Surgical maneuvers performed on rhinoplasty procedures carried out at an otorhinolaryngology residency program

Patrocı́nio, Lucas Gomes; Carvalho, Paulo Márcio Coelho; Souza, Hélio Muniz de; Couto, Hugo Gonçalves; Patrocı́nio, José Antônio

doi:10.1016/s1808-8694(15)30986-1

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…In a Brazilian journal, Patrocínio et al showed the importance of the surgical record and the knowledge of the surgical techniques performed in rhinoplasty. 8 In our study, we recorded all the surgical techniques performed and we evaluated the most frequently used ones on the nasal dorsum, on the nasal tip, and on the nasal base. Because noses in our region are mostly Caucasian, which were the aim of our study, our results are different regarding the accesses, the types of grafts on the nasal tip, and the frequency of surgery on the nasal base compared with the findings by Patrocínio et al 8 …”

Section: Discussionmentioning

confidence: 99%

Prospective Study of the Surgical Techniques Used in Primary Rhinoplasty on the Caucasian Nose and Comparison of the Preoperative and Postoperative Anthropometric Nose Measurements

Berger

Freitas

Malafaia

et al. 2014

Int. Arch. Otorhinolaryngol.

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Introduction The knowledge and study of surgical techniques and anthropometric measurements of the nose make possible a qualitative and quantitative analysis of surgical results. Objective Study the main technique used in rhinoplasty on Caucasian noses and compare preoperative and postoperative anthropometric measurements of the nose. Methods A prospective study with 170 patients was performed at a private hospital. Data were collected using the Electronic System Integrated of Protocols software (Sistema Integrado de Protocolos Eletrônicos, SINPE©). The surgical techniques used in the nasal dorsum and tip were evaluated. Preoperative and 12-month follow-up photos as well as the measurements compared with the ideal aesthetic standard of a Caucasian nose were analyzed objectively. Student t test and standard deviation test were applied. Results There was a predominance of endonasal access (94.4%). The most common dorsum technique was hump removal (33.33%), and the predominance of sutures (24.76%) was observed on the nasal tip, with the lateral intercrural the most frequent (32.39%). Comparison between preoperative and postoperative photos found statistically significant alterations on the anthropometric measurements of the noses. Conclusion The main surgical techniques on Caucasian noses were evaluated, and a great variety was found. The evaluation of anthropometric measurements of the nose proved the efficiency of the performed procedures.

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Section: Discussionmentioning

confidence: 99%

Prospective Study of the Surgical Techniques Used in Primary Rhinoplasty on the Caucasian Nose and Comparison of the Preoperative and Postoperative Anthropometric Nose Measurements

Berger

Freitas

Malafaia

et al. 2014

Int. Arch. Otorhinolaryngol.

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“…The pre-surgical evaluation based on the patient's anatomy is extremely important for rhinoplasty to be successful (1,2). The type of skin, thickness of the subcutaneous tissue, support of the tip and the size, form and position of the biggest alar cartilages are extremely important when choosing the available techniques to reach a proper sharpness of the nasal tip (2,3,4,5).…”

Section: Introductionmentioning

confidence: 99%

Avaliação da reprodutibilidade ultrassonográfica como método para medida do tecido subcutâneo da ponta nasal

Naves¹,

Sousa²,

Tomé³

et al. 2011

Arquivos Int. Otorrinolaringol. (Impr.)

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Summary Introduction:?The previous evaluation of the patient's anatomy is crucial to achieve a sharp nasal tip in a rhinoplasty. The thickness of the subcutaneous tissue is indispensable for the esthetical harmony of the area. Techniques to measure such structures on the patient 'in vivo' are not found in literature. Objective:?Evaluate the inter-observer inconsistency of the ultrasound method to measure the thickness of the subcutaneous tissue of the nasal tip by way of an ultrasound. Method:?47 volunteers were submitted to a nasal tip ultrasound performed by two radiology specialists, who used the same exam technique with a linear electronic transducer at a frequency between 5 and 9 MHz. The thickness of the subcutaneous tissue was evaluated by measuring the point with the highest protrusion of the largest alar cartilage dome towards skin. Prospective study. Results:?The measurement averages of the subcutaneous tissue of the nasal tip achieved by the examiners did not show statistically significant differences (p?=?0.5303). When analyzing the reproducibility between examiners, an interclass 'r'correlation coefficient (Pearson) 0.9333, i.e., an excellent inter-observer reproducibility was found. Conclusion:?The ultrasound proved to be reproducible and examiners satisfactorily agree about evaluating the thickness of the subcutaneous tissue of the skin, thus helping the surgeon perform the pre-surgical analysis and find the best surgical technique for each case.

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Graduated Approach to Refinement of the Nasal Lobule

Patrocı́nio

Patrocínio

Maníglia

et al. 2009

Archives of Facial Plastic Surgery

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Surgical maneuvers performed on rhinoplasty procedures carried out at an otorhinolaryngology residency program

Abstract: Most of our patients demanded additional procedures, and the "basic rhinoplasty", commonly performed on the Caucasian nose was an exception on our patients.

Cited by 6 publications

References 4 publications

Prospective Study of the Surgical Techniques Used in Primary Rhinoplasty on the Caucasian Nose and Comparison of the Preoperative and Postoperative Anthropometric Nose Measurements

Prospective Study of the Surgical Techniques Used in Primary Rhinoplasty on the Caucasian Nose and Comparison of the Preoperative and Postoperative Anthropometric Nose Measurements

Avaliação da reprodutibilidade ultrassonográfica como método para medida do tecido subcutâneo da ponta nasal

Graduated Approach to Refinement of the Nasal Lobule

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