Endoscopically Assisted, Intraorally Approached Corrective Rhinoplasty

Kim, Jeong Tae; Kim, Seok Kwun

doi:10.1097/00006534-200107000-00032

Cited by 2 publications

(3 citation statements)

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“…The UBSA was very beneficial in our study as a hidden incision with minimal morbidity, and at the same time, combining the UBSA with the open rhinoplasty technique showed no significant increase in the incidence of complications or the operative time. Generally, the UBSA can be used in open 1,16 or endoscopic-assisted 22 rhinoplasty techniques, especially in revisional and posttraumatic cases. 23…”

Section: Discussionmentioning

confidence: 99%

Nasal Tip Depressor Manipulation through Upper Buccal Sulcus Approach in Selected Open Primary Rhinoplasties

Elgazzar

Elshahat

Lashin

2022

Plastic and Reconstructive Surgery - Global Open

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Background: During smiling, the prominent action of nasal tip depressors (NTDs) antagonizes the rhinoplasty nasal tip support maneuvers and favors scarring forces‚ pulling the nasal tip in a less projecting vector. The NTDs' disinsertion is feasible through the open rhinoplasty approach. Yet, the reliability of the open approach to manipulate all NTD attachments is still questionable. The upper buccal sulcus approach (UBSA) is a reliable approach to manipulate variable anatomy of the NTDs. Methods: Thirty-two patients had primary open rhinoplasty between 2016 and 2020. All patients showed hyperactive NTDs during smile preoperatively. Through UBSA, disruption of NTDs was done. Aesthetic outcome was evaluated by comparing the pre/postoperative nasal tip projection (NTP) and nasolabial angle (NLA) in lateral views. Results:The sample included 28 women and four men, and the mean age was 30.7 years. The mean follow-up period was 23.8 months. Preoperatively, 53% (n = 17) of patients showed normal NTP measurements; this percentage increased to 87.5% (n = 28) postoperatively. The mean NLA for the 32 patients was 91.0 degrees pre-operatively‚ which was increased to 102.5 degrees postoperatively. These aesthetic results were maintained throughout the follow-up period‚ with no significant increase in the incidence of complications. Conclusions:The combination of the UBSA with open rhinoplasty resulted in objective visualization and manipulation of the NTDs. This was proven by the maintained NTP and NLA in aesthetic optimum values throughout the follow-up period. We believe that UBSA can be safely combined with open rhinoplasty as a reliable hidden approach to manipulate hyperactive NTD cases.

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Section: Discussionmentioning

confidence: 99%

Nasal Tip Depressor Manipulation through Upper Buccal Sulcus Approach in Selected Open Primary Rhinoplasties

Elgazzar

Elshahat

Lashin

2022

Plastic and Reconstructive Surgery - Global Open

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“…In 1994, Mitz introduced endoscopic visualization in rhinoplasty (8) , and in 2001, Kim and Kim reported that the endoscopic approach can solve the problems of blind procedures in conventional corrective rhinoplasty (9) . Some authors emphasize that hemostasis with epinephrine gauze and irrigation are important for adequate visualization.…”

Section: Several Methods Exist For Treating Nasal Bone Fractures Incmentioning

confidence: 99%

“…We obtained good visualiza-tion with Bosmin ® gauze via an intercartilaginous incision. Some authors report that the endoscopically assisted transnasal approach is more time-consuming because of the nasal restructuring maneuvers and extra time required for inserting and removing the endoscopy (6,9) . In our experience, the mean operating time was 35 minutes in 15 patients who underwent endoscopically assisted open reduction compared to 15 minutes in eight patients who underwent closed reduction.…”

Section: Several Methods Exist For Treating Nasal Bone Fractures Incmentioning

confidence: 99%