Aesthetic Motivation of Geriatric Rhinoplasty The Surgical Outcome

Hong, Hye Ran; Kim, Sung Hee; Kim, Ji Heui; Jang, Yong Ju

doi:10.1097/scs.0000000000001927

Cited by 10 publications

(5 citation statements)

References 10 publications

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“…The main motivation for passing the rhinoseptoplasty procedure has always been a great variety of macroscopic anatomical disorders, such as septum deviation or a deviated nose, postinfectious nose deformations, a saddle or a flat nose etc. [ 31 ]. These and other macroscopic nose deviations’ reparation in patients, that have no clinical picture of any rhinitis or other otorhinolaryngological conditions, gives us the possibility to obtain human healthy nasal mucosa material.…”

Section: Discussionmentioning

confidence: 99%

Cytokines, Proliferation Markers, Antimicrobial Factors and Neuropeptide-Containing Innervation in Human Nasal Mucosa after Rhinoseptoplasty Procedure

2021

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The nasal cavity lined by nasal mucosa, is a significant part of respiratory system of human. However, there are no studies aimed to detect a molecular phenotype of healthy and normal functioning nasal mucosa, obtained after rhinoseptoplasty procedure, to understand its physiology and growth and inflammation processes. Thus, our aim is to identify human healthy nasal mucosa cytokines, neuropeptide-containing innervation and cell proliferation markers to form a control group for further tissue investigation of human nasal polyposis as the next step of our research. The study included surgery materials from 17 healthy humans. Biotin-streptavidin immunohistochemistry was performed for detection of tissue PGP9.5, Ki-67, β-Defensin 2, IL-1, IL-4, IL-6, IL-7, IL-8, IL-10, IL-12. Results were evaluated semi-quantitatively and by Friedman ANOVA and Spearman rang correlation tests. All factors were more widely expressed by superficial epithelium than by glandular one. Abundance of ILs-8, -10 and -12 positive cells was detected in comparison with moderate to numerous distributions of IL-1, IL-6 and β-Defensin 2. Moderate number of PGP 9.5-containing nerve fibers and only few to moderate Ki-67 positive cells were found in healthy nasal mucosa. We revealed statistically significant difference between Ki-67 and ILs-4, -6, -7, -8, -10, -12 both in healthy nasal mucosa superficial and glandular epithelium. From nasal epithelia, commonly the surface one displays more cytokines and β-Defensin 2 in comparison to the glandular one. Numerous to abundant expression of ILs-4, -6, -7, -8, -10, -12 and β-Defensin 2 in nasal superficial and glandular epithelia proves probably these factors’ role into the common immune response of tissue and stimulation of immune cell differentiation.

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Section: Discussionmentioning

confidence: 99%

Cytokines, Proliferation Markers, Antimicrobial Factors and Neuropeptide-Containing Innervation in Human Nasal Mucosa after Rhinoseptoplasty Procedure

2021

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“…Elderly patients may have different goals when seeking rhinoplasty compared to younger patients. Their motivation for surgery may stem from long held desires which they have decided to act upon later in life when the opportunity presented itself [14]. This can affect the patient's perception of any outcome of surgery, as they may also have feelings of guilt regarding changing their appearance later in life [15,16].…”

Section: Psychologymentioning

confidence: 99%

The Ageing Nose: Challenges and Solutions

Navaratnam

Stoenchev

Acharya

et al. 2022

Curr Otorhinolaryngol Rep

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Purpose of Review Rhinoplasty has traditionally been considered an elective procedure for younger patients. However, increasingly older patients are undergoing nasal surgery for both functional and aesthetic indications. We provide an overview of the common problems with rhinoplasty in the elderly and the surgical techniques that can be reliably utilised to address them to produce predictable and longstanding results. Recent Findings Outcomes from studies of older rhinoplasty patients emphasise the need for a tailored approach that preserves natural structures. However, if reinforced structural support is required, especially in functional cases, grafting techniques such as septal extension grafts, spreader grafts and alar strut grafts are required. Furthermore, special consideration must be made for the nasal skin in older patients, and utilisation of dorsal onlay grafts is often necessary. Summary Surgery for the ageing nose is a complex challenge for the rhinoplasty surgeon. Preoperative assessment is critical and must include detailed facial analysis that considers the amplification of facial asymmetry due to the ageing process and an appreciation that expectations in this population may differ from younger patients. A comprehensive understanding of the age-related anatomical changes in the nasal structure and the wide repertoire of operative techniques are required to restore form and function.

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“…Based on patient surveys conducted from 2005 to 2014 [ 1 ], rhinoplasty represents approximately 10% of all cosmetic procedures performed annually on patients aged 55 and older. Furthermore, previous studies have indicated that older adults express satisfaction following rhinoplasty, not only due to improvements in structural functionality [ 2 , 3 ], but also in terms of both aesthetic and psychological aspects [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Differences in Nasal Shapes and the Degree of Changes Over a Decade or More: A Paired Analysis

Kim,

Park,

Park

et al. 2024

Clin Exp Otorhinolaryngol

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Objectives. This study investigated age-related differences in nasal morphometry and the degree of changes within an individual over at least a 10-year period by pairing previous and recent three-dimensional reconstructed computed tomography (CT) images.Methods. Forty-eight adult Korean patients who underwent at least two CT scans of the nasal region with an interval of at least 10 years were selected. Patients were categorized into six subgroups according to sex and age (20–39 years, 40–49 years, and ≥50 years) at the time of initial imaging. Eight nasal parameters were measured on the initial and recent images, and paired comparisons between the two images were performed based on the data. The differences in the degree of change by age were also analyzed.Results. Over an average image interval of 12 years, men exhibited an increase in the nasofrontal angle (3.2°±5.4°, P=0.041), profile nasal length (1.7±1.7 mm, P=0.002), and nasal bridge height (1.2±1.6 mm, P=0.002). Conversely, they showed a decrease in the nasofacial angle (–2.3°±2.9°, P=0.010). Women also demonstrated an increase in the nasofrontal angle (2.5°±5.2°, P=0.010), profile nasal length (1.4±1.9 mm, P<0.001), and nasal bridge height (1.3±1.6 mm, P<0.001). However, they exhibited a decrease in the nasofacial angle (–2.0°±2.1°, P<0.001), glabella angle (–9.1°±9.8°, P<0.001), and pyriform angle (–8.5°±10.1°, P<0.001). With the exception of the nasal bridge height (P=0.036) and pyriform angle (P=0.022), the degree of changes in most parameters did not show significant differences across age groups.Conclusion. Our findings indicate that the aging nose exhibits a greater nasal length with inferior angulation of the nasal tip, with an increase in the nasofrontal angle, profile nasal length, and nasal bridge height, along with a decrease in the nasofacial angle. The degree of most nasal morphologic changes demonstrated no significant differences by specific age group.

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Aesthetic Motivation of Geriatric Rhinoplasty The Surgical Outcome

Abstract: The aged patients in this study received rhinoplasty to resolve their long-cherished desires. If elderly patients have no risk of general condition, surgeons do not need to discourage a patient's wish to improve their appearance.

Cited by 10 publications

References 10 publications

Cytokines, Proliferation Markers, Antimicrobial Factors and Neuropeptide-Containing Innervation in Human Nasal Mucosa after Rhinoseptoplasty Procedure

Cytokines, Proliferation Markers, Antimicrobial Factors and Neuropeptide-Containing Innervation in Human Nasal Mucosa after Rhinoseptoplasty Procedure

The Ageing Nose: Challenges and Solutions

Differences in Nasal Shapes and the Degree of Changes Over a Decade or More: A Paired Analysis

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