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New Concepts in Dorsal Nasal Augmentation
Dorsal augmentation is commonly indicated in many primary and secondary aesthetic nose surgeries. Throughout the history, various synthetic and autogenous materials have been used for dorsal augmentation. In this article, we give an overview of basic concepts of cartilage grafting, review new concepts of dorsal augmentation, and discuss some emerging engineering modalities. (Source: Oral and Maxillofacial Surgery Clinics)
Source: Oral and Maxillofacial Surgery Clinics - November 4, 2020 Category: ENT & OMF Authors: Shahrokh C. Bagheri, Behnam Bohluli, Pouyan Sadr-Eshkevari, Nima Moharamnejad Source Type: research

Modern Rhinoplasty and the Management of Its Complications
Current basic principles of surgery are ever changing. The remarkable discoveries in antisepsis, anesthesiology, physiology, and pharmacology are few dramatic changes that have forever turned surgery into a relatively safe and predictable profession. In the early part of the nineteenth century, the vast majority of surgical interventions had extremely high morbidity and mortality, such that surgery was only a last resort for life-saving interventions. There is clearly an evolutionary force behind the continuously changing trends and enhanced techniques that aim to improve the safety, outcome, and predictability of surgical...
Source: Oral and Maxillofacial Surgery Clinics - November 3, 2020 Category: ENT & OMF Authors: Shahrokh C. Bagheri, Husain Ali Khan, Behnam Bohluli Tags: Preface Source Type: research

Preservation Rhinoplasty for the Dorsum and Tip
By performing a preservation rhinoplasty, the surgeon can achieve natural and stable results by intraoperative replacement of resection with preservation and excision with manipulation of ligaments, cartilages, soft tissues, and the osseocartilaginous dorsum. In this article, the authors explain step by step the dorsal preservation rhinoplasty with low septal strip and a combination of nasal bones osteoplasty and osteotomies, the tip preservation rhinoplasty based on nose tip polygons, and the authors ’ technique for modify the nasal tip projection and rotation with a posterior strut or anterior septal strip. (Source: Or...
Source: Oral and Maxillofacial Surgery Clinics - November 2, 2020 Category: ENT & OMF Authors: Abraham Montes de Oca Zavala, Laura Marcela Navarro Arias Source Type: research

Piezoelectric Technology in Rhinoplasty
Piezoelectric tools are the novel ultrasonic methods for effective and safe osteoplasty or osteotomy in comparison with traditional soft and hard tissue approaches using rotating instruments due to lack of microvibrations, ease of control and use, and safer cutting, mainly in complex anatomic areas. Piezoelectric indicates favorable and valuable outcomes based on the immediate postoperative morbidities, even though long-term results have not been investigated. It could be indicated that the piezosurgery in rhinoplasty can be considered as a reliable and safe method and should be taken into account as a part of the surgeon ...
Source: Oral and Maxillofacial Surgery Clinics - November 2, 2020 Category: ENT & OMF Authors: Seied Omid Keyhan, Behnaz Poorian, Hamid Reza Fallahi Source Type: research

Grafting in Modern Rhinoplasty
Rhinoplasty is considered one of the most technically difficult surgical procedures because of the limited access and requirement for three-dimensional visual perception and manipulation. Grafting is an essential part of primary and secondary rhinoplasties and forms the foundation for a successful functional and aesthetic outcome. Septal cartilage is the most commonly used grafting material, although many reliable alternatives exist. No randomized clinical trials have been conducted comparing graft materials and techniques for specific indications. In this review, the authors discuss the most common grafting materials and ...
Source: Oral and Maxillofacial Surgery Clinics - November 2, 2020 Category: ENT & OMF Authors: Steven Halepas, Kevin C. Lee, Charles Castiglione, Elie M. Ferneini Source Type: research

Nasal Tip Deformities After Primary Rhinoplasty
Nasal tip deformities after primary rhinoplasty may occur, including the formation of bossae, a pinched nasal tip, and nasal tip ischemia. Because of the central location in the midface, even minimal nasal tip deformities (small bossa) may be noticed and upsetting to the patient. This is in addition to more severe nasal tip deformities, including nasal tip ischemia, that are easily visible to any viewer. Prevention, early recognition, and, depending on the case, intervention are critical in minimizing these complications. If complications do occur, regular communication with the patient and follow-up are crucial. (Source: ...
Source: Oral and Maxillofacial Surgery Clinics - November 2, 2020 Category: ENT & OMF Authors: Paul Bermudez, Faisal A. Quereshy Source Type: research

Correction of Septal Perforation/Nasal Airway Repair
Rhinoplasty is a double-edged sword regarding the functional nasal airway; it can enhance and improve the nasal airway if done properly, and can severely compromise the nasal airway if not done properly. The composition of the nasal airway includes the internal and external nasal valves, nasal septum, and inferior turbinates. Each of these areas can be addressed by several techniques, described in the body of the text. Nasal septal perforation is another potential complication that may result from septal surgery, which has nonsurgical and surgical methods to treat, and is also described in the body of the text. (Source: Or...
Source: Oral and Maxillofacial Surgery Clinics - November 2, 2020 Category: ENT & OMF Authors: Keith A. Sonneveld, Pradeep K. Sinha Source Type: research

New Concepts in Dorsal Hump Reduction
Dorsal hump modification is a commonly performed procedure in most rhinoplasties. Specifically, hump reductions play a significant role in aesthetic rhinoplasty when the surgeon and patient wish to have a “smaller” and less projected nasal complex. There are several techniques available in order to perform a hump reduction. The purpose of this article is to review some of the surgical options available for dorsal hump reduction and management of the dorsum following this procedure. (Source: Oral and Maxillofacial Surgery Clinics)
Source: Oral and Maxillofacial Surgery Clinics - November 2, 2020 Category: ENT & OMF Authors: Tirbod Fattahi, Sepideh Sabooree Source Type: research

New Concepts in Nasal Tip Rhinoplasty
Cosmetic rhinoplasty involves surgical manipulation of the nasal cartilages, nasal bones, lining mucosa and extracartilaginous soft. The nasal tip is a complex composite arrangement of tissues. These structures are responsible for creating individuality and asymmetries and for controlling nasal air entry and valving. Medical aesthetics involves filling relevant areas of the tip with hyaluronic acid to disguise grooves or soft defect contour defects. Standard tip surgery involves an open or closed approach. Manipulation of the flexible alar cartilage using intracartilaginous and interartilaginous sutures is preferable to re...
Source: Oral and Maxillofacial Surgery Clinics - November 2, 2020 Category: ENT & OMF Authors: James D. Frame Source Type: research

Preprosthetic Dentoalveolar Surgery
Preprosthetic surgery remains a work horse of dentoalveolar surgery. Advances in rehabilitation of the edentulous mouth with the use of endosseous osseointegrating dental implants and dermal matrix substitutes have changed the narrative of traditional preprosthetic surgery while maintaining some fundamental principles. An outline of the basic techniques in preprosthetic dentoalveolar surgery is discussed in the setting of these technological and tissue engineering advances. (Source: Oral and Maxillofacial Surgery Clinics)
Source: Oral and Maxillofacial Surgery Clinics - September 29, 2020 Category: ENT & OMF Authors: Wallace S. McLaurin, Deepak Krishnan Source Type: research

Reconstruction of the Extraction Socket
Extensive reviews have concluded that grafting of the socket reduces bone loss regardless of product or method. However, nothing has been shown to reliably and completely maintain alveolar dimensions. We advocate a biologically driven and anatomically based approach for reconstruction of the socket. There are various socket manipulations that we have found to predictably prepare a site for dental implant. The combination of graft construct design and socket management maximizes graft success for any practitioner. Each socket should be treated individually, and products or methods used that are coincident with the complexit...
Source: Oral and Maxillofacial Surgery Clinics - September 29, 2020 Category: ENT & OMF Authors: Daniel B. Spagnoli, Christopher C. Niquette Source Type: research

Dentoalveolar Surgery
ORAL AND MAXILLOFACIAL SURGERY CLINICS (Source: Oral and Maxillofacial Surgery Clinics)
Source: Oral and Maxillofacial Surgery Clinics - September 29, 2020 Category: ENT & OMF Authors: Somsak Sittitavornwong Source Type: research

Copyright
ELSEVIER (Source: Oral and Maxillofacial Surgery Clinics)
Source: Oral and Maxillofacial Surgery Clinics - September 29, 2020 Category: ENT & OMF Source Type: research

Contributors
RUI P. FERNANDES, MD, DMD, FACS, FRCS(Ed) (Source: Oral and Maxillofacial Surgery Clinics)
Source: Oral and Maxillofacial Surgery Clinics - September 29, 2020 Category: ENT & OMF Source Type: research

Contents
Somsak Sittitavornwong (Source: Oral and Maxillofacial Surgery Clinics)
Source: Oral and Maxillofacial Surgery Clinics - September 29, 2020 Category: ENT & OMF Source Type: research