The rhinoplasty consult.

Correction of a crooked nose is a common request among patients seeking rhinoplasty or revision rhinoplasty surgery. The rhinoplasty consult is an opportunity for both the surgeon and the patient to obtain an understanding of the potential outcomes from rhinoplasty surgery. This includes the possible surgical outcomes as well as the potential for patient satisfaction with the procedure.

Bilobed flaps in nasal reconstruction.

The bilobed flap is a local transposition flap useful for the repair of nasal defects commonly seen after Mohs surgery. The bilobed flap has benefits over other nasal transposition or advancement flaps because it distributes wound closure tension over a larger surface area through the use of 2 lobes. This property is especially helpful for defects of the caudal portion of the nose, where the skin is less elastic.

Treatment of Class II molar furcation involvement: meta-analyses of reentry results.

Background: Predictable regeneration of lost periodontal tissues in furcations is difficult to achieve. This paper investigates the efficacy of different treatment modalities for Class II molar furcations.

Methods: Publications in English were searched using PubMed, Medline, and Cochrane Library databases combined with hand searching from January 1, 1966 to October 1, 2007.

Nuances of profile management: the radix.

Profile refinement is one of the most common reasons patients seek consultation for rhinoplasty. Emphasis on creating a natural-appearing nasal dorsum demands a methodic nasal and facial analysis. Areas of dorsal excess and deficiency are identified, quantitated, and considered when determining surgical goals.

Prevalence of biofilm-forming bacteria in chronic rhinosinusitis.

Background: Recently, biofilms have been implicated in the pathogenesis of recalcitrant chronic rhinosinusitis (CRS). We sought to determine the prevalence of biofilm-forming cultures obtained from patients with CRS and clinical factors that may contribute to biofilm formation.

Methods: Endoscopically guided sinonasal cultures were obtained in duplicate from CRS patients with evidence of mucopurulence.

A sinonasal inverted papilloma of mixed histology: implications for management of all sinonasal papillomas.

Sinonasal papillomas are classically categorized by their histology. Inverted, cylindrical, and fungiform are the three subtypes used to describe these lesions, and their medical and surgical management is often based on the specific subtype. We describe a case of a sinonasal papilloma with all three subtypes represented within the same surgical specimen.

Endoscopic-assisted reduction of anterior table frontal sinus fractures.

In this study, we examined salvage operations after reexploration in head and neck reconstruction and analyzed ways to solve problems. Free flap reconstruction of the head and neck lesion was carried out for 513 cases in our hospital over the past 12 years. Twenty-one cases of reexploration were caused by postoperative thrombosis (4.

Intermediate crural overlay in rhinoplasty: a deprojection technique that shortens the medial leg of the tripod without lengthening the nose.

Objective: To review the indications for, surgical techniques of, and results of intermediate crural overlay of the alar cartilages in rhinoplasty.

Design: Prospective study of patients undergoing intermediate crural overlay of the lower lateral cartilages. The setting was a facial plastic surgery private practice.

Analysis in otoplasty.

The normal auricle has a well-recognized shape, and significant deviation from "normal" is immediately evident. In particular, prominent ears are readily apparent and are a relatively frequent cause of patient concern. Correction of the outstanding ear requires a careful understanding of the discrete elements that compose the normal ear.

Diagnostic and surgical endoscopy in functional septorhinoplasty.

Endoscopy has altered our ability to diagnose pathology accurately during the preoperative assessment, and it has also offered surgeons the ability to perform surgeries in a minimally invasive manner. In this article, we review the senior author's experience with diagnostic and surgical endoscopy in functional septorhinoplasty. A thorough examination of the nasal cavity in the patient seeking cosmetic rhinoplasty along with correction of nasal obstruction is enhanced by the performance of office nasal endoscopy.

Prevalence of Fecal Salmonella Shedding by Cull Dairy Cattle Marketed in Washington State.

On nine occasions over a 1-year period, cull dairy cattle (n = 1,289) at four saleyards and one abattoir in Washington State were surveyed for salmonellae shedding by bacterial culture of duplicate rectal swabs, 251 single fecal samples and duplicate rectal swabs, and 225 mesenteric lymph node and duplicate rectal swabs. Using parallel selective enrichment and brilliant green media, salmonellae were isolated from six cattle, from rectal swabs only, and consisted of five isolates of Salmonella typhimurium and one of Salmonella dublin . In the two rectal swab- positive cattle for which mesenteric nodes were also sampled, 1-g samples of the nodes were negative.