scholarly journals The Cartilage Rhinoplasty with Goldman Technique for Correcting the Broad Nasal Tip

2021 ◽  
pp. 12-24
Author(s):  
Ming He, Teng Zhao
Keyword(s):  
Senior Author ◽  
Average Score ◽  
Successful Result ◽  
Rotation Symmetry ◽  
Independent Observer ◽  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Pathologic Findings ◽  
Postoperative Improvement ◽  
Improvement Score

In this paper, A retrospective review was performed for all the patients who underwent surgery with the Goldman technique by the senior author from 2004 to 2009 for correction of the broad nasal tip. The clinical and pathologic findings of these patients were reviewed, and an independent observer evaluated the pre- and postoperative photos of the patients using five parameters: projection, rotation, symmetry, shape, and distance of the tip-defining points. The evaluation was performed using a scale of -1 to +1 for each of the five parameters. Of the 205 patients who underwent the technique, 115 (56%) were patients with broad tips, and 90 (44%) were patients with broad (boxy) tips. A total of 189 cases (92.2%) involved primary rhinoplasties, and 16 cases (7.8%) involved revision. During this period, complications were observed in five patients (2.4%), who underwent revision rhinoplasty with a successful result. The average score for the five parameters already mentioned for primary rhinoplasties according to the scale of -5 to +5 showed a significant postoperative improvement (score, +4.3). It implied that the cartilage rhinoplasty with Goldman technique is safe when performed by experienced surgeons and according to specific indications. This conclusion is indicated by the low rate of complications in the large series of patients in this study.

scholarly journals Primary Amyloidosis of the Genitourinary Tract

2020 ◽  
Author(s):  
Khaleel I. Al-Obaidy ◽  
David J. Grignon
Keyword(s):  
Personal Experience ◽  
Clinical Presentation ◽  
Senior Author ◽  
The Body ◽  
Genitourinary Tract ◽  
Primary Amyloidosis ◽  
Urogenital System ◽  
Organ Function ◽  
Pathologic Findings ◽  
Neoplastic Process

Context.— Amyloidosis is caused by the deposition of misfolded proteins as insoluble eosinophilic material in the extracellular tissues of the body, leading to impairment of organ function. It can be systemic or localized. Localized genitourinary tract amyloidosis is rare and can be incidentally seen; however, in some cases, it can be the only presenting disease. Objective.— To review the clinical presentation and pathologic findings related to primary amyloidosis of the urogenital system and highlight some of the associated pathologic findings based on our personal experience. Data Sources.— Published peer-reviewed literature and personal experience of the senior author. Conclusions.— Primary localized amyloidosis within the urogenital tract can present as a neoplastic process and may be clinically and radiologically considered as a mass. Awareness of primary amyloidosis by pathologists and clinicians is required for accurate diagnosis and proper patient management.

Hydroxyapatite-Coated Femoral Stem Survivorship at 10 Years

2005 ◽  
Vol 284-286 ◽  
pp. 1069-0 ◽  
Author(s):  
Gregory Y. Lee ◽  
Ajay Srivastava ◽  
Darryl D. D'Lima ◽  
Pam Pulido ◽  
Clifford W. Colwell
Keyword(s):  
Polyethylene Wear ◽  
Femoral Stem ◽  
Senior Author ◽  
Independent Observer ◽  
Long Term Follow Up ◽  
The Mean ◽  
Lost To Follow Up ◽  
Hip Arthroplasties

The Omnifit-HA femoral stem component has shown excellent results in early clinical studies. This is an independent prospective study of the outcome of a ydroxyapatite-coated femoral component implanted by one surgeon with an intermediate-term follow up. The senior author performed 103 consecutive uncemented total hip arthroplasties in 96 patients from July 1991 to December 1996. The components implanted were the Omnifit-HA femoral stem and the Omnifit PSL porous-coated acetabular shell. The mean age at the time of the index procedure was 52 years old (range, 27–78) and male:female ratio was 54:42. Three patients were deceased and four patients were lost to follow-up. The mean follow up was 10.3 years (range, 7.3–12.7 years). Clinical and radiographic evaluations were performed by an independent observer. The average preoperative and postoperative Harris Hip Scores were 55 and 92, respectively. The overall survivorship of the Omnifit-HA stem was 100% with no femoral revisions. The survivorship of the Omnifit PSL cup was 89.7% with 4 acetabular revisions for aseptic loosening and 6 polyethelene liner exchanges for osteolysis or late instability. The mean polyethylene wear rate was 0.24 mm per year. This long-term follow up shows that the use of circumferentially coated hydroxyapatite stems can protect against the migration of wear debris along the femoral stem.

Nasal tip abscess due to adverse skin reaction to Prolene: an unusual long term complication of rhinoplasty

2012 ◽  
Vol 127 (1) ◽  
pp. 76-79 ◽  
Author(s):  
A Teymoortash ◽  
J A Fasunla ◽  
W Pfützner ◽  
S Steinbach-Hundt
Keyword(s):  
Skin Reaction ◽  
Allergic Reactions ◽  
Skin Reactions ◽  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Absorbable Sutures ◽  
Subcutaneous Layer ◽  
Prolene Suture ◽  
Operative Findings

AbstractObjectives:Allergic reactions to Prolene are rare. This paper reports a nasal tip abscess which developed in a patient with an adverse skin reaction to Prolene after rhinoplasty.Methods and results:A 26-year-old woman presented with painful, progressive nasal tip swelling and redness. She had undergone septo-rhinoplasty two years previously. She was initially treated with endonasal drainage of the abscess and antibiotics, but a revision rhinoplasty three months later became necessary because of recurrent abscess formation. Intra-operative findings included granulation tissue with pockets of pus and knotted Prolene sutures at the tip-defining points of the lower lateral cartilages. She was patch-tested with Prolene and a cutaneous Prolene suture was placed on her back; an adverse skin reaction was seen for the latter.Conclusion:Use of non-absorbable sutures, such as Prolene, in the subcutaneous layer may be a potential, rare risk factor for adverse skin reactions.

scholarly journals The Effectiveness Of The Implementation Of Experiences Framework, Language, Pictures, Symbols, And Application (ELPSA) Cooperative Setting Of Students Teams Achievemet Division (STAD) Type In Mathematics Subjects On Set Material Of Grade VII at SMPN 29 In Bulukumba

2020 ◽  
Vol 8 (1) ◽  
pp. 61
Author(s):  
Dwinto Reskiawan
Keyword(s):  
Mathematics Learning ◽  
Simple Random Sampling ◽  
Learning Model ◽  
Average Score ◽  
P Value ◽  
Process Data ◽  
High Category ◽  
Score Gain ◽  
Improvement Score ◽  
The Ideal

The research aimed at describing the Effectiveness of Experiences, Language, Picture, Symbols, and Application (ELPSA) on Cooperative Setting  of Students Teams Achievement Division (STAD) Type in Mathematics Subjects on class X SMP Negeri 29 Bulukumba. The populations of this research were all students of grade class X SMP Negeri 29 Bulukumba and choose one class as the sample of the research by using simple random sampling as the experiment class, clas VII A, was given the treatment of Experiences, Language, Picture, Symbol, and Apllication (ELPSA) Cooperative Setting  on STAD type. The data collections consisted of the data of learning model implementation, data of students’ activities, in learning process, data of students’ response on learning  instruments, and data of students’ learning result which consisted of the pretest and posttest scores. The data of learning model implementation, students’ activities, and students’ response data were analyzed by using statistic descriptive analysis; whereas, mathematics learning result os students was analyzed by employing statistics descriptive and statistics inferential analysis. The results of the research  revealed that (1) the average score of learning implementation level (TKP) was in good criteria (3.50 ≤ x ≤ 4.50) which was 3.17; (2) the average score of students’ activity had met sufficiently active criteria (2.5 – 3.4) which was 2.87; (3) students’ responds is in positive category (3.50 – 4.0) which was 3.51; (4) the everage  of students’ learning result before  the treatment was in very low category (0 – 54) which was 31.37 from the ideal score 100. The everage of students’ learning result after the treatment was in high category (80-89) which was 81.68 from the ideal score  of 100. The everage of students’ improvement score (gain value) was in high category (x ≥ 0.7) which was 0,73. Based on inferential statistic analysis on students’ learning result after the treatment, it was obtained P-value < α (0.01 < 0.05) so H0 was rejected and H1 was accepted where the everage of students’ learning result  was higher  than 74.9 (KKM), and the everage of students’ learning improvement score (gain value) obtained P-value < α (0.01 < 0.05), so H0 was rejected and H1 was accepted where the everage of students improvement score (gain value) was higher than 0.29. Based on the results of the analysis of the level of  holistic learning effectiveness concluded that the implementation of Experiences, Language, Picture, Symbol, and Apllication (ELPSA) on Cooperative Setting  of Students Teams Achievement Division (STAD) Type is quite effective  to be implemented in Mathematics subjects on class X SMP Negeri 29 Bulukumba.

Deprojection of the Nasal Tip in Revision Rhinoplasty

2012 ◽  
Vol 28 (04) ◽  
pp. 440-446 ◽  
Author(s):  
Russell Kridel ◽  
Samir Undavia
Keyword(s):  
Nasal Tip ◽  
Revision Rhinoplasty

scholarly journals A solution for revision rhinoplasty with thinned nasal tip skin: An extended dermofat graft

2021 ◽  
Vol 27 (1) ◽  
pp. 43-45
Author(s):  
Daiwon Jun ◽  
Na Rim Kim ◽  
Young Chul Suh ◽  
Jung Ho Lee
Keyword(s):  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Dermofat Graft

scholarly journals Compulsory auricular cartilage use: Modified septal extension graft application in revision rhinoplasty

2021 ◽  
Vol 9 (3) ◽  
pp. 104-110
Author(s):  
Ali Seyed Resuli
Keyword(s):  
Costal Cartilage ◽  
Auricular Cartilage ◽  
Caudal Part ◽  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Aesthetic Appearance ◽  
Tongue In Groove ◽  
Nasal Tip Projection ◽  
Extension Graft

OBJECTIVE: This study aimed to demonstrate how to perform a tongue-in-groove graft with the method we developed using auricular cartilage to provide adequate nasal tip support in 17 revision rhinoplasty cases. METHODS: This retrospective study was conducted on 17 patients (17 females; mean age: 23.9+3.7 years; range, 19 to 30 years) who underwent revision rhinoplasty (RR) operations for a low nasal tip between February 2019 and September 2020. After auricular cartilage was removed with a standard posterior auricular intervention, it was folded in two to increase its resistance and fixed to the caudal part of the nasal septum as a tongue-in-groove graft. RESULTS: Solid nasal tip support and satisfactory nasal tip projection and rotation were achieved in all patients. One (6%) patient developed auricular hematoma as a complication on the third postoperative day, and three (17%) of our patients complained of nasal obstruction in their postoperative follow-up. CONCLUSION: When the use of costal cartilage is limited due to social and cultural reasons in RR cases performed due to a low nasal tip, auricular cartilage can be used as a modified tongue-in-groove graft and provides a satisfactory aesthetic appearance.

Oblique Turnover Flap for Repositioning and Flattening of the Lateral Crura: A Novel Technique to Manage Cephalic Malposition of Lower Lateral Cartilage

2017 ◽  
Vol 33 (05) ◽  
pp. 491-498 ◽  
Author(s):  
Elena Vladykina ◽  
Abdulkadir Goksel
Keyword(s):  
Anatomical Variation ◽  
Senior Author ◽  
Central Axis ◽  
Long Term Results ◽  
P Value ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Satisfaction Scale ◽  
Nasal Tip ◽  
The Mean

AbstractMalposition of the lower lateral cartilage (LLC) is a relatively common anatomical variation, described as any displacement of the lateral crura from the usual parallel direction with the nostril rims. Cephalic malpositioned LLC has the following characteristics: abnormal axes of the lateral crura, bulbous and broad nasal tip, parenthesis deformity, long alar creases, alar wall hollows, nostril deformities, and incompetence of the external valve. Numerous techniques were founded to correct this aesthetic and functional unpleasant variation, although all of them have some limitations. The authors described and evaluated the efficacy of the oblique turnover flap (OTOF) technique in the management of cephalic malposition of LLC (CMLLC). The advantages of this technique are: it does not need any additional grafting; it is quick and safe to perform; it has stable results. In the present study, 24 primary rhinoplasties using OTOF technique were performed between January 2014 and September 2016. There were 21 females (87.5%) and 3 males (12.5%), with age ranging from 23 to 46 years. The mean follow-up period was 12.1 months (range: 8–28 months). All patients were treated by the senior author (A.G.) in the RinoIstanbul Clinic. Three parameters were measured and compared pre- and postoperatively, using a t-test and a p value criteria of 0.05. The difference was found to be statistically significant: the angle between the central axis of the lateral crura and the septum on each side, satisfaction scale rating of the patients' nasal tip appearance and the satisfaction scale rating of patients' nose breathing. The angle of the central axis of lateral cruras to the midline significantly increased, the mean satisfactory scale ratings of nasal tip appearance and breathing quality were also significantly improved. OTOF is a quick, useful, efficient technique for repositioning and flattening of the lateral cruras of CMLLC with a good, predictable, and stable long-term results in our hands if used on right candidates.

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