How to Resolve the Caudal Septal Deviation?: Clinical Outcomes
|
|
- Winfred Houston
- 6 years ago
- Views:
Transcription
1 The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. How to Resolve the Caudal Septal Deviation?: Clinical Outcomes After Septoplasty With Bony Batten Grafting Yong S. Chung, MD; Jeong-Hun Seol, MD; Jee-Min Choi, MD; Dong-Hyuk Shin, MD; Yong W. Kim, MD; Jae H. Cho, MD, PhD; Jin K. Kim, MD, PhD Objectives/Hypothesis: Caudal septal deviation interrupts normal nasal breathing, due to the narrowing of the external valve area and nasal valve angle. In this study, we found a different approach for correction of caudal septal deviation with no associated deformity of the external nose. Study Design: Individual case control study. Methods: The 39 patients completed questionnaires by interviews postoperatively for assessment of nasal obstruction. In addition, patients assessed the severity of their nasal symptoms (i.e., mouth breathing, mouth dryness, hyposmia, rhinorrhea, epistaxis, snoring, postnasal drip, and headache) preoperatively and postoperatively using a visual analog scale (VAS). Improvement in the treatment of nasal obstruction using a VAS and a questionnaire for subjective satisfaction were evaluated 3 months after septoplasty. To evaluate outcomes objectively, endoscopic photographs of the nasal cavity and acoustic rhinometry before and after surgery were evaluated. For comparison between preoperative and postoperative status, the Wilcoxon signed ranks test was used. Results: Patients reported a significant decrease in the VAS severity of all nasal symptoms. The minimal cross-sectional area (MCA1) of the convex side after vascular constriction using acoustic rhinometry showed significant widening. Patients were divided into a turbinoplasty group and a nonturbinoplasty group, and the turbinoplasty group showed a significant increase in both the convex side and concave side in MCA1 and in the convex side in the anterior portion of the inferior turbinate. Conclusions: Endonasal septoplasty using bony batten grafting for caudal septal deviation resulted in an improvement of nasal obstruction symptoms and acoustic rhinometry components. Key Words: Septoplasty, batten graft, caudal deviation, septal deviation. Level of Evidence: 3b Laryngoscope, 124: , 2014 INTRODUCTION Nasal septal deviation is a common disorder in otolaryngology and one of the major causes of nasal obstruction. Severe nasal obstruction may interfere with daily life; if medical interventions cannot resolve the problem, then it is surgically corrected. 1 Closed septal redisplacement methods were first described and advocated by Adams and Asch in the late 1800s. 2,3 Krieg suggested mucosal preservation and removal of only the deflected cartilaginous segment, which probably gave rise to the more prevalent submucous resection proce- From the Department of Otorhinolaryngology Head & Neck Surgery, Konkuk University, School of Medicine, Seoul, Republic of Korea. Editor s Note: This Manuscript was accepted for publication October 28, Y.S.C. and J.-H.S. contributed equally to this work. This research was supported by the Basic Science Research Program through the National Research Foundation of Korea, funded by the Ministry of Education, Science, and Technology (2013R1A1A ). The authors have no other funding, financial relationships, or conflicts of interest to disclose. Send correspondence to Jin Kook Kim, MD, PhD, Department of Otorhinolaryngology Head & Neck Surgery, Konkuk University, School of Medicine, Neungdong-ro, Gwangjin-gu, Seoul, , Republic of Korea. entalk@kuh.ac.kr DOI: /lary dure that is still practiced by some today. 4 Freer gave credit to an American researcher for description of mucosal flap elevation and removal of the triangular portion of the quadrilateral cartilage. 5 However, these methods are not suitable for correcting caudal septal deviation that interrupts normal nasal breathing as a result of narrowing of the external valve area and nasal valve angle. 6 Surgical management of caudal septal deviation, such as morselization, crosshatching incision, partial thickness incision, swing-door flap, and anchoring suture, has been introduced. 7 Nevertheless, surgeons frequently observe undercorrection or overcorrection of caudal cartilage deviation and weakening of the caudal septal support with subsequent nasal deformity. 8 Therefore, to prevent the occurrence of such subsequent nasal deformities, a batten graft has been introduced for correction of caudal deviation. 9,10 Although a number of studies have used batten grafts for caudal septal support, surgical outcomes and technical details of bony batten graft placement for correction of caudal septal deviation have not been well documented. However, the bony batten grafts are usually thinner than cartilaginous batten, and bony batten grafts have more outstanding points that minimize thickening of the anterior caudal margin compared with 1771
2 Fig. 1. After (A) bilateral flap elevation, (B) the excessive septal cartilage and bone was resected. (C) A caudal septal batten graft was fitted to the desired location. (D) The bony batten graft and the caudal septum were closed using the through-and-through transcartilage sutures. (E) The figure eight suture was done through the bony batten graft and ANS twice. cartilage batten grafts. In this study, we aimed to present our surgical techniques of endonasal septoplasty using bony batten grafts. We also investigated subjective and objective outcomes after endonasal septoplasty using bony batten grafts. the institutional review board of the KUMC. Information about epidemiological data including age and gender was taken from patients medical records. We divided patients into those with turbinoplasty (WT) and those without turbinoplasty (WOT), to compare acoustic rhinometry components. MATERIALS AND METHODS Patients We enrolled 43 patients who presented with symptoms of nasal obstruction and had undergone endonasal septoplasty with bony batten grafts at the Konkuk University Medical Center (KUMC) between February 1, 2012 and October 31, All of them had significant nasal septal deviations in the caudal septal area. Patients who underwent concomitant rhinoplasty or endoscopic sinus surgery to change the nasal anatomy were excluded from the present study. This study was approved by 1772 Clinical Outcome Assessment Information about epidemiological data including age and gender was taken from patients medical records. Improvements after surgery were assessed subjectively and objectively. Patients were asked to quantify their subjective symptoms, including nasal obstruction and postnasal drip (PND) preoperatively, and the scores were reassessed 3 months after surgery. Each symptom was assigned a score of 1 to 10, according to the severity of the symptoms. To objectively evaluate the correction of deviated nasal septum, acoustic rhinometry (AR) was performed before treatment and 3 months after surgery. AR readings were
3 Fig. 2. (A) The bony batten graft was harvested from the perpendicular plate and punctured. (B) A through-and-through suture was done to close the batten graft and septal cartilage, and (C, D) a figure eight suture was done at the anterior nasal spine and the graft. obtained using a two-microphone, acoustic rhinometer (SRE- 2000; RhinoMetrics, Lynge, Denmark). An experienced technician performed each AR study in a quiet room with the door closed. Multiple recordings were performed on each side, and the technician performing and interpreting the measurement was blinded to patient variables. To reduce the risk of variability, the free end of the nosepiece was fitted tightly to the nostril while avoiding deformation of the nasal vestibule. The angle of the probe nose piece was 65, and alignment was in a sagittal plane. Patients were asked to hold a short breath and not swallow during measurement. 14 Measurements from the AR graphs were taken from the RhinoScan computerized data program (version 2.6, RhinoMetrics) and were entered into a spreadsheet before calculation. Two measurements were taken from the narrower and wider side of both nasal cavities, respectively. The first deflection of rhinometry, at 1 cm, corresponded to the anterior portion of the isthmus nasi (minimal cross-sectional area [MCA1]); and the second deflection, at 2 cm, roughly corresponded to the anterior portion of the inferior turbinate (MCA2). The area of the narrow part of the nasal cavity after vasoconstriction was compared preoperatively and postoperatively. Surgical Technique After making a hemitransfixion incision approximately 2 to 3 mm behind the caudal region of the concave nasal cavity, the submucoperichondrial flap of the septum was elevated using a Freer elevator via an endonasal approach. Using the Freer elevator, subperichondrial dissection proceeded in the cephalic and dorsal directions. The contralateral flap from the caudal aspect of the cartilage was always elevated without making an incision on the opposite side (Fig. 1A). After bilateral flap elevation, a subperichondrial dissection into the nasal floor was performed to the extent that a graft could be inserted. The curved portion of the excessive septal cartilage and bone was harvested by excision (Fig. 1B), leaving an L-strut of the dorsal and caudal cartilaginous septum at least 1.5 cm long. A caudal septal batten graft created from the harvested perpendicular plate was fitted to the desired location using a straight shape or mild counter-curvature, usually on the concave side (but on both sides if there were concerns about graft tilt; Fig. 1C). The septal cartilage was then separated from the anterior nasal spine (ANS) and maxillary crest for reposition. If there was an excessive cartilage portion, it was removed. Two holes were made by a drill through the ANS and maxillary crest. We punctured the bony graft, made approximately six to eight holes (Fig. 2A), and then the graft was sutured with septal cartilage using three or four stitches (5-0 polydioxanone sutures; Ethicon, Somerville, NJ; Fig. 2B). The gap between the posterior portion of the caudal bony batten graft and the caudal septum was closed using one or two through-and-through transcartilage sutures (5-0 Prolene sutures, Ethicon). Next, for reposition and fixation between ANS and septal cartilage, a figure eight suture was done through the bony batten graft and ANS twice using 5-0 Prolene (Fig. 1E, Fig. 2C, D). The hemitransfixion incision was closed using 5-0 Vicryl (Ethicon), and two or three through-and- 1773
4 Characteristic TABLE I. Demography of Patients. Value Number of patients 39 Age, yr, mean 6 SD (range) (1870) Gender, M:F 33:6 With turbinoplasty:without 23:16 turbinoplasty Mean follow-up period, mo, (311) mean 6 SD (range) F 5 female; M 5 male; SD 5 standard deviation. through transmucosal sutures (4-0 Vicryl sutures) were used to fix both mucosae tightly to the newly created caudal septum. The operation was completed once straightening of the deviated caudal septum was confirmed. Some patients with compensatory inferior turbinate hypertrophy, including grades II (moderate enlargement with obvious obstruction) and III (complete occlusion of the nasal cavity), underwent some form of volume reduction of the inferior turbinate, such as radiofrequency volume reduction, outfracture, or submucosal resection. Statistical Analysis Wilcoxon signed rank test was used to compare preoperative and postoperative visual analog scale (VAS) scores, and to compare preoperative and postoperative AR components. Mann Whitney U tests were used to compare VAS scores and AR components between the WT group and the WOT group. A value of P <.05 was considered significant. Data analyses were performed using SPSS for Windows, version 17.0 (SPSS, Chicago, IL). RESULTS Demography of Patients A total of 43 patients were enrolled. Three did not undergo preoperative AR or postoperative AR, and one was lost in the follow-up period. Therefore, these four patients were excluded from this study. The characteristics of the remaining 39 patients are demonstrated in Table I. Improvement of VAS in Symptoms Symptoms including nasal obstruction, mouth breathing, dry mouth, hyposmia, rhinorrhea, epistaxis, snoring, sleep apnea, PND, and headache were all significantly improved after surgery (Table II). Comparison of AR Components in the Convex Side The AR components had significantly improved from preoperative assessments to postoperative assessments (MCA1, from cm 2 to cm 2 ; MCA2, from cm 2 to cm 2 ; P <.001). The pre- to postoperative MCA1 was improved for both WT and WOT groups with statistical significance (P and P 5.008, respectively). The mean MCA2 had significantly improved after surgery in the WT group, but no significant improvement was found for the WOT group. In both groups, MCA2 had improved significantly after surgery (P 5.045). Comparison of AR Components on the Concave Side The AR components did not significantly improve from preoperative assessments to postoperative assessments (MCA1, from cm 2 to cm 2 ; MCA2, from cm 2 to cm 2 ; P and P 5.424, respectively). The pre- to postoperative MCA1 did not improve significantly for either the WT or WOT group (P and P 5.374, respectively). The mean for MCA2 was improved after surgery in the WT group, but mainly decreased in the WOT group. In both groups, MCA1 and MCA2 did not improve significantly after surgery (P and P 5.500, respectively). DISCUSSION Batten grafts are used in various anatomical areas to correct deformities in septorhinoplasty. 11,15 However, the exact indications for using batten grafts in septal deviation are difficult to define. Minor curvatures and angulations of the cartilage can be managed with other conventional techniques, including cutting and suture techniques. 16 Other additional techniques such as suture, swinging door, ethmoid bone sandwich grafting, tongue-in-groove, and extracorporeal septoplasty have been used to manage caudal septal deviation In this study, we evaluated outcomes after endonasal septoplasty using a bony batten graft for caudal septal deviation correction. There were no cases of recurrence. We found that all nasal symptoms were improved after surgery. Other studies have also demonstrated improvement of symptoms in VAS after batten graft surgery. 9,10 Compared to previous studies, this study has three different points. First, bilateral mucoperiosteal flap elevation is necessary for the effective application of the batten graft, because a complete exposure of the ANS and adequate release over the premaxilla are necessary. The exposure must be complete for two reasons: 1) to TABLE II. Comparison of Preoperative and Postoperative Symptoms on VAS. Symptom Preoperative Postoperative P* Nasal obstruction <.001 Mouth breathing <.001 Dry mouth <.001 Hyposmia Rhinorrhea <.001 Epistaxis Snoring Sleep apnea PND Headache *Wilcoxon signed ranks test. Statistically significant. PND 5 postnasal drip; VAS 5 visual analog scale. 1774
5 facilitate subsequent surgical maneuvers; and 2) to eliminate the restraining influence of the contracted soft tissue envelope, which can keep the caudal septum in its deviated location. 22 Second, separation of ANS and septal cartilage is necessary, because caudal deviation in a cephalocaudal direction or anteroposterior direction produces an excessive cartilage portion or cartilaginous subluxation to ANS. Third, once the caudal septum is separated from the anterior nasal spine for correction, the septum batten graft complex needs to be securely reattached to prevent recovery of deviation. We settled this problem by making two-point holes in the ANS and maxillary crest. Using only one-point figure eight sutures is not sufficient to sustain the recoiling force of cephalic caudal deviation, but two-point sutures provided sufficient support to prevent the recovery of deviation. In addition, the use of additional inferior turbinate volume reduction or turbinoplasty was found to influence the outcome. In MCA1, both groups showed improvement on the convex side. However, we found different levels of improvement between groups in MCA2. The MCA1 for the postoperative concave side was not statistically different between the groups. However, there was a decreasing trend, because various patterns of compensatory hypertrophy of inferior turbinate on the concave side may have distorted the result of AR. This finding had also been demonstrated in another report, which showed an increase of MCA on the concave side in septoplasty and concomitant turbinoplasty, but without statistical significance. 10 Another study showed VAS improvement with batten grafting compared to other surgical techniques. 9 The authors did not apply the AR, because the nosepiece could distort the caudal septum. 23 The related drawback of cartilaginous batten graft is an increase in caudal thickness. Conversely, the bony batten graft is beneficial for minimizing the caudal thickening. However, we selected the MCA1 and MCA2 as objective parameters but did not select area parameters such as VOL1 (volume of the segment located from the nostril to the anterior portion of the isthmus nasi) and VOL2 (volume of the segment located from the nostril to the anterior portion of the inferior turbinate) due to inaccuracy after the narrow point. 24 There are several other advantages in using caudal bony septal batten grafting. First, because the septal cartilage is preserved, revision surgery can be easily performed using the stored cartilage if problems recur. Second, the intrinsic caudal septal support is maintained. A previous study emphasized that the structural integrity of the caudal septum must not be compromised by incisions or excisions. 22 Accordingly, straightening and strengthening of the caudal septum is achieved with batten grafting. In addition, if necessary, the caudal septum can be lengthened by modification of the batten graft. Third, intraoperative verification of batten grafting is possible, and surgical outcome is more predictable. Although the perpendicular plate was used as the bony batten in the present method, the vomer can be used by trimming thinly with a drill in the case of insufficient perpendicular plate. There are possible disadvantages to bony batten grafting. First, there is a possibility of bone resorption and subsequent recurrence of the deviation. 10 However, in this study, there was no recurrence. According to previous studies, the bone of the perpendicular plate is so membranous that it shows little resorption. 19,25 Also, the cartilaginous batten graft has a possibility of scoring. Second, contralateral nasal airway may be narrowed by the batten graft. In our study, however, there was no case of postoperative nasal obstruction, because bilateral nasal valve symmetry is created through orientation of the concave side of the batten graft. We also demonstrated a slightly decrease in the concave side, without significance. Third, there is a possibility for decreased long-term stability of the caudal septum because of a separation in the junction between ANS and caudal septum. Because of this, we have reinforced the caudal septum with batten graft and ANS with rigid fixation. Long-term follow-up studies are needed to further clarify this issue. Postoperative infection was developed in one case and was well controlled with oral antibiotics. Infection was the result of incision site infection. There are some limitations in the present study. It was difficult to find a control group to compare different surgical techniques. Further studies are needed to compare different methods with patients in the same condition. Other additional limitations were the relatively short follow-up period, all patients being of Asian descent, and the small size of the patient population. CONCLUSION We conclude that endonasal septoplasty with bony batten grafting is a safe, effective technique for correction of caudal septal deviation, improving both subjective and objective outcomes with an acceptable complication rate in most cases. BIBLIOGRAPHY 1. Pastorek NJ, Becker DG. Treating the caudal septal deflection. Arch Facial Plast Surg 2000;2: Adams W. On the treatment of broken-nose by forcible straightening and mechanical retentive apparatus. Br Med J 1875;2: Asch A. Treatment of nasal stenosis due to deflective septum with and without thickening of the convex side. Laryngoscope 1899;6: Krieg R. Resection der Cartilago Quadrangularis Septi Nasem sur Heilung der Scoliosis Septi. Medicinishes Cocrespondenz blatt Wurtenburgishen Artzlicken Verein Stuttgart 1886;56: Freer OT. The correction of deflections of the nasal septum with a minimum of traumatism. JAMA 1902;38: Garcia GJ, Rhee JS, Senior BA, Kimbell JS. Septal deviation and nasal resistance: an investigation using virtual surgery and computational fluid dynamics. Am J Rhinol Allergy 2010;24:e46 e Fry HJ. Interlocked stresses in human nasal septal cartilage. Br J Plast Surg 1966;19: Lee BJ, Chung YS, Jang YJ. Overcorrected septum as a complication of septoplasty. Am J Rhinol 2004;18: Kim JH, Kim DY, Jang YJ. Outcomes after endonasal septoplasty using caudal septal batten grafting. Am J Rhinol Allergy 2011;25:e166 e Wee JH, Lee JE, Cho SW, Jin HR. Septal batten graft to correct cartilaginous deformities in endonasal septoplasty. Arch Otolaryngol Head Neck Surg 2012;138: Dingman RO. Correction of nasal deformities due to defects of the septum. Plast Reconstr Surg (1946) 1956;18: Dupont C, Cloutier GE, Prevost Y. Autogenous vomer bone graft for permanent correction of the cartilaginous septal deviations. Plast Reconstr Surg 1966;38: Haack J, Papel ID. Caudal septal deviation. Otolaryngol Clin North Am 2009;42: Harar RP, Kalan A, Kenyon GS. Improving the reproducibility of acoustic rhinometry in the assessment of nasal function. ORL J Otorhinolaryngol Relat Spec 2002;64:
6 15. Jang YJ, Kim JM, Yeo NK, Yoo JH. Use of nasal septal bone to straighten deviated septal cartilage in correction of deviated nose. Ann Otol Rhinol Laryngol 2009;118: Jang YJ, Yeo NK, Wang JH. Cutting and suture technique of the caudal septal cartilage for the management of caudal septal deviation. Arch Otolaryngol Head Neck Surg 2009;135: Ellis MS. Suture technique for caudal septal deviations. Laryngoscope 1980;90: Kridel RW, Scott BA, Foda HM. The tongue-in-groove technique in septorhinoplasty. A 10-year experience. Arch Facial Plast Surg 1999;1: ; discussion Metzinger SE, Boyce RG, Rigby PL, Joseph JJ, Anderson JR. Ethmoid bone sandwich grafting for caudal septal defects. Arch Otolaryngol Head Neck Surg 1994;120: Andre RF, Vuyk HD. Reconstruction of dorsal and/or caudal nasal septum deformities with septal battens or by septal replacement: an overview and comparison of techniques. Laryngoscope 2006;116: Gubisch W. The extracorporeal septum plasty: a technique to correct difficult nasal deformities. Plast Reconstr Surg 1995;95: Daniel RK. Rhinoplasty: An Atlas of Surgical Techniques. New York, NY: Springer; Miman MC, Deliktas H, Ozturan O, Toplu Y, Akarcay M. Internal nasal valve: revisited with objective facts. Otolaryngol Head Neck Surg 2006; 134: Fisher EW. Acoustic rhinometry. Clin Otolaryngol Allied Sci 1997;22: Peer LA. Fate of autogenous human bone grafts. Br J Plast Surg 1951;3:
Surgical Treatment of Nasal Obstruction
Surgical Treatment of Nasal Obstruction P. Daniel Knott, MD FACS Director, Division of Facial Plastic and Reconstructive Surgery Department of Otolaryngology/Head and Neck Surgery UCSF Medical Center Nothing
More informationReconstruction of Dorsal and/or Caudal Nasal Septum Deformities With Septal Battens or by Septal Replacement: An Overview and Comparison of Techniques
The Laryngoscope Lippincott Williams & Wilkins, Inc. 2006 The American Laryngological, Rhinological and Otological Society, Inc. Reconstruction of Dorsal and/or Caudal Nasal Septum Deformities With Septal
More informationThe Use of Spreader Grafts and Columellar Strut as Septal Extention Graft in Dorsal Nasal Deviation
Med. J. Cairo Univ., Vol. 83, No. 1, September: 585-589, 2015 www.medicaljournalofcairouniversity.net The Use of Spreader Grafts and Columellar Strut as Septal Extention Graft in Dorsal Nasal Deviation
More informationThe correction of nasal septal deviations in rhinoplasty
Page 1 of 9 Aesthetic Surgery & Medicine The correction of nasal septal s in rhinoplasty P Persichetti 1 *, V Toto 1, M Signoretti 1, R Del Buono 1, B Brunetti 1, F Segreto 1, D Lazzeri 2, GF Marangi 1
More information19, 2006 RESIDENT PHYSICIAN:
TITLE: Rhinoplasty SOURCE: Grand Rounds Presentation, UTMB, Dept. of Otolaryngology DATE: April 19, 2006 RESIDENT PHYSICIAN: Alan L. Cowan, M.D. FACULTY ADVISOR: David C. Teller, M.D. SERIES EDITORS: Francis
More informationSurgical Management of Nasal Airway Obstruction
Surgical Management of Nasal Airway Obstruction John F. Teichgraeber, MD a, Ronald P. Gruber, MD b, Neil Tanna, MD, MBA c, * KEYWORDS Nasal obstruction Nasal breathing Septal deviation Nasal valve narrowing
More informationEvaluation With Acoustic Rhinometry of Patients Undergoing Sinonasal Surgery
ORIGINAL ARTICLE Evaluation With Acoustic Rhinometry of Patients Undergoing Sinonasal Surgery R L A Raja Ahmad, MS (ORL)*, B S Gendeh, MS (ORL)** Department of Otolaryngology-Head & Neck Surgery, Kulliyyah
More informationNasal Soft-Tissue Triangle Deformities
339 Hossam M.T. Foda, MD 1 1 Division of Facial Plastic Surgery, Otolaryngology Department, Alexandria Medical School, Alexandria, Egypt Facial Plast Surg 2016;32:339 344. Address for correspondence Hossam
More informationOPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY
OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY THE NASAL SEPTUM IN RHINOPLASTY: BASIC SEPTOPLASTY TECHNIQUES FWA Otten Introduction Septal corrections form an important step in rhinoplastic
More informationFibular Bone Graft for Nasal Septal Reconstruction: A Case Report
220 Nasal septal reconstruction Case Report Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report Yakup Cil1* Diyarbakır Military Hospital, Department of Plastic Surgery 21000 Diyarbakır, Turkey
More informationSpreader Graft in Closed Rhinoplasty: The Rail Spreader
Original Article 515 Spreader Graft in Closed Rhinoplasty: The Rail Spreader Alberto Scattolin, MD 1 Niana Orlando, MD 1 Luca D Ascanio, MD 2 1 Department of Otolaryngology, Villa Donatello Clinic, Piazzale
More informationPatient profile, indications, complications and Evaluation of Septoplasty outcome in a Base Hospital in Sri Lanka
Patient profile, indications, complications and Evaluation of Septoplasty outcome in a Base Hospital in Sri Lanka Rubasinghe M.S., De Silva M.D.K., Wanasinghe W.M.S.C.L., De Livera R.J.K., Wimalaratna
More informationThe Crooked Nose and its Functional Surgical Correction
The Crooked Nose and its Functional Surgical Correction Armando González Romero Introduction The nose is a highly specialized organ of the respiratory system and is essential for homeostasis. The pathological
More informationRhinoplasty and the Nasal Valve January 2008
TITLE: Rhinoplasty and the Nasal Valve SOURCE: Grand Rounds Presentation, The University of Texas Medical Branch, Dept. of Otolaryngology DATE: January 16, 2008 RESIDENT PHYSICIAN: Jeffrey Buyten, MD FACULTY
More informationORIGINAL ARTICLE. Surgery for the Dysfunctional Nasal Valve
Surgery for the Dysfunctional Nasal Valve Cadaveric Analysis and Clinical Outcomes Rodney J. Schlosser, MD; Stephen S. Park, MD ORIGINAL ARTICLE Objectives: To quantify changes in the cross-sectional area
More informationColumella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair
Original Article Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair Yoon Seok Lee 1, Dong Hyeok Shin 1, Hyun Gon Choi 1, Jee Nam Kim 1, Myung Chul
More informationAchieving a consistent functional and aesthetic
Special Topic Simplifying the Management of Caudal Septal Deviation in Rhinoplasty Fadi C. Constantine, M.D. Jamil Ahmad, M.D. Palmyra Geissler, M.D. Rod J. Rohrich, M.D. Dallas, Texas; and Mississauga,
More informationNasal obstruction is one of the most common complaints of patients
Augmenting the nasal airway: Beyond septoplasty Patrick Simon, M.D., and Douglas Sidle, M.D., F.A.C.S. ABSTRACT Background: Nasal airway obstruction is a common complaint of patients presenting to otolaryngology
More informationNasal Valve Obstruction
Nasal Valve Obstruction J RANDALL JORDAN, MD, FACS Facial Plastic Surgery Department of Otolaryngology and Communicative Disorders University of Mississippi Medical School Disclosures Financial- none Off-label-none
More informationSeptoplasty and Turbinoplasty Indications - Technique - Follow up - Pitfalls
Septoplasty and Turbinoplasty Indications - Technique - Follow up - Pitfalls H.R. Briner ORL-Zentrum Klinik Hirslanden Zürich Septoplasty and Turbinoplasty Septoplasty Indications Technique Follow up Complications,
More informationKhawaja Tahir Mahmood et al /J. Pharm. Sci. & Res. Vol.3(1), 2011,
Management of Deviated Nasal Septum Khawaja Tahir Mahmood, Tooba Fareed, Rabia Tabbasum Department of Pharmacy, Lahore College for Women, University, Lahore, Pakistan Drug Testing Laboratory, Lahore, Pakistan
More informationAuthor's Personal copy
DOI 10.1007/s00405-012-2304-0 RHINOLOGY Nasal soft tissue obstruction improvement after septoplasty without turbinectomy Yasser Haroon Hala Aly Saleh Ahmed H. Abou-Issa Received: 29 June 2012 / Accepted:
More informationSpecially Processed Heterogenous Bone and Cartilage Transplants in Nasal Surgery
Specially Processed Heterogenous Bone and Cartilage Transplants in Nasal Surgery By GRAEME M. CLARK (Melbourne) IN nasal surgery, cartilage or bone transplants are required for support or correction of
More informationNasal septal perforation repair using intranasal rotation and advancement flaps
Nasal septal perforation repair using intranasal rotation and advancement flaps Joo Hyun Park, M.D., Dae woo Kim, M.D., Ph.D., and Hong Ryul Jin, M.D., Ph.D. ABSTRACT Background: We aimed to present our
More informationEssentials of Septorhinoplasty
Essentials of Septorhinoplasty von Hans Behrbohm, Eugene Tardy 1. Auflage Essentials of Septorhinoplasty Behrbohm / Tardy schnell und portofrei erhältlich bei beck-shop.de DIE FACHBUCHHANDLUNG Thematische
More informationSnoring and Obstructive Sleep Apnea: Patient s Guide to Minimally Invasive Treatments Chapter 6
Snoring and Obstructive Sleep Apnea: Patient s Guide to Minimally Invasive Treatments Chapter 6 MINIMALLY INVASIVE TREATMENTS OF SNORING AND SLEEP APNEA OVERVIEW The past decade has seen the rise of effective,
More informationFrequency of Nasal Septal Perforation at the Suture Fixation Site of a Silastic Sheet Inserted during Nasal Surgery
Soonchunhyang Medical Science 17(2):53-57, December 2011 pissn: 2233-4289 I eissn: 2233-4297 ORIGINAL ARTICLE Frequency of Nasal Septal Perforation at the Suture Fixation Site of a Silastic Sheet Inserted
More informationA new classification system of nasal contractures
Original Article J Cosmet Med 2017;1(2):106-111 https://doi.org/10.25056/jcm.2017.1.2.106 pissn 2508-8831, eissn 2586-0585 A new classification system of nasal contractures Geunuck Chang 1, Donghak Jung
More informationAnalyzing and controlling nasal tip projection COSMETIC. A Multivariate Analysis of Nasal Tip Deprojection
COSMETIC A Multivariate Analysis of Nasal Tip Deprojection Jacob G. Unger, M.D. Michael R. Lee, M.D. Robert K. Kwon, M.D. Rod J. Rohrich, M.D. Dallas, Texas Background: Projection of the nasal tip is a
More informationFrontal sinus disease continues to be one of the great
Unilateral transnasal endoscopic approach to frontal sinuses: Draf IIc Mohammed K. Al Komser, M.D., M.A.S. and Andrew N. Goldberg, M.D., M.S.C.E. ABSTRACT For chronic sinusitis surgery, the Draf III approach
More informationORIGINAL ARTICLE. Dong Hyun Kim, MD; Hun Yi Park, MD; Ho Sung Kim, MD; Sung Ook Kang, MD; Jung Sub Park, MD; Nam Soo Han, MD; Hyun Jun Kim, MD
ORIGINAL ARTICLE Effect of Septoplasty on Inferior Turbinate Hypertrophy Dong Hyun Kim, MD; Hun Yi ark, MD; Ho Sung Kim, MD; Sung Ook Kang, MD; Jung Sub ark, MD; Nam Soo Han, MD; Hyun Jun Kim, MD Objective:
More informationThe Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty
IJMS Vol 36, No 3, September 2011 Original Article The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty Behrooz Gandomi 1, Mohammad Hossein Arzaghi
More informationComponent Rhinoplasty
18 Original Article Component Rhinoplasty Muhammad Humayun Mohmand*, Muhammad Ahmad Cosmetic Plastic Surgeon, La Chirurgie, Islamabad Cosmetic Surgery Centre, Islamabad, Pakistan ABSTRACT BACKGROUND According
More informationMedStar Health considers Septoplasty-Rhinoplasty medically necessary for the following indications:
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL MP.038.MH Septoplasty-Rhinoplasty This policy applies to the following lines of business: MedStar Employee (Select) MedStar MA DSNP CSNP MedStar CareFirst
More informationOpen And Close Reduction In Treatment Of Fracture Nasal Bones.
Open And Close Reduction In Treatment Of Fracture Nasal Bones. Salem Hussian Ibraheem Al-Obiedi Department of Surgery, College of Medicine, University of Tikrit Abstract: To evaluate the functional (respiration)
More informationCombining Rhinoplasty with Septal Perforation Repair
Combining Rhinoplasty with Septal Perforation Repair Hossam M.T. Foda, M.D. 1 and Emad A. Magdy, M.D. 1 ABSTRACT A combined septal perforation repair and rhinoplasty was performed in 80 patients presenting
More informationScientific Forum. Nostrilplasty: Raising, Lowering, Widening, and Symmetry Correction of the Alar Rim
Nostrilplasty: Raising, Lowering, Widening, and Symmetry Correction of the lar Rim Richard Ellenbogen, MD; and Greg azell, MD ackground: lthough the alar rim has frequently been neglected in correction
More informationAssessment of Nasal Function After Tip Surgery With a Cephalic Hinged Flap of the Lateral Crura: A Randomized Clinical Trial
529647AESXXX10.1177/1090820X14529647Aesthetic Surgery JournalAmali et al research-article2014 INTERNATIONAL CONTRIBUTION Rhinoplasty Assessment of Nasal Function After Tip Surgery With a Cephalic Hinged
More informationPresenter: dr. Labeb Sailan Obad F1
Presenter: dr. Labeb Sailan Obad F1 the correlation between currently existing objective tests for nasal airway patency and the patient s symptoms remains controversial Different measurement tools for
More informationEuropean Annals of Otorhinolaryngology, Head and Neck diseases 133 (2016) 43 46
C. Champagne, S. Ballivet de Régloix, L. Genestier, A. Crambert, O. Maurin, Y. Pon European Annals of Otorhinolaryngology, Head and Neck diseases 133 (2016) 43 46 Dr. Labeb Sailan F1 27.2.2017 The first
More informationStudy of success rates in endoscopic dacryocystorhinostomy with and without stenting. dacryocystorhinostomy with and
Original Research Article Study of success rates in endoscopic dacryocystorhinostomy with and without stenting Kirti Ambani 1, Niraj Suri 2, Hiren Parmar 3* 1 Assistant Professor, ENT Department, GMERS
More informationDubai Standards of Care (Septoplasty)
Dubai Standards of Care 2017 (Septoplasty) Preface Ear, nose and throat disorders are the most common problem dealt with in daily practice. In Dubai, the management of ear, nose and throat disorders were
More informationAbsorbable Nasal Implant for Treatment of Nasal Valve Collapse
NOTE: This policy is not effective until March 1, 2019. Medical Policy Manual Surgery, Policy No. 209 Absorbable Nasal Implant for Treatment of Nasal Valve Collapse Next Review: November 2019 Last Review:
More informationRECONSTRUCTION OF SUBTOTAL DEFECTS OF THE NOSE BY ABDOMINAL TUBE FLAP. By MICHAL KRAUSS. Plastic Surgery Hospital, Polanica-Zdroj, Poland
RECONSTRUCTION OF SUBTOTAL DEFECTS OF THE NOSE BY ABDOMINAL TUBE FLAP By MICHAL KRAUSS Plastic Surgery Hospital, Polanica-Zdroj, Poland RECONSTRUCTION of the nose is one of the composite procedures in
More informationEndoscopic septoplasty
Endoscopic septoplasty Claudiu Manea, MD, PhD University of Medicine and Pharmacy Carol Davila, Bucharest, Romania Septal deviation is a common clinical finding in patients reporting nasal obstruction.
More informationExtracorporeal Septoplasty: Assessing Functional Outcomes Using the Validated Nasal Obstruction Symptom Evaluation Score over a 3-Year Period
RECONSTRUCTIVE Extracorporeal Septoplasty: Assessing Functional Outcomes Using the Validated Nasal Obstruction Symptom Evaluation Score over a 3-Year Period Steven Ross Mobley, M.D. Jennifer Long, M.D.
More informationEffect of Depressor Septi Resection in Rhinoplasty on Upper Lip Length
Research Original Investigation Effect of Depressor Septi Resection in Rhinoplasty on Upper Lip Length Yan Ho, MD; Robert Deeb, MD; Richard Westreich, MD; William Lawson, MD, DDS IMPORTANCE Resection of
More informationUCL Repair: Emphasis on Muscle Dissection and Reconstruction
UCL Repair: Emphasis on Muscle Dissection and Reconstruction Unilateral cleft lip repair is performed using rotation-advancement technique. Markings are made on columella base, redlines, Cupid s bow on
More informationUse of tent-pole graft for setting columella-lip angle in rhinoplasty
Agrawal et al. Plast Aesthet Res 2018;5:13 DOI: 10.20517/2347-9264.2018.17 Plastic and Aesthetic Research Letter to Editor Open Access Use of tent-pole graft for setting columella-lip angle in rhinoplasty
More informationThe upper buccal sulcus approach, an alternative for post-trauma rhinoplasty
British Journal of Plastic Surgery (2003), 56, 218 223 q 2003 The British Association of Plastic Surgeons. Published by Elsevier Science Ltd. All rights reserved. doi:10.1016/s0007-1226(03)00117-6 The
More informationCorporate Medical Policy Septoplasty
Corporate Medical Policy Septoplasty File Name: Origination: Last CAP Review: Next CAP Review: Last Review: septoplasty 4/1999 8/2018 8/2019 8/2018 Description of Procedure or Service There are many potential
More informationComparative Study of Septoplasty VS SMR
ORIGINAL ARTICLE www.ijcmr.com Comparative Study of K. Padma, M. Prabhakar 2 ABSTRACT Introduction: Nasal obstruction - the most common problem faced by people having deviated nasal septum. So study was
More informationA New Method That Uses Cyanoacrylate Tissue Adhesive to Fill Scoring Incisions in Septal Cartilage Correction
The Laryngoscope VC 2011 The American Laryngological, Rhinological and Otological Society, Inc. A New Method That Uses Cyanoacrylate Tissue Adhesive to Fill Scoring Incisions in Septal Cartilage Correction
More informationCanine Fossa Puncture for Severe Maxillary Disease in Unilateral Chronic Sinusitis With Nasal Polyp
The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Canine Fossa Puncture for Severe Maxillary Disease in Unilateral Chronic Sinusitis With Nasal Polyp Jang
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,800 116,000 120M Open access books available International authors and editors Downloads Our
More informationTriple Plane Dissection in Open Primary Rhinoplasty in Middle Eastern Noses
Triple Plane Dissection in Open Primary Rhinoplasty in Middle Eastern Noses Ahmed Elshahat, MD Plastic Surgery Department, Faculty of Medicine, Ain Shams University; and Eldemerdash Hospital, Cairo, Egypt
More informationRepair of Traumatic Nasal Septal Perforation Using Temporalis Fascia and Interpositional Auricular Cartilage Graft
Med. J. Cairo Univ., Vol. 83, No. 1, March: 181-185, 2015 www.medicaljournalofcairouniversity.net Repair of Traumatic Nasal Septal Perforation Using Temporalis Fascia and Interpositional Auricular Cartilage
More informationThe overprojected ( Pinocchio ) tip and the ptotic
Featured Operative Technique Management of the Overprojected Nose and Ptotic Nasal Tip William E. Silver, MD, FCS; and Giancarlo F. Zuliani, MD The overprojected ( Pinocchio ) tip and the ptotic tip are
More informationSubjective Assessment of Outcomes of Septoplasty
aijoc Punnoose Philip et al Original Article 10.5005/jp-journals-10003-1261 1 Punnoose Philip, 2 Deepika Pratap, 3 Aroor Rajeshwary, 4 Vadisha Bhat ABSTRACT Septal deviation is the leading cause of chronic
More informationSUBMUCOUS RESECTION VERSUS SEPTOPLASTY: COMPLICATIONS AND FUNCTIONAL OUTCOME IN ADULT PATIENTS
ORIGINAL ARTICLE SUBMUCOUS RESECTION VERSUS SEPTOPLASTY: COMPLICATIONS AND FUNCTIONAL OUTCOME IN ADULT PATIENTS Kamran Iqbal, Muhammad Ismail Khan, Amir Amanullah Department of ENT and Anatomy, Gomal Medical
More informationPost-surgical Outcomes of Patients Undertaken Septoplasty with Regard to Initial Clinical Complains
Research in Otolaryngology 2017, 6(6): 73-80 DOI: 10.5923/j.otolaryn.20170606.01 Post-surgical Outcomes of Patients Undertaken Abdullah Alotaibi 1, Bassam Ahmed Almutlaq 2,* 1 University of Hail, College
More informationAugmentation Rhinoplasty with Rib Cartilage Graft
Elaine Marie A. Lagura, MD Eduardo C. Yap, MD Anna Victoria G. Garcia, MD Augmentation Rhinoplasty with Rib Cartilage Graft Department of Otolaryngology Head and Neck Surgery Ospital ng Makati ABSTRACT
More informationCorrection of the Retracted Alar Base
218 William D. Losquadro, M.D. 1 Anthony Bared, M.D. 2 Dean M. Toriumi, M.D. 2 1 Mount Kisco Medical Group, Katonah, New York 2 Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology
More informationModified Endonasal Tongue-in-Groove Technique
Rapid Communication 569 Sameep Kadakia, MD 1 Alexander Ovchinsky, MD 1 1 Department of Otolaryngology - Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, New York, New York Facial Plast
More informationClinical Outcome of Endoscopic Surgery for Frontal Sinusitis
Clinical Outcome of Endoscopic Surgery for Frontal Sinusitis Ralph Metson, MD; Richard E. Gliklich, MD ORIGINAL ARTICLE Objective: To determine the efficacy of endoscopic surgery for chronic frontal sinusitis.
More informationORIGINAL ARTICLE. Clinical and Histological Results of Septoplasty With a Resorbable Implant
Clinical and Histological Results of Septoplasty With a Resorbable Implant Miriam Boenisch, MD; Antal Mink, MD, PhD ORIGINAL ARTICLE Background: The use of a resorbable implant connected with septal cartilage
More informationJae Hee Kim, Dong Ju Jung, Hyo Seong Kim, Chang Hyun Kim, Tae Yeon Kim
Analysis of the Development of the Nasal Septum and Measurement of the Harvestable Septal Cartilage in Koreans Using Three-Dimensional Facial Bone Computed Tomography Scanning Jae Hee Kim, Dong Ju Jung,
More informationThere are numerous suture techniques described for nasal. Septocolumellar Suture in Closed Rhinoplasty ORIGINAL ARTICLE
ORIGINAL ARTICLE Erdem Tezel, MD, and Ayhan Numanoğlu, MD Abstract: Several surgeons advise a variety of tip sutures and describe their own techniques in open approach. Septocolumellar suture is one of
More informationThe Onlay Folded Flap (OFF): A New Technique for Nasal Tip Surgery
DOI 10.1007/s00266-010-9562-2 ORIGINAL ARTICLE The Onlay Folded Flap (OFF): A New Technique for Nasal Tip Surgery Hani Abou Mayaleh Received: 11 April 2010 / Accepted: 15 July 2010 Ó Springer Science+Business
More informationRadiofrequency Thermotherapy vs Bone-Anchored Suspension for Treatment of Lateral Nasal Wall Insufficiency A Randomized Clinical Trial
Research Original Investigation Radiofrequency Thermotherapy vs Bone-Anchored Suspension for Treatment of Lateral Nasal Wall Insufficiency A Randomized Clinical Trial Joshua D. Weissman, MD; Sam P. Most,
More informationPlastic Surgeon, Middlesbrough General Hospital, Stockton Children's Hospital, Newcastle Regional Hospital Board
THE NASAL TIP IN BILATERAL HARE LIP By J. POTTER, F.R.C.S.Ed. Plastic Surgeon, Middlesbrough General Hospital, Stockton Children's Hospital, Newcastle Regional Hospital Board IN the problem of the bilateral
More informationNASAL OBSTRUCTION. Andy Whyte PERTH RADIOLOGICAL CLINIC UNIVERSITY OF MELBOURNE UNIVERSITY OF WA
NASAL OBSTRUCTION Andy Whyte PERTH RADIOLOGICAL CLINIC UNIVERSITY OF MELBOURNE UNIVERSITY OF WA INTRODUCTION sinonasal imaging focuses on structural abnormalities of the POSTERIOR (BONY 3/4 ) of the nose
More informationSurgical Treatment of Short Nose
Surgical Treatment of Short Nose Dr. Otto YT Au MD (JEFFERSON, USA) 1957, MCPS (MANITOBA) 1963, FHKAM (SURGERY) 1995 Diplomate American Board Plastic Surgery Plastic Surgery Specialist Dr.OttoYTAu A nice
More informationConventional Versus Endoscopic Inferior Turbinate Reduction: Technique and Results
ORIGINAL ARTICLE Conventional Versus Endoscopic Inferior Turbinate Reduction: Technique and Results B S Gendeh, MS(ORL-HNS), Department of Otorhinolaryngology, Faculty of Medicine, Hospital Universiti
More informationORIGINAL ARTICLE. Quantitative Study of Nasal Tip Support and the Effect of Reconstructive Rhinoplasty. accomplish both an excellent
ORIGINAL ARTICLE Quantitative Study of and the Effect of Reconstructive Rhinoplasty Holger G. Gassner, MD; William J. Remington, MD; David A. Sherris, MD Objectives: To develop a method to quantify nasal
More informationTurbinectomy Turbinate Reduction Surgery
Turbinectomy Turbinate Reduction Surgery Instructions (Septoplasty, Nasal Airway Surgery, Surgical Instructions) Turbinectomy is the surgical reduction or removal of an enlarged turbinate (nasal tissue)
More informationAcoustic rhinometry and rhinomanometry as objective tools for the assessment of nasal patency in nasal septal surgery
Romanian Journal of Rhinology, Vol. 7, No. 25, January-March 2017 Original study Acoustic rhinometry and rhinomanometry as objective tools for the assessment of nasal patency in nasal septal surgery Frodita
More informationThere is no uniform grading system for nasal dorsal deformities currently in general use
ORIGINAL ARTICLE A Grading System for Nasal Dorsal Deformities Matthew A. Kienstra, MD; Holger G. Gassner, MD; David A. Sherris, MD; Eugene B. Kern, MD There is no uniform grading system for nasal dorsal
More informationSecondary rhinoplasty
Free full text on www.ijps.org Secondary rhinoplasty Gaith Shubailat American Board of Plastic Surgery Address for correspondence: Gaith Shubailat, P. O. Box 5180, Amman, Jordan 11183. E-mail: gaith@shubailat.com
More informationKnow Your Nose: Coding the Nose and Sinuses
Know Your Nose: Coding the Nose and Sinuses Presented by: Melissa Hainz, CPC Date: September 20, 2017 AOA-35 Know Your Nose: Coding the Nose and Sinuses Coding Basics Coding Conundrums Rhinoplasty/Sinus
More informationNasal Evaluation & Non-surgical Nasal Therapy in SDB
Nasal Evaluation & Non-surgical Nasal Therapy in SDB Edward M. Weaver, MD, MPH Seattle VA Medical Center University of Washington Harborview Medical Center Acknowledgments This material is the result of
More informationAllen L. Van Beek, M.D., Agnieszka S. Hatfield, M.D., and Ellie Schnepf, B.S.N.
CME Cleft Rhinoplasty Allen L. Van Beek, M.D., Agnieszka S. Hatfield, M.D., and Ellie Schnepf, B.S.N. Edina and Minneapolis, Minn. Learning Objectives: After studying this article, the participant should
More informationThe Usefulness of the Endonasal Incisional Approach for the Treatment of Nasal Bone Fracture
The Usefulness of the Endonasal Incisional pproach for the Treatment of Nasal one Fracture Hyo Seong Kim, Hyeun Woo Suh, Ki Young Ha, oo Yeong Kim, Tae Yeon Kim Department of Plastic and Reconstructive
More informationDepartment of Surgery, Prapokkla Hospital, Chantaburi 22000, Thailand. ABSTRACT
OriginalArticle Silastic Nasal Septal Splint: A Key Success in the Treatment of Acute Nasal Bone Fractures Kriangsak Sirirak, M.D. Department of Surgery, Prapokkla Hospital, Chantaburi 22000, Thailand.
More informationFundamental to the evolution of rhinoplasty COSMETIC. Classifying Deformities of the Columella Base in Rhinoplasty.
COSMETIC Classifying Deformities of the Columella Base in Rhinoplasty Michael R. Lee, M.D. Georges Tabbal, M.D. T. Jonathan Kurkjian, M.D. Jason Roostaeian, M.D. Rod J. Rohrich, M.D. Dallas, Texas Background:
More informationThe goal of septorhinoplasty is the reconstruction of the
Otolaryngology Head and Neck Surgery (2007) 137, 862-867 ORIGINAL RESEARCH FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY The use of autogenous costal cartilage graft in septorhinoplasty Ali Moshaver, MSc,
More informationTime for Recovery of Symptoms after Septoplasty
American Journal of Medicine and Medical Sciences 2017, 7(10): 350-355 DOI: 10.5923/j.ajmms.20170710.02 Time for Recovery of Symptoms after Septoplasty Abdullah Alotaibi 1, Bassam Ahmed Almutlaq 2, Hussain
More informationCorrection of deviated nose
rchives of Craniofacial Surgery rch Craniofac Surg Vol.19 No.2, 85-93 https://doi.org/10.7181/acfs.2018.01914 Correction of deviated nose Man Koon Suh 1, Euicheol Jeong 2 1 JW Plastic Surgery Center, Seoul;
More informationExtranodal Natural Killer/T-Cell Lymphoma Nasal Type: Detection by Computed Tomography Features
The Laryngoscope VC 2014 The American Laryngological, Rhinological and Otological Society, Inc. Extranodal Natural Killer/T-Cell Lymphoma Nasal Type: Detection by Computed Tomography Features Yin-Ping
More informationRHINOPLASTY.
A PERSONAL GUIDE TO RHINOPLASTY www.rhinochicago.com ABOUT DR. JAY DUTTON He acted as Chief of the Sections of Facial Plastic Surgery & Reconstructive Surgery and Rhinology at Rush University Medical Center
More informationSurgical correction of septal deviation after Le Fort I osteotomy
Shin et al. Maxillofacial Plastic and Reconstructive Surgery (2016) 38:21 DOI 10.1186/s40902-016-0067-z Maxillofacial Plastic and Reconstructive Surgery CASE REPORT Open Access Surgical correction of septal
More informationComparison of the Effects of Spreader Graft and Overlapping Lateral Crural Technique on Rhinoplasty by Rhinomanometry
Original Article 99 Comparison of the Effects of Spreader Graft and Overlapping Lateral Crural Technique on Rhinoplasty by Rhinomanometry Mahmoud Omranifard, Hosein Abdali, Mehdi Rasti Ardakani, Amiryousef
More informationCompared with other ethnicities, Asians have
Original Article Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting Jin Suk Byun, MD, PhD* Kenneth K. Kim, MD, FACS, Background: Asians with short nose
More informationNasal Anatomy and Analysis
INVITED REVIEW ARTICLE Guy Kenyon ABSTRACT This article describes the anatomy of the nose and the principles of analysis of the nose and face that will aid a successful rhinoplasty. The analysis is based
More informationIntermediate Osteotomy and other Unique Techniques used in Reduction Rhinoplasty
Niveditha J Sagar, Chidananda R Devasamudra Original article 10.5005/jp-journals-10013-1254 Intermediate Osteotomy and other Unique Techniques used in Reduction Rhinoplasty 1 Niveditha J Sagar, 2 Chidananda
More informationSeptoplasty techniques- conventional versus endoscopic: our experience
International Journal of Otorhinolaryngology and Head and Neck Surgery Rajguru R et al. Int J Otorhinolaryngol Head Neck Surg. 2017 Oct;3(4):990-996 http://www.ijorl.com pissn 2454-5929 eissn 2454-5937
More informationClinical Policy Title: Pediatric rhinoplasty
Clinical Policy Title: Pediatric rhinoplasty Clinical Policy Number: 11.03.06 Effective Date: October 1, 2017 Initial Review Date: August 17, 2017 Most Recent Review Date: September 21, 2017 Next Review
More informationA comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases
International Journal of Otorhinolaryngology and Head and Neck Surgery Chandra S et al. Int J Otorhinolaryngol Head Neck Surg. 2017 Oct;3(4):1046-1051 http://www.ijorl.com pissn 2454-5929 eissn 2454-5937
More informationORIGINAL ARTICLE. The Effect on Snoring of Structural Nasal Valve Dilatation With a Butterfly Graft
ORIGINAL ARTICLE The Effect on Snoring of Structural Nasal Valve Dilatation With a Butterfly Graft Timur Akcam, MD; Oren Friedman, MD; Ted A. Cook, MD Objective: To evaluate the effect on snoring of structural
More informationORIGINAL RESEARCH ARTICLE
Erickson et al. Journal of Otolaryngology - Head and Neck Surgery (2016) 45:2 DOI 10.1186/s40463-016-0115-9 ORIGINAL RESEARCH ARTICLE Open Access Acoustic rhinometry and video endoscopic scoring to evaluate
More information