A Cadaver Study to Assess the Feasibility of a Cross-Nerve Transfer of the Infraorbital Nerve for Patients With Peripheral Infraorbital Nerve Injury

Conclusions The INB and SLB existed in all the specimens and could be found approximately 1 cm below the piriform aperture. The average distance between the INB and SLB was approximately 11 mm. These results imply the feasibility of a cross-nerve transfer of the distal part of the infraorbital nerve.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

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ConclusionsIn the light of the data obtained from this study, we conclude that ONS is fairly common among rhinoplasty cases, and in order to prevent misunderstandings and medico-legal problems, it is essential to recognize this condition before undertaking rhinoplasty, blepharoplasty, or any other surgical procedure.Level of evidence: Level V, diagnostic study.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
This case-control study evaluates changes in opioid prescribing habits for patients in Vermont undergoing rhinoplasty and/or septoplasty before and after the adoption of new statewide opioid legislation.
Source: JAMA Facial Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Abstract Overzealous reduction during rhinoplasty may result in manifold functional as well as aesthetic injuries to the nose and is a prevailing antecedent of revision rhinoplasty. Although challenges for the revision rhinoplasty surgeon abound, careful assessment of the anatomic deficiencies of the nose, accurate evaluation and management of a patient's expectations, and precise planning and execution of surgical technique serve to facilitate a successful result. Contemporary techniques for correction of the over-resected nose are discussed, with special attention directed toward costal cartilage grafting and di...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Facial Plast Surg Clin North Am Source Type: research
Abstract Iatrogenic septal perforation is a complication of nasal surgery. Small or posterior perforations cause few symptoms, and need only conservative treatment. Larger and anterior perforations contribute to nasal airflow disturbances and external nasal deformities. When considering surgical candidacy, one should consider the severity of symptoms, location and size of the perforation, and need for revsional rhinoplasty. We repair perforations using intranasal mucosal advancement flaps augmented by an interposition connective tissue graft. Septal perforation repairs are tedious and technically challenging. We r...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Facial Plast Surg Clin North Am Source Type: research
This article discusses prevention, early recognition, and effective treatment that aim to mitigate skin necrosis and the resulting soft tissue destruction. PMID: 31587769 [PubMed - in process]
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Facial Plast Surg Clin North Am Source Type: research
Abstract The cephalic trim technique is a popular maneuver that often leads to tip deformities, most notably postsurgical alar retraction (PSAR). We advocate using the external rhinoplasty approach to correct PSAR by (1) releasing and repositioning the retracted alar margin, (2) strengthening and immobilizing the central tip complex using a septal extension graft, (3) suspending and longitudinally tightening the mobilized lateral crural remnant by adjusting crural length to match the sidewall span, and (4) providing direct skeletal support to the repositioned alar margin using articulated alar rim grafts. Using th...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Facial Plast Surg Clin North Am Source Type: research
Abstract OBJECTIVE: To assess the timing, type, and associated adjunct procedures for secondary cleft rhinoplasty nationally. DESIGN: Data were extracted from a national database of all secondary cleft rhinoplasty procedures (Current Procedural Terminology [CPT] codes 30460 and 30462). Frequency statistics were utilized to analyze demographics, comorbidities, surgical procedures, and timing. Chi-squared analysis and Fisher exact test were used for analysis. SETTING: National Surgical Quality Improvement Program-Pediatric Database. PARTICIPANTS: A total of 1720 patients met inclusion criteria for sec...
Source: The Cleft Palate-Craniofacial Journal - Category: ENT & OMF Authors: Tags: Cleft Palate Craniofac J Source Type: research
Publication date: Available online 3 October 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Amr G. Shafik, Hussam Adel Alkady, Gehad Mohamed Tawfik, Ahmed Mostafa Mohamed, Tahany Mohamed Rabie, Nguyen Tien HuyAbstractIntroductionNasal obstruction is one of the most frequent otolaryngologic complaints; and the collapse of the internal nasal valve is one the main causes of the nasal air flow obstruction.ObjectiveWe aimed to evaluate internal nasal valve by using reformatted CT-scans pre- and post- rhinoplasty at 3 months and to assess its correlation to symptomatic improvement of nasal obstruction using the N...
Source: Brazilian Journal of Otorhinolaryngology - Category: ENT & OMF Source Type: research
This article discusses prevention, early recognition, and effective treatment that aim to mitigate skin necrosis and the resulting soft tissue destruction.
Source: Facial Plastic Surgery Clinics of North America - Category: Cosmetic Surgery Authors: Source Type: research
Empty nose syndrome (ENS) is a controversial condition associated with disruption of nasal airflow caused by excessive loss of turbinate tissue. ENS arises after total or near-total inferior turbinate resection. Patients present with intense fixation on the perception of nasal obstruction. Diagnostic tools to assess for empty nose syndrome include a validated patient questionnaire and the office cotton test. Treatment involves topical moisturization, behavioral/psychiatric assessment/treatment, and surgical reconstruction. Current data show promising long-term efficacy after surgical intervention. Postprocedural ENS is bes...
Source: Facial Plastic Surgery Clinics of North America - Category: Cosmetic Surgery Authors: Source Type: research
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