers are far from the ideal ones.

In search of the perfect orthography

2005 ◽  
Vol 7 (2) ◽  
pp. 139-163 ◽  
Author(s):  
Richard L. Venezky
Keyword(s):  
Writing System ◽  
Writing Systems ◽  
International Phonetic Alphabet ◽  
Experienced Reader ◽  
Cultural Considerations ◽  
Advanced Stages ◽  
One To One ◽  
The One ◽  
Psychological Processing ◽  
The Ideal

Philologists, linguists, and educators have insisted for several centuries that the ideal orthography has a one-to-one correspondence between grapheme and phoneme. Others, however, have suggested deviations for such functions as distinguishing homophones, displaying popular alternative spellings, and retaining morpheme identity. If, indeed, the one-to-one ideal were accepted, the International Phonetic Alphabet should become the orthographic standard for all enlightened nations, yet the failure of even a single country to adopt it for practical writing suggests that other factors besides phonology are considered important for a writing system. Whatever the ideal orthography might be, the practical writing systems adopted upon this earth reflect linguistic, psychological, and cultural considerations. Knowingly or unknowingly, countries have adopted orthographies that favour either the early stages of learning to read or the advanced stages, that is, the experienced reader. The more a system tends towards a one-to-one relationship between graphemes and phonemes, the more it assists the new reader and the non-speaker of the language while the more it marks etymology and morphology, the more it favours the experienced reader. The study of psychological processing in reading demonstrates that human capacities for processing print are so powerful that complex patterns and irregularities pose only a small challenge. Orthographic regularity is extracted from lexical input and used to recognise words during reading. To understand how such a system develops, researchers should draw on the general mechanisms of perceptual learning.

scholarly journals Towards the Construction of Productive Interactions for Social Impact

2021 ◽  
Vol 13 (2) ◽  
pp. 485
Author(s):  
Blanca L. Díaz Mariño ◽  
Frida Carmina Caballero-Rico ◽  
Ramón Ventura Roque Hernández ◽  
José Alberto Ramírez de León ◽  
Daniel Alejandro González-Bandala
Keyword(s):  
Social Impact ◽  
Ecological Systems ◽  
Research Projects ◽  
Structured Interviews ◽  
Government Officials ◽  
Community Members ◽  
Project Duration ◽  
The Social ◽  
The One ◽  
Different Levels

Understanding the value of research for society has become a priority, and several methodologies have been developed to assess the social impact of research. This study aimed to determine how productive interactions are developed during the execution of research projects. A retrospective study was conducted on 33 projects from 1999 to 2020. Semi-structured interviews with the technical managers were conducted to analyze how different actors of the project—researchers, government officials, and civil society and private sector stakeholders—were involved, illustrating how productive interactions occur in specific biodiversity contexts. The results revealed different levels and intensities of productive interactions; on the one hand, three projects involved all actors; eight involved researchers outside the institution; and 25 involved community members. The number of participants ranged from 2 to 37. All research evaluated had a disciplinary orientation. The type and time of interactions with other interested parties depended on the amount of funding, project type, project duration, and, significantly, on the profile of the technical manager. The importance of assessing and valuing productive interactions was identified as a fundamental element in promoting the social impact of research, as well as integrating inter- or multidisciplinary projects that impact the conservation of socio-ecological systems.

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