Rhinoplasty: Aesthetic Augmentation With Improvement of Dorsal Aesthetic Lines

Author(s):  
Vitaly Zholtikov ◽  
Vladimir Golovatinskii ◽  
Riadh Ouerghi ◽  
Rollin K Daniel

Abstract Background Camouflage of nasal dorsum, aesthetic augmentation and highlighting the dorsal aesthetic lines are essential elements in modern rhinoplasty. Numerous techniques have been utilized including deep temporal fascia, rectus abdominis fascia, and diced cartilage in fascia (DC-F). Despite their wide spread adoption, technical challenges remained, especially when utilized for aesthetic purposes. Objectives The paper details the use of fascia (F) and diced cartilage in fascia grafts (DC-F) for aesthetic dorsal refinement in primary and secondary cases. One of the main goals was to achieve ideal dorsal aesthetic dorsal lines rather than just volume augmentation. Methods We used grafts from the deep temporalis fascia (F) and rectus abdominis fascia (RF) in 4 configurations: 1) single layer, 2) double layer, 3) full length diced cartilage in fascia grafts (DC-F), and 4) partially filled – segmental DC-F grafts. Technical refinements included careful determination of dimensions and meticulously suturing to the dorsum at appropriately 10 points to prevent graft displacement. Results We report our experience: 146 clinical cases over 35 months from January 2017 to December 2019. The patients were divided for 4 groups depending on which type of graft was used. Conclusions Use of autogenous deep temporal fascia, rectus abdominis fascia, and diced cartilage in fascia (DC-F) to camouflage dorsal irregularities, to highlight dorsal aesthetic lines, and to aesthetically augment either the entire nasal dorsum or its individual parts. Optimization of cutting, stitching, filling the graft, careful fixation of these grafts on the nasal dorsum, significantly increases the predictability of these techniques and minimizes problems.

Symmetry ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 525 ◽  
Author(s):  
Mehdi Keshavarz-Ghorabaee ◽  
Maghsoud Amiri ◽  
Edmundas Kazimieras Zavadskas ◽  
Zenonas Turskis ◽  
Jurgita Antucheviciene

The weights of criteria in multi-criteria decision-making (MCDM) problems are essential elements that can significantly affect the results. Accordingly, researchers developed and presented several methods to determine criteria weights. Weighting methods could be objective, subjective, and integrated. This study introduces a new method, called MEREC (MEthod based on the Removal Effects of Criteria), to determine criteria’ objective weights. This method uses a novel idea for weighting criteria. After systematically introducing the method, we present some computational analyses to confirm the efficiency of the MEREC. Firstly, an illustrative example demonstrates the procedure of the MEREC for calculation of the weights of criteria. Secondly, a comparative analysis is presented through an example for validation of the introduced method’s results. Additionally, we perform a simulation-based analysis to verify the reliability of MEREC and the stability of its results. The data of the MCDM problems generated for making this analysis follow a prevalent symmetric distribution (normal distribution). We compare the results of the MEREC with some other objective weighting methods in this analysis, and the analysis of means (ANOM) for variances shows the stability of its results. The conducted analyses demonstrate that the MEREC is efficient to determine objective weights of criteria.


2021 ◽  
Author(s):  
Eva Marguí ◽  
Rogerta Dalipi ◽  
Emanuele Sangiorgi ◽  
Maja Bival Štefan ◽  
Katarina Sladonja ◽  
...  
Keyword(s):  
Icp Oes ◽  

2021 ◽  
Vol 44 (1) ◽  
pp. 194-202
Author(s):  
Funda Demir ◽  
Meral Yildirim Ozen ◽  
Emek Moroydor Derun

Abstract In this study, essential (Ca, Cr, Cu, Fe, K, Mg, Na, P, Zn), and non-essential (Al, Ni, Pb) element contents of the drinking and baby water samples which are sold in the local market and tap water samples in Istanbul were examined. It was determined that elements of Cr, Cu, Fe, P, Zn, Al, and Ni were below detection limits in all water samples. Among the non-essential elements analyzed in water samples, Pb was the only detected element. At the same time, the percentages that meet the daily element requirements of infants were also calculated. As a result of the evaluations made, there is no significant difference in infant nutrition between baby waters and other drinking waters in terms of the element content.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Silvia Zaoli ◽  
Piero Mazzarisi ◽  
Fabrizio Lillo

AbstractBetweenness centrality quantifies the importance of a vertex for the information flow in a network. The standard betweenness centrality applies to static single-layer networks, but many real world networks are both dynamic and made of several layers. We propose a definition of betweenness centrality for temporal multiplexes. This definition accounts for the topological and temporal structure and for the duration of paths in the determination of the shortest paths. We propose an algorithm to compute the new metric using a mapping to a static graph. We apply the metric to a dataset of $$\sim 20$$ ∼ 20 k European flights and compare the results with those obtained with static or single-layer metrics. The differences in the airports rankings highlight the importance of considering the temporal multiplex structure and an appropriate distance metric.


2012 ◽  
Vol 2 (1) ◽  
Author(s):  
R. Angelova

AbstractThe paper presents an experimental procedure developed for determination of the pore size, shape and distribution in a single layer woven fabric, for the construction of a virtual model to be incorporated in a future CFD software package. The procedure is based on non-destructive observation and analysis of woven samples. 14 different samples of gray fabrics of 100 % cotton in plain and twill weaves are investigated. The results obtained allow the creation of reality more realistic virtual model of the woven structure, and theoretical investigation of its porosity and permeability through computer simulation.


2020 ◽  
Vol 42 (6) ◽  
pp. 856-856
Author(s):  
Sehrish Qazi Sehrish Qazi ◽  
Huma Shaikh Huma Shaikh ◽  
Ayaz Ali Memon Ayaz Ali Memon ◽  
and Shahabuddin Memon and Shahabuddin Memon

Among all psychotropic alkaloids, nicotine is more addictive, carcinogenic and capable of causing many health problems. This work is based on the development of highly robust, cheap, reliable, selective and sensitive nicotine imprinted graphene oxide nanocomposite (ImpGO nanocomposite) based optical sensor for determination of nicotine in human plasma. The ImpGO nanocomposite has been thoroughly characterized using different techniques i.e. FT-IR, SEM, TEM, Raman, etc. These characterizations revealed that ImpGO nanocomposite is comprised of single layer of graphene oxide successfully modified with imprinted polymer. The synthesized material was utilized to selectively determine nicotine using UV-vis spectrophotometer in BR buffer of 0.1 M at pH 3 and diluted human plasma. The effect of parameters such as buffer concentration, pH, amount of nanocomposite, etc on determination of nicotine using ImpGO nanocomposite were studied thoroughly. Thus, a sensitive optical method was developed for determination of nicotine in human plasma with linear range of 22-370 pM along with LOD and LOQ of 7 pM and 22 pM, respectively. The selectivity of sensor was evaluated using homologues of nicotine such as nicotine amide, caffeine and cotinine. The results obtained from biological samples showed that developed optical sensor is efficient in complex matrices of real sample.


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