AI Article Synopsis
Article Abstract
Nasal skin and soft tissue envelope (SSTE) thickness has considerable effects on procedural planning and postoperative outcomes in rhinoplasty surgery. Objective understanding of relative SSTE thickness in patients is essential to optimal outcomes in rhinoplasty, and knowledge of its variation by demographic group is of aid to surgeons. To measure and compare nasal SSTE thickness across different races and nasal subsites and to determine whether objective variability exists for these parameters. Retrospective cross-sectional radiographic analysis was carried out on 200 adult patients, without nasal deformity, presenting to an academic otolaryngology clinic at a tertiary care academic referral center. Blinded evaluators measured nasal SSTE thickness at six sites on maxillofacial computed tomography (CT) scans and comparisons were made based on patient-reported race/ethnicity categories available in the electronic medical record. N/A Nasal SSTE thickness was measured at six predefined anatomic sites using high-resolution CT imaging. Statistical comparisons between races/ethnicities were made based on these measurements. Mean age of patients was 48.8 years, and 47% were male. Nasal SSTE showed thicker soft tissue at the sellion in Latin American (LA; mean (SD) 6.1 (1.8) mm) and white (5.8 (1.8) mm) patients vs. African American (AfA) and Asian American (AsA) patients. The supratip was thicker in AfA patients (5.2 (1.3) mm) vs. all other races. The tip SSTE was thinner in white patients (2.4 (0.7) mm) vs. all other races. Composite nasal SSTE thickness was thinner in AsA patients (3.22 (0.8) mm) relative to AfA and LA patients. SSTE thickness influences surgical planning and postoperative outcomes in rhinoplasty patients. This study supports varied thickness of the nasal SSTE among patients of different races. These data are foundational in providing a framework for developing treatment strategies specific to the SSTE properties of a multicultural patient population.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1089/fpsam.2019.0008 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Classification System of Asian Noses for Rhinoplasty.
Facial Plast Surg
November 2024
Department of Otolaryngology - Head and Neck Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore.
While Asian noses are generalized as having smaller bones and softer cartilages, thicker skin and soft tissue envelop (SSTE), there exists a diversity of morphology amongst Asian noses. The oversimplification of Asian noses diminishes the validity or generalizability of rhinoplasty research findings and makes comparison of outcomes challenging. A classification system is proposed that reflects the different structures and SSTEs of the nasal subtypes, the techniques required in the management of each of the subtypes, the challenges the surgeon will face intra- and postoperatively, allows for preoperative counselling of expected outcomes, and facilitate valid and fair comparison of study outcomes by comparing like for like.
View Article and Find Full Text PDFManagement of Thick Skin in Rhinoplasty.
Facial Plast Surg Clin North Am
November 2024
Dermatology and Plastic Surgery Institute, Cleveland Clinic, Cleveland Clinic Foundation, 2049 East 100th Street, Crile Building, A60 Plastic Surgery, Cleveland, OH 44106, USA.
Article Synopsis
- - Rhinoplasty in patients with thick skin is complicated due to inelastic skin, which can lead to prolonged swelling and complications like dead space and scar tissue.
- - The texture and changes in the skin affect the overall results of the surgery, requiring careful consideration of the underlying structure during the procedure.
- - The article features insights from three experts on current medical and surgical techniques, as well as options for diagnosing and treating patients post-surgery.
Doxycycline Sclerodesis-"Rhinodesis"-for Enhanced Soft Tissue Adhesion in Rhinoplasty: A Preliminary Study.
Facial Plast Surg
October 2024
Department of Otolaryngology/Facial Plastic Surgery, University Hospital Lewisham, London, United Kingdom.
The use of doxycycline as a sclerosing agent is well-established. Given the clinical efficacy of doxycycline sclerosant therapy, we embarked upon a study to evaluate the efficacy of small-volume liquified doxycycline particularly in thick skinned rhinoplasty patients to promote re-adhesion of the nasal skin-soft tissue envelope (SSTE) thereby minimizing surgical dead space and enhancing surface contour, to improve the eventual outcome of surgery.We present two clinical case series using rhinodesis.
View Article and Find Full Text PDFEvaluation of Skin-Soft Tissue Envelope Thickness by Ultrasonography after Primary and Revision Rhinoplasty.
Aesthetic Plast Surg
April 2023
Isfahan University of Medical Science, 8174673461, Isfahan, Iran.
Background: Excessive nasal edema is among the complications after rhinoplasty translating into Skin-Soft Tissue Envelope (SSTE) thickening and disruption in the nasal framework's definition. Revision rhinoplasties are suspected of causing even more nasal edema. The objective postoperative SSTE thickness between revisionary and primary rhinoplasties is compared in this study.
View Article and Find Full Text PDFSurgical and Nonsurgical Management of the Nasal Skin-Soft Tissue Envelope.
Facial Plast Surg
December 2021
Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Mannheim, Mannheim, Germany.
Management of the skin-soft tissue envelope (SSTE) in rhinoplasty is challenging and critical for the overall outcome. The preoperative identification of patients with thick or thin skin and with preexisting skin conditions may contribute significantly to the postsurgical result. Most publications and textbooks focus on the management of the osseocartilaginous framework, but the SSTE management is often not addressed in detail.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!