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Granulomatous Conditions of the Nose
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Topical nasal treatment such as douching, intranasal steroids and nasal lubricants may be helpful for symptomatic relief. Surgery is generally reserved for cases that are refractory to medical treatment, or for complications of GPA. Rhinoplasty to correct a saddle nose deformity should be deferred until the disease has been in remission for at least 1 year. Grommets are best avoided because of the risk of chronic otorrhoea.
Histories and examinations in the Part 2 clinical section
Published in Joseph Manjaly, Peter Kullar, Advanced ENT Training, 2019
Assessment for rhinoplasty involves the examination of the patient, their face and of course their nose. Clarify from the examiner exactly what you're being asked to do. If in your history the patient discusses wishing to have a rhinoplasty it may be appropriate to explore motivations for surgery. Be aware of conditions such as body dysmorphic disorder (BDD) as rhinoplasty may compound rather than alleviate the patient's problems with body image.
Revision Rhinoplasty
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Claudia Rudack, Gerhard Rettinger
Rhinoplasty (in contrast to septorhinoplasty) focuses mainly on altering the appearance of the external nose for aesthetic reasons. In certain cases, for example in a tension nose or in alar insufficiency, rhinoplasty is performed to correct the nasal airways. A septorhinoplasty attempts to improve both the aesthetic appearance and the function of the nose. This combined procedure may add additional dynamics in the healing process and therefore revisions may be more common.1 This chapter primarily deals with visible deformities after previous rhinoplasty, their types and frequencies, possible causes, their prevention and their correction. Unfavourable results may be the consequence of unpredictable healing, which is beyond the surgeon’s control, and these are generally referred to as ‘complications’. However, revisions may also be necessary because of an inadequate primary procedure, which is then termed a ‘mistake’. In this situation, the patient usually blames the surgeon responsible for the ultimate outcome. For the surgeon, it is important to understand the difference between a complication and a mistake and to learn from revision surgery.1
A new technique for Asian nasal tip shaping: "twin tower" folding ear cartilage transplantation
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Long Zhang, Jiang-wen Wang, Jun Ding, Xi Zhang, Xi-mei Wang, Zhan-zhao Zhang, Run-ze Yu
Rhinoplasty is a common, yet relatively complex, operation in cosmetic surgery, and the focus is on the establishment of structural support for the nasal cartilage and shaping of the nasal tip [4]. In recent years, many Western Dallas rhinoplasty techniques and concepts have been promoted in China, but for Orientals, most of their noses are not three-dimensional enough. Therefore, it is necessary to carry out rhinoplasty surgery according to the characteristics of Orientals. Most of the surgical plans we take are mainly to raise the bridge of the nose and the tip of the nose [5]. Autologous cartilage is the material of choice in nose tip shaping, including ear cartilage, septal cartilage, and costal cartilage, but each has its own advantages and disadvantages. In clinical practice, we found that compared with the nasal septal cartilage or costal cartilage, the application of ear cartilage in nose tip shaping can also achieve the same effect of elevating the nose tip and lengthening the length of the nose tip [5].
Application of the FACE-Q rhinoplasty module in a mixed reconstructive and corrective rhinoplasty population in Finland
Published in Journal of Plastic Surgery and Hand Surgery, 2021
S. Pauliina Homsy, Mikko M. Uimonen, Andrew J. Lindford, Jussi P. Repo, Patrik A. Lassus
Rhinoplasty is only available in the Finnish public healthcare system in cases where obstruction to airflow exists or the aesthetics of the nose are affected by a congenital condition, a previous trauma or a tumour. Reflecting this, the only PROM suitable for rhinoplasty patients validated in Finnish is the SNOT-20, an instrument focusing on sinusitis symptoms [11]. With an increasing focus on incorporating the patients’ own views in the evaluation of plastic surgery procedure outcomes in both clinical practice and research, a true need exists for a validated PROM in Finnish on the aesthetic aspects of nasal surgery [12]. The FACE-Q Rhinoplasty module was selected for translation due to the perceived ease of use that the modularity of the scale conveys as well as the rigor of its development.
Specific complications associated with non-surgical rhinoplasty
Published in Journal of Cosmetic and Laser Therapy, 2020
Tuyet A. Nguyen, Shivani Reddy, Nima Gharavi
Surgical rhinoplasty is the fourth most common cosmetic procedure performed by plastic surgeons in the United States. Despite its popularity, the percentage of these procedures performed has decreased by 3% in the last year. In contrast, the use of non-surgical rhinoplalsty, using soft tissue fillers, has increased by ~1% over the same time period (1). Non-surgical rhinoplasty, which involves augmentation of the nasal contour using soft tissue fillers, has become increasingly popular over the last several years. This minimally invasive technique allows patients to have excellent esthetic results without the high cost, anesthesia, and post-operative recovery time associated with traditional surgical rhinoplasty (2). However, the risk of complications with non-surgical rhinoplasty still exists, particularly in patients that have undergone surgical treatment or trauma in the past. Major complications, although rare, include vascular compromise, necrosis, and blindness. Knowledge of nasal anatomy and injection technique is essential to avoid these serious side effects.