Age- and Gender-Related Variability in Nasal Tip Support

AbstractBackgroundThe age at which nasal tip support changes start to occur is unknown. Evaluation of nasal tip support is difficult, especially as the ideal nasal tip support pressure remains elusive. The aim of this study is to determine the nasal tip support pressure alterations relative to age and sex.ObjectivesThe aim of this study is to determine the changers in resistance of the nasal tip support in relation to age and sex.MethodsThis prospective clinical study was conducted between January and April 2019 at a tertiary health facility. Nasal tip resistances were measured in four different age-groups (20 –29, 30–39, 40–64, and >  65 years) with a digital Newton meter. A total of 159 patients with a minimum of 36 patients per group were included in the study. Nasal tip resistance measurements were compared among nasal tip displacement distances of 2, 3, and 4 mm, focusing on age and sex.ResultsThe nasal tip resistance of the 20 –29 age-group was significantly higher at 2, 3, and 4 mm nasal tip displacement distances, when compared with the 30–39 and 40–64 age-groups, whereas compared to the >  65 years group, it was significantly higher at 3 and 4 mm nasal tip displacement distances (p 
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research

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Rhinoplasty in patients of Middle Eastern descent presents a unique challenge. There are a large number of variations of skin tone, skin thickness, and structural deformities, which require a high degree of thoughtfulness and planning. A thorough history and physical examination is the cornerstone to achieving a good result. An open and honest discussion is necessary to fully understand the patient ’s goals. The surgeon should clearly define which goals are achievable and which are not. Conservative techniques will help achieve a natural, balanced outcome and will allow for preservation of nasal function.
Source: Otolaryngologic clinics of North America - Category: ENT & OMF Authors: Source Type: research
CONCLUSIONS: Most patients with isolated cleft lip may not require long-term, longitudinal evaluation by cleft team specialists. Cleft teams should develop limited follow-up protocols for these children to improve resource allocation and promote value-based care in this patient population. PMID: 31961207 [PubMed - as supplied by publisher]
Source: The Cleft Palate-Craniofacial Journal - Category: ENT & OMF Authors: Tags: Cleft Palate Craniofac J Source Type: research
AbstractRhinoplasty is undoubtedly one of the most challenging operations in the face. Since its introduction by the fathers of modern cosmetic rhinoplasty such as John Orlando Roe in the United States and Jack Joseph in Europe, we have witnessed many advances and refinements in the nose approach, and specifically in the management of the nasal dorsum. This is the case of the conservative rhinoplasty techniques, Push down and Let down, that have become very popular again in recent years. The aim of this article is to present a new modification of the dorsal conservative techniques with predictable and lasting esthetic resu...
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
A rare case of intraosseous cavernous hemangioma was identified in the nasal root. Using a combination of endoscopic surgery and open rhinoplasty, an osteotomy was performed and resection of the hemangioma was successfully achieved with transcolumellar and infracartilaginous incisions and 2 stab incisions. No adverse side effects were observed after the procedure, no tumor recurrence was observed at the 16-month-postoperative follow-up. The preserved periosteum contributed to the osteogenesis and thus, a need for a reconstructive surgery was indicated.
Source: Auris, Nasus, Larynx - Category: ENT & OMF Authors: Tags: Case Report Source Type: research
Conclusions Anatomic reconstruction of the nasal dorsum and refining the nasal tip using an osseocartilaginous rib graft with the cantilever technique are effective in acute nasal trauma patients who wish to enhance their nasal profile in the primary treatment setting.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research
Publication date: Available online 7 January 2020Source: American Journal of OtolaryngologyAuthor(s): Gamze Talih, Ahmet Yüksek, Ender ÅžahinAbstractBackgroundEmergence agitation (EA) is a clinical condition that occurs early in recovery from general anaesthesia, and reduces patient comfort. The aim of this study was to compare the effects of low-flow sevoflurane anaesthesia and total intravenous anaesthesia (TIVA) on agitation in rhinoplasty patients, and to determine the frequency of EA in low flow sevoflurane anaesthesia after rhinoplasty.Material and methodsA total of 90 rhinoplasty patients, under general anaesth...
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
AbstractBackgroundThere is an anecdotal belief among some surgeons performing Asian eyelid surgery that double eyelid surgery itself decreases eyebrow position. However, the exact amount of descent and the specific changes in the proportion of facial aesthetics are unknown.PurposeThe goal of this study is to determine whether there indeed is a change in brow position after double eyelidplasty and to quantify the proportional differences associated with the change. The three-point double eyelids surgery method was used so that the change in the brow position is solely attributed to the surgery itself and not to the excision...
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Conclusion: The authors describe the development of DL applications to identify the presence of superficial surgical procedures solely from images and labels. DL is especially well suited for unstructured, high-fidelity visual and auditory data that does not lend itself to classical statistical analysis, and may be deployed as mobile applications for potentially unbridled use, so the authors expect DL to play a key role in many areas of plastic surgery.
Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Original Articles Source Type: research
The nasal tip projection and rotation to be obtained with tip plasty play a key role in achieving successful results. Cartilage sparing techniques provide extra ease to reshape the cartilage in revision rhinoplasty. Freed dome cartilage eliminates the restricting forces of mucosa. The authors recommend to free the dome cartilage from mucosa during the tip plasty which ensures the desired dome shape and extra projection. A total of 218 patients who were operated between the dates of January 2017 and August 2018 were included in this study. About 3 mm parts of the marked domes toward medial and lateral crurae were dissecte...
Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Clinical Studies Source Type: research
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