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We review our use of a modified tip graft that we termed the anchor graft for the correction of nasal tip deformities. This modified infratip shield graft was used to improve alar rim positioning, while simultaneously improving tip projection and/or augmenting infratip fullness. Standardized preoperative and postoperative photographs were taken of each patient. Aesthetic appearance was subjectively judged by the physician and a patient survey. Complications were tabulated. Sixteen patients met the requirements for inclusion in our study. Eleven patients received follow-up for more than 1 year. All patients demonstrated good aesthetic improvement, with only minor complications. No extrusion of the graft was noted. All patients reported a natural-appearing and normal-feeling nose after a minimum follow-up of 6 months. Revision surgery was elected in 4 patients, 2 of whom initially presented as revision cases. The anchor graft is a new technique to aid in cosmetic modification of the nasal tip as well as to improve the functional and aesthetic appearance of the nasal ala and external nasal valve. 相似文献
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Becker DG 《Journal of long-term effects of medical implants》2003,13(3):247-257
A number of patients undergoing nasal surgery such as endoscopic sinus surgery and rhinoplasty request whether facial cosmetic procedures can be performed at the same time. This report outlines some of the more common adjunctive procedures. 相似文献
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We reviewed our 10-year experience using percutaneous suturing to secure cartilage grafts in rhinoplasty. A total of 382 patients having up to 4 percutaneous sutures per surgery were analyzed. Cases using this suture technique included lower lateral onlay grafts, dorsal onlay grafts, tip grafts, and intact conchal cartilage grafts to repair nasal valve collapse. Sutures are ideally placed in a horizontal mattress fashion beginning at the skin surface, continuing into the nasal cavity, and then out through the skin. Sutures are strategically placed to secure the graft and at times stent open the nasal valve. The suture is tied loosely over the skin taking in to consideration the anticipated edema formation. There is no need to use a bolster technique. Sutures are removed at the second postoperative visit. Long-term follow-up reveals precise graft placement. There are in most instances no visible suture marks and our results achieve over 95% patient satisfaction. Percutaneous suture placement is a simple technique that allows precise graft placement and fixation without resultant scarring. It coapts the skin and soft tissues to the grafted nasal skeleton and prevents fluid accumulation, hematoma formation, and graft migration. We believe that it aids in decrease long-term tissue edema and excessive fibrosis, therefore promoting quicker healing. Our patients are both functionally and cosmetically pleased. 相似文献
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自体软骨及高密度多孔聚乙烯材料在鼻整形中的应用 总被引:2,自引:0,他引:2
目的探讨自体软骨联合高密度多孔聚乙烯(Medpor)在鼻整形中应用的方法和疗效。方法根据具体情况,选择Medpor作为填充物进行鼻小柱延长,自体软骨作为鼻尖覆盖,自体软骨连接并延长鼻中隔,联合鼻背部填充自体软骨或假体隆鼻,对65例鼻美容求美者进行综合整复。结果本组共65例求美者,术后随访6~12个月,鼻小柱延长及鼻唇夹角减少效果明显,鼻背形态自然,无感染、假体外露等并发症。结论自体软骨与Medpor联合置人是安全、有效的鼻整形方法,尤其对于鼻尖、鼻小柱的处理,可提升整体手术的效果。 相似文献
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Jose Garcia-Velasco M.D. F.A.C.S. Manuel Garcia-Velasco M.D. F.R.C.S. 《Aesthetic plastic surgery》1986,10(1):21-25
A cartilage graft from the cartilaginous hump can be used in primary rhinoplasty for nasal tip projection. This technique has now been used for two years without complications in 35 patients with similar nose deformities, which included an inadequately projected tip and a high dorsal line. These grafts have proved to be another easy way to get an adequate tip projection in primary rhinoplasty.Paper presented at The Annual Meeting of the American Society for Anesthetic Plastic Surgery, in Los Angeles, California, April, 1983 相似文献
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Background: Commonly used techniques for achieving nasal tip projection and refinement are adequate for most primary rhinoplasty patients, but they may result in undesirable tip bifidity and visible lower lateral cartilage angularity, especially in patients with thin skin. Objective: We report the use of “like” local tissues, cephalic trim cartilage remnants of the lower lateral cartilages, as invisible tip grafts to soften any angular cartilage edges or tip bifidity. Methods: The cartilaginous framework was exposed by using the open rhinoplasty approach. Lower lateral cartilages were separated from upper lateral cartilages, the caudal septum at the anterior septal angle, and from each other. A cephalic trim was performed as necessary, with the cartilaginous segments preserved for use as a cap graft. Interdomal sutures and transdermal sutures were used either alone or in combination to set the desired tip projection. If tip bifidity was visible through thin nasal tip skin, a cephalic trim cap graft was placed. Results: The procedure can achieve a well-unified nasal tip with no evidence of bifidity, angularity, or cartilage graft visibility. Conclusion: Use of this technique to improve nasal tip projection can avoid undesirable tip bifidity and visible lower lateral cartilage angularity in patients with thin nasal skin. (Aesthetic Surg J 2002;22:39-45.) 相似文献
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Rolf Muenker M.D. 《Aesthetic plastic surgery》1984,8(1):37-42
The most common procedures to reconstruct a severe saddle-nose deformity are autogenous costal cartilage, iliac bone grafting, or Silastic implants. Each of them has its specific disadvantages. As an alternative solution, an autogenous bilateral conchal graft in sand-wich technique is described. A 3-layer graft for the dorsum and a 2-layer graft to support the depressed columellar-tip area grants a more natural and elastic reconstruction of the nasal framework. The conchal grafts are taken by an incision made on the preauricular surface of the ear. How to plane the curved grafts by meticulous cross-hatching and to immobilize them in the recipient area by transcutaneous suturing is demonstrated.Presented at the VIII International Congress of Plastic and Reconstructive Surgery, Montreal, Canada, June, 1983 相似文献
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Body image disturbance may be an early sign of schizophrenia. The significance of this and dysmorphophobia with relation to patients seeking cosmetic rhinoplasty is discussed. Results of a follow-up of patients 10 years after cosmetic surgery to see whether they developed schizophrenia or serious psychological disorder are presented. The literature, significance of the findings and the clinical implications are all discussed. 相似文献
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Steiger JD 《Facial plastic surgery : FPS》2011,27(5):393-396
Correction of a crooked nose is a common request among patients seeking rhinoplasty or revision rhinoplasty surgery. The rhinoplasty consult is an opportunity for both the surgeon and the patient to obtain an understanding of the potential outcomes from rhinoplasty surgery. This includes the possible surgical outcomes as well as the potential for patient satisfaction with the procedure. Effective communication between physician and patient is the cornerstone to the successful and effective rhinoplasty consult. 相似文献
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Dr. Jean-Louis Robin 《Aesthetic plastic surgery》1979,3(1):179-193
In aesthetic rhinoplasty performed by the extramucosal method, the skeletization of the nose that is obtained allowsmeasurements during the operation. Thereby, it is possible and useful to preplan the rhinoplasty with more accuracy and to inform the patient about the choice to be made. This new approach to rhinoplasty is safer and more precise and provides for (1) a choice of preplanned result (based on artistic technique and psychological reasons), (2) measurements for the plan, and (3) transfer of this plan to the patient during the operation. 相似文献
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不同形态自体耳郭软骨移植在鼻尖成形中的应用 总被引:1,自引:1,他引:0
目的 探讨3种不同形态自体耳郭软骨移植在鼻尖成形术中的应用效果.方法 自2006年3月至2009年9月,针对214例患者外鼻下端形态的不同特点,分别应用盾形、双叉形和三叉形自体耳郭软骨游离移植于鼻尖,同时行硅胶假体隆鼻术.结果 214例患者术后随访3~24个月,除盾形组有2例患者软骨移位,其余患者鼻尖形态均得到明显改善,效果满意.结论 根据患者鼻下端形态特点选择适应证,应用不同形态的自体耳郭软骨移植于鼻尖,其方法简单,手术效果好,值得临床推广应用. 相似文献
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P Marcus 《The Australian and New Zealand journal of surgery》1984,54(6):543-547
From the point of view of the clinical psychologist, one important dimension of the psychological experience of the typical cosmetic rhinoplasty (CR) patient that has been underemphasized in the psychological and plastic surgery literature is the patient's narcissism. The author's aim is to facilitate the plastic surgeon's understanding and management of these patients by putting the disparate aspects of their behaviour into a unifying theoretical framework. A total of 41 CR patients from the UK, who had been referred through the National Health Service, were interviewed, psychologically tested and clinically assessed at varying times before and after surgery. A control group of patients undergoing wisdom teeth extractions were also interviewed and tested. The CR patient's narcissism was manifest, for example, in their self-absorption, inadequate self-esteem and fantasies of ideal beauty which was observed in his/her pre- and postoperative behaviour. Some suggestions on the management of the CR patient with narcissistic problems are offered to surgeons and hospital staff in order to maximize the clearly beneficial psychological and behavioural effects of CR. 相似文献