The results of the present study emphasize the high rate of BDD (12.2%) in subjects seeking rhinoplasty. The BICI appears to be an internally consistent and valid brief multiple-choice instrument for assessing dysmorphic concern. To our knowledge, this is the first time that this measure has ever been used for identifying BDD patients in a rhinoplasty setting; it is also the first time that ROC analysis has been used for calculating and analyzing the results of BICI. Our study suggests that rhinoplasty surgeons could rely on the scores of the BICI to identify subjects with probable BDD among their consultants with no or one slight defect.

No abstract

To assess the effect of two different combinations of alar cartilage-modifying techniques on the degree of nasal tip projection and rotation, a prospective trial was performed using preoperative and postoperative photos. The patients were seen in private practice. Sixty patients who had underprojected with/without underrotated nasal tips, primarily due to alar cartilage malformities, were randomly divided into two equal groups (A, B). All patients were operated using an external rhinoplasty approach. The techniques of narrowing transdomal sutures and placing a collumellar strut were used in both groups; in addition, lateral crural steal (LCS) was used only in group B. The patients were reevaluated after a minimum period of 6 months. The nasofacial angle and the Goode ratio were measured to assess tip projection and the nasolabial angle was used to assess tip rotation. The patients of both groups showed significant increase in tip projection and rotation (P < 0.001). Additionally, the use of LCS in patients of group B resulted in significantly more increase in tip projection and rotation in comparison with group A (P < 0.05). The LCS along with placement of a columellar strut and a transdomal suture is more beneficial in patients suffering from underprojection with/without underrotated nasal tips.

No abstract

Clonidine is an antihypertensive drug which acts through facilitation of Alph-2 post-synaptic receptors and in addition to its antihypertensive, anti-anxiety and analgesic effects, its beneficial effects in reducing the bleeding during Neurosurgery and Orthopedics surgeries, delicate surgeries of ear and nasal and sinus endoscopy have been proved. In this study we discuss the effects of this drug in reducing bleeding during rhinoplasty surgery. A double-blinded clinical trial 80 patients have been conducted 40 patients received 5 µg/Kg of oral Clonidine, and 40 patients where placebo. The patients after surgery were divided into 4 groups according to the number of bloody standard gauzes during the surgery. Group 1(less than 2 bloody gauzes), group 2(2-3 bloody gauzes), group 3(4-5 bloody gauzes), group 4(more than 5 bloody gauzes). All the graded achieved results were analyzed using Chi-Square test and Fisher test. Mean and standard deviation (SD) of the amount of bleeding in the group who were receiving Clonidine were less than the witness group. Number of the patients in groups 3 and 4 for those who were receiving Clonidine was obviously fewer (1.8 ± 0.04 vs. 3.1 ± 0.05), (P < 0.05). Oral Clonidine as a pre-anesthetic drug causes decrease in bleeding during rhinoplasty surgery.