The nose is a complex three-dimensional structure with critical structural and functional roles; its relationship to surrounding structures is, in part, responsible for a harmonious, pleasing visage as a whole. There are many variables and dimensions that can be adjusted to alter the esthetic appearance, structural components, and functional role of the nose and many tools and maneuvers available to the rhinoplasty surgeon to adjust these numerous variables. Although every rhinoplasty operation should be individualized, a systematic order and algorithm may be helpful in operative planning as well as establishing a logical progression of steps and maintaining stability. While each adjustment may have a primary anticipated effect, it will invariably have a secondary impact.
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http://dx.doi.org/10.1016/j.cps.2021.07.010 | DOI Listing |
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
January 2025
Department of Otorhinolaryngology Head and Neck Surgery, Linyi People's Hospital Affiliated to Shandong Second Medical University, Linyi276003, China.
To explore the surgical methods and treatment outcomes of nasal endoscopic surgery for nasal deformity secondary to unilateral cleft lip and palate, combined with nasal septal deviation, using nasal septal cartilage and bone. Eleven patients who underwent surgical treatment for unilateral cleft lip and palate secondary to nasal deformity in the Department of Otorhinolaryngology, Head and Neck Surgery, Linyi People's Hospital, Shandong Second Medical University, from March 2021 to March 2023, were retrospectively analyzed. The cohort included 8 males and 3 females, aged (22.
View Article and Find Full Text PDFFolia Morphol (Warsz)
January 2025
Department of Laryngology, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Katowice, Poland.
Background: Anthropometric analysis of the midface is essential, especially for rhinoplasty surgeons, medical aesthetics, medical jurisprudence, and anthropology. The aim of this study was to provide data to describe of the anthropometric dimensions of the nose and face among Caucasian young adults in order to establish reference values.
Materials And Methods: The study was conducted among 289 Polish students (115 men and 174 women).
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA; Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Penn State College of Medicine, Facial Nerve Clinic, Esteem Penn State Health Cosmetic Associates, 500 University Drive H-091, Hershey, PA. Electronic address:
Nasal airway obstruction is a frequent complaint in an otolaryngology clinic and is often multifactorial. Anatomic contributors may include a nasal septal deviation, inferior turbinate hypertrophy, and nasal valve compromise. Septoplasty and inferior turbinate reduction are one of the most common procedures performed by an otolaryngologist.
View Article and Find Full Text PDFOtolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA; Our Lady of the Lake Regional Medical Center, Baton Rouge, LA, USA. Electronic address:
The internal nasal valve, the narrowest portion of the nasal airway, is prone to collapse and is often targeted for improvement in nasal reconstruction and rhinoplasty. Endonasal techniques can reduce surrounding trauma and reduce operative times compared to traditional open methods. Options include the use of spreader, butterfly and alar batten grafts, suspension and flaring sutures, and Z-plasty for scarring.
View Article and Find Full Text PDFOtolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Henry Ford Hospital, 2799 West Grand Boulevard K-8, Detroit, MI 48202, USA; Department of Surgery, Michigan State University, 4660 South Hagadorn Road, Suite #620, East Lansing, MI 48823, USA; Wayne State University School of Medicine, 540 East Canfield Street, Detroit, MI 48201, USA.
The external nasal valve is the anatomic structure formed by the caudal septum, alar rim, medial crura of the lower lateral cartilage, and nasal sill at the level of the nasal vestibule. Evaluation of external nasal valve dysfunction is dependent upon a thorough history and physical examination. Symptoms and quality of life impact are the main drivers for patients to seek out clinical evaluation.
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