Interlocked Transdomal Suture Technique for the Wide Interdomal Space in Rhinoplasty

Papel, Ira D.

doi:10.1001/archfaci.7.6.414

Cited by 14 publications

(5 citation statements)

References 12 publications

(8 reference statements)

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“…From 1935 to 1980, the nasal tip surgery consisted of excising, incising or dividing alar cartilages (4,9). The first results were usually amazing, but hematoma, boron narrowing and collapse of external valve used to gradually occur, especially under a thin skin (10).…”

Section: Introductionmentioning

confidence: 99%

Refinamento da ponta nasal: técnica de sutura minimamente invasiva para a ponta nasal larga

Filho

Romano²,

Ribas

et al. 2011

Arquivos Int. Otorrinolaringol. (Impr.)

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RESUMOIntrodução: Técnicas de sutura são métodos indispensáveis para esculpir as cartilagens nasais. Para obter um melhor contorno em pontas nasais largas ou globosas os autores apresentam uma técnica de sutura intercrural controlada e minimamente invasiva e os resultados obtidos em 34 pacientes submetidos a rinoplastia. Objetivo: Demonstrar a técnica de sutura intercrural como tratamento para a ponta nasal larga ou globosa em rinoplastia fechada e apresentar os resultados estéticos. Método: Estudo retrospectivo de documentos clínicos e fotografias de 34 pacientes (5 homens e 29 mulheres), com idade entre 16 e 52 anos, submetidos a rinoplastia com ponta nasal larga ou globosa como elemento anatômico presente no exame físico. Em todos os casos foi utilizada técnica de rinoplastia fechada. Uma sutura inabsorvível é realizada ao longo do processo intermédio. O estudo foi conduzido em 2009 e 2010 no Hospital da Cruz Vermelha Brasileira -Filial do Paraná -Brasil e no Hospital Sugisawa. Os pacientes foram operados pelo autor principal e pelos médicos residentes em treinamento. Resultados: A sutura intercrural controlada proporcionou uma refinamento da ponta nasal e uma melhor forma nos ângulos frontal e lateral da ponta nasal. Conclusão: A sutura intercrural controlada é um método minimamente invasivo que oferece resultados satisfatórios em refinamento da ponta nasal larga Palavras-chave: rinoplastia, cartilagens nasais, técnicas de sutura, procedimentos cirúrgicos minimamente invasivos.

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Section: Introductionmentioning

confidence: 99%

Refinamento da ponta nasal: técnica de sutura minimamente invasiva para a ponta nasal larga

Filho

Romano²,

Ribas

et al. 2011

Arquivos Int. Otorrinolaringol. (Impr.)

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Section: Discussionmentioning

confidence: 99%

“…Although surgeon preference is variable for determining the order of the procedure, it is often appropriate to perform the tip refining steps of the procedure before executing the dorsal hump reduction. 12,13 Reduction of the bony dorsum often accompanies reduction of the cartilaginous dorsum. Both a rasp and an osteotome can be used.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Surgical Outcome in Rhinoplasty: A Comparison Between Rasp and Osteotome in Dorsal Hump Removal

et al. 2019

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Dorsal hump reduction is a crucial point of rhinoplasty, as it has a great impact on the final shape of nasal pyramid. Depending on morphological features of the hump, its removal is usually obtained by the use of an osteotome or a rasp. In our study, we describe a closed rhinoplasty technique performed in 2 groups of patients: the only difference between the groups is the surgical tools used during the dorsal hump removal phase (rasp vs the 5-mm osteotome).We used 2 questionnaires of quality of life (QoL), Nasal Obstruction Symptom Evaluation (NOSE), and Rhinoplasty Outcome Evaluation (ROE) questionnaire, to evaluate postoperative outcome (6 months after surgery).Closed rhinoplasty was performed in 107 patients. Dorsal hump removal was carried out with rasp on 35 patients; while in 72 cases, it was performed using a 5-mm osteotome. All the patients were given 2 copies of NOSE and ROE questionnaires (1 month before surgery and 6 months after surgery) to evaluate postoperative QoL. In our study emerged that the use of osteotome in dorsal hump reduction is associated with a better aesthetic outcome (evaluated by analyzing patients QoL with ROE questionnaire) without any difference between the 2 groups in terms of functional outcome (expressed by NOSE questionnaire), major and minor complications and surgical procedure duration.

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“…Several important contributions to the field over the last decade from the facial plastic surgery faculty include the popularization of temporalis tendon transfer for facial paralysis reconstruction; the development of modern rhinoplasty techniques; the description and implementation of novel, three‐dimensional surgical guides for complex nasal reconstruction; and development of advanced facial volume restoration techniques . The decision making and technical repertoire used in facial nerve reanimation have also been advanced through the use of new prediction models of prognosis that allow for earlier reconstructive interventions, as well as novel approaches to facial reanimation such as use of the masseter nerve .…”

Section: Early Days Of Otolaryngology At Johns Hopkinsmentioning

confidence: 99%

Otolaryngology–head and neck surgery at Johns Hopkins: The first 100 years (1914–2014)

et al. 2015

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Interlocked Transdomal Suture Technique for the Wide Interdomal Space in Rhinoplasty

Cited by 14 publications

References 12 publications

Refinamento da ponta nasal: técnica de sutura minimamente invasiva para a ponta nasal larga

Refinamento da ponta nasal: técnica de sutura minimamente invasiva para a ponta nasal larga

Evaluation of Surgical Outcome in Rhinoplasty: A Comparison Between Rasp and Osteotome in Dorsal Hump Removal

Otolaryngology–head and neck surgery at Johns Hopkins: The first 100 years (1914–2014)

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