Basic Techniques in Septorhinoplasty

2019 ◽  
pp. 99-104
Author(s):  
Aaron M. Kosins ◽  
Rollin Daniel ◽  
Dananh Nguyen
Keyword(s):  
Operative Technique ◽  
Nasal Septum ◽  
Surgical Planning ◽  
Plastic Surgeon ◽  
Initial Assessment ◽  
Bulbous Tip ◽  
Preoperative Analysis

Indications for septorhinoplasty include both cosmetic and/or functional issues. Common cosmetic complaints include a hump, bulbous tip, wide dorsum and/or base, plunging tip, and asymmetry. Functional issues can be due to the nasal septum and turbinates as well as to the internal and external nasal valves. During initial assessment, it is very important for the plastic surgeon to discuss the patient’s individual wishes and concerns. Realistic expectations are paramount. This chapter will discuss the basic aspects of septorhinoplasty including preoperative analysis, surgical planning and operative technique.

Correction of Severely Deformed Hammertoe Attributable to Silastic Implant Failure with Use of Calcaneal Autograft

2015 ◽  
Vol 105 (1) ◽  
pp. 96-100
Author(s):  
William Arrington ◽  
Matthew Britt
Keyword(s):  
Operative Technique ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Implant Failure ◽  
Silastic Implant ◽  
Poor Outcomes ◽  
And Function ◽  
Viable Method

Few studies exist investigating surgical hammertoe correction salvage procedures regarding poor outcomes secondary to silastic implant failure. We present a case of a patient who presented to our clinic with a grossly deformed digit after undergoing several silastic implant procedures. The patient wanted to salvage the toe and elected for surgical intervention. Surgical planning consisted of a V-Y skin plasty with interposition of calcaneal autograft. This allowed restoration of anatomic dimensions and function of the patient's digit. We present this operative technique as a viable method of salvaging failed hammertoe correction procedures.

Current Management of the Asymmetric Nose

2005 ◽  
Vol 22 (1) ◽  
pp. 45-55
Author(s):  
Howard D. Stupak ◽  
Alexander L. Ramirez ◽  
Corey S. Maas
Keyword(s):  
Soft Tissue ◽  
Nasal Septum ◽  
Surgical Planning ◽  
Current Management ◽  
Cosmetic Results ◽  
Soft Tissue Envelope ◽  
Systematic Fashion ◽  
Multiple Challenges ◽  
External Rhinoplasty

The deviated or asymmetric nose poses multiple challenges to the cosmetic and reconstructive surgeon. Diagnosis, surgical planning, and execution are presented in this article in the ordered form of a surgical algorithm. The algorithm utilizes the external rhinoplasty approach to address asymmetries in the following structures in an individualized yet systematic fashion: nasal septum, upper and lower lateral cartilages, the bony dorsum, and the skin/soft-tissue envelope. A number of techniques are discussed here, some restoring native anatomy, others providing simple camouflage. With experience, excellent functional and cosmetic results can be obtained by following this algorithm.

Silica Incorporation in the Cell Wall of the Singing Cell of Urtica dioica

1975 ◽  
Vol 33 ◽  
pp. 584-585
Author(s):  
A. E. Sowers ◽  
E. L. Thurston
Keyword(s):  
Cell Wall ◽  
Unique Feature ◽  
Urtica Dioica ◽  
Wall Material ◽  
Pain Response ◽  
Apical Portion ◽  
Ultrastructural Investigation ◽  
Plant Families ◽  
Bulbous Tip

Plant stinging emergences exhibit functional similarities in that they all elicit a pain response upon contact. A stinging emergence consists of an elongated stinging cell and a multicellular pedestal (Fig. 1). A recent ultrastructural investigation of these structures has revealed the ontogeny and morphology of the stinging cells differs in representative genera in the four plant families which possess such structures. A unique feature of the stinging cell of Urtica dioica is the presence of a siliceous cell wall in the apical portion of the cell. This rigid region of the cell wall is responsible for producing the needle-like apparatus which penetrates the skin. The stinging cell differentiates the apical bulbous tip early in development and the cell continues growth by intercalary addition of non-silicified wall material until maturity.The uppermost region of the stinging cell wall is entirely composed of silica (Fig. 2, 3) and upon etching with a 3% solution of HF (5 seconds), the silica is partially removed revealing the wall consisting of individualized silica bodies (Fig. 4, 5).

Deflections of the nasal septum

1917 ◽  
Vol 31 (3) ◽  
pp. 71-74
Author(s):  
I LEDERMAN
Keyword(s):  
Nasal Septum

Reassessment of Suicide Attempters at Home, Shortly After Discharge from Hospital

Crisis ◽  
2010 ◽  
Vol 31 (6) ◽  
pp. 303-310 ◽  
Author(s):  
Bas Verwey ◽  
Jeroen A. van Waarde ◽  
Molla A. Bozdağ ◽  
Iris van Rooij ◽  
Edwin de Beurs ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
General Hospital ◽  
Hospital Environment ◽  
Initial Assessment ◽  
Suicide Attempters ◽  
Systematic Assessment ◽  
Suicide Intent ◽  
Initial Hospital ◽  
Discharge From Hospital ◽  
At Home

Background: Assessment of suicide attempters in a general hospital may be influenced by the condition of the patient and the unfavorable circumstances of the hospital environment. Aims: To determine whether the results of a reassessment at home shortly after discharge from hospital differ from the initial assessment in the hospital. Methods: In this prospective study, systematic assessment of 52 suicide attempters in a general hospital was compared with reassessment at home, shortly after discharge. Results: Reassessments at home concerning suicide intent, motives for suicide attempt, and dimensions of psychopathology did not differ significantly from the initial hospital assessment. However, patients’ motives for the suicide attempt had changed to being less impulsive and more suicidal, worrying was significantly higher, and self-esteem was significantly lower. A third of the patients had forgotten their aftercare arrangements and most patients who initially felt no need for additional help had changed their mind at reassessment. Conclusions: Results from this group of suicide attempters suggest that a brief reassessment at home shortly after discharge from hospital should be considered.

Delay Discounting in Impulsive Behavior

2019 ◽  
Vol 24 (4) ◽  
pp. 312-321 ◽  
Author(s):  
Diana Moreira ◽  
Fernando Barbosa
Keyword(s):  
Delay Discounting ◽  
Human Subjects ◽  
Empirical Studies ◽  
Cochrane Collaboration ◽  
Initial Assessment ◽  
Impulsive Behavior ◽  
Manual Search ◽  
Study Results ◽  
Depth Analysis ◽  
The Future

Abstract. Delay discounting (DD) is the process of devaluing results that happen in the future. With this review, we intend to identify specificities in the processes of DD in impulsive behavior. Studies were retrieved from multiple literature databases, through rigorous criteria (we included systematic reviews and empirical studies with adult human subjects), following the procedures of the Cochrane Collaboration initiative. Of the 174 documents obtained, 19 were considered eligible for inclusion and were retained for in-depth analysis. In addition, 13 studies from the manual search were included. Thus, a total of 32 studies were selected for review. The objectives/hypotheses, results, and the main conclusion(s) were extracted from each study. Results show that people with pronounced traits of impulsivity discount rewards more markedly, that is, they prefer immediate rewards, though of less value, or postponed losses, even though they worsen in the future. Taken together, the existing data suggest the importance of inserting DD as a tool for initial assessment in conjunction with measures of addiction and stress level, as well as the consideration of new therapies.

Operative Technique For Transconjunctival Lower Blepharoplasty

1992 ◽  
Vol 19 (2) ◽  
pp. 351-356 ◽  
Author(s):  
Harvey A. Zarem ◽  
Jeffrey I. Resnick
Keyword(s):  
Operative Technique ◽  
Lower Blepharoplasty
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