The Effects of Lateral Crural Tensioning with an Articulated Alar Rim Graft Versus Lateral Crural Strut Graft on Nasal Function

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.

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Robust Single-Stage Reconstruction of the Mid and Anterior Alar Rim

Dermatologic Surgery ◽

10.1097/dss.0000000000001871 ◽

2020 ◽

Vol 46 (9) ◽

pp. 1217-1220

Author(s):

James A. Rooney

Keyword(s):

Single Stage ◽

Alar Rim

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Alar Rim Reconstruction Utilizing a Perinasal Transposition Flap Overlying a Hinged “Turn-Down” Flap

The Journal of Dermatologic Surgery and Oncology ◽

10.1111/j.1524-4725.1991.tb03644.x ◽

1991 ◽

Vol 17 (3) ◽

pp. 281-284 ◽

Cited By ~ 7

Author(s):

LAWRENCE M. FIELD

Keyword(s):

Transposition Flap ◽

Alar Rim

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Construct Stability of C2 Replacement Strategies

Advances in Bioengineering ◽

10.1115/imece2003-42893 ◽

2003 ◽

Author(s):

Christian M. Puttlitz ◽

Robert P. Melcher ◽

Vedat Deviren ◽

Dezsoe Jeszenszky ◽

Ju¨rgen Harms

Keyword(s):

Repeated Measures ◽

Posterior Instrumentation ◽

Statistical Significance ◽

Axial Rotation ◽

Posterior Fixation ◽

Camera Motion ◽

Anterior Plate ◽

Intact Specimen ◽

Strut Graft ◽

Significant Difference

Reconstruction of C2 after tumor destruction and resection remains a significant challenge. Most constructs utilize a strutgraft with plate or screw fixation. A novel C2 prosthesis combining a titanium mesh cage with bilateral C1 shelves and a T-plate has been used successfully in 18 patients. Supplemental posterior instrumentation includes C0-C3 or C1-C3. Biomechanical comparisons of this C2 prosthesis with traditional fixation options have not been reported. Five fresh-frozen human cadaveric cervical spines (C0-C5) were tested intact. Next, the C2 prosthesis, and strut graft and anterior plate constructs were tested with occiput-C3 and C1-C3 posterior fixation. Pure moment loads (up to 1.5 N-m) were applied in flexion and extension, lateral bending, and axial rotation. C1-C3 motion was evaluated using 3 camera motion analysis. Statistical significance was evaluated using one-way repeated measures ANOVA with Student-Newman-Keuls post hoc pairwise comparisons. All constructs provided a statistically significant decrease in motion in this C2 corpectomy model as compared to the intact condition. There was no significant difference in C1-C3 motion between the 4 constructs, regardless of whether the occiput was included in the fixation. Under these loading conditions, both the C2 prostheisis and strut-graft-plate constructs provided initial C1-C3 stability beyond that of the intact specimen. The occiput does not need to be included in the posterior instrumentation.

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Rotation-Transposition Correction of Nasal Deformity in Tessier Number 1 and 2 Clefts

The Cleft Palate-Craniofacial Journal ◽

10.1597/08-014.1 ◽

2009 ◽

Vol 46 (6) ◽

pp. 674-680 ◽

Cited By ~ 7

Author(s):

Mamoon Rashid ◽

Muhammad Zia ul Islam ◽

Muhammad Sarmad Tamimy ◽

Ehtesham ul Haq ◽

Samina Aman ◽

...

Keyword(s):

Lateral Nasal Wall ◽

Nasal Deformity ◽

Postoperative Results ◽

Transposition Flap ◽

Patients Âgés ◽

Female Patients ◽

Minimal Scarring ◽

Flap Viability ◽

Alar Rim

Objective: To formulate a standardized procedure for repair of the nasal component of Tessier number 1 and 2 clefts. Patients and Methods: The procedure was performed from 1998 to 2007 in 13 patients with congenital nasal clefts of different degrees of expression corresponding to Tessier 1 and 2. The patients’ ages ranged from 3 months to 28 years. There were 10 male and three female patients. In the absence of any standard published technique for these rare defects, we devised our own method, which we find uniformly applicable to all such cases. We use a composite muco-chondro-cutaneous lateral alar flap to recreate the alar rim. The resulting defect on the lateral nasal wall is then covered with a transposition flap from the dorsum. An alar rim z-plasty was added in cases where notching was evident. Results: In all cases, no problem of flap viability was encountered and all healed well with minimal scarring. The postoperative results were satisfactory and have remained stable over an average 6-month follow-up period. Conclusions: We recommend this technique to be used for the correction of nasal deformity associated with Tessier clefts number 1 and 2. We feel that this technique is relatively simple and easily reproducible.

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