No abstract

No abstract

Chondromyxoid fibromas are uncommon tumors most often seen in long bones of adolescent and young males. Involvement of craniofacial bones is extremely unusual, with sporadic case reports described in the literature. We describe the first case of chondromyxoid fibroma arising in the nasal septum with local destruction and expansile growth into the ethmoid bone and inferior turbinate in a 60-year-old female. The fortuitous discovery of this otherwise asymptomatic lesion and its follow-up are detailed. The literature is reviewed and salient clinical, radiographic, and pathologic correlative findings are emphasized.

It is generally agreed that rhinoplasty is the most challenging procedure performed by the facial plastic surgeon. Mastery of nasal tip maneuvers to alter tip projection, rotation, and lobule refinement is intrinsic to successful rhinoplasty technique. The nasal hinge region comprises the most lateral aspect of the lower lateral cartilage. Its importance is often overlooked. As the foundation of the nasal base, it plays a key role in tip dynamics and can be sculpted to significantly modify projection, rotation, and lobule refinement. One hundred randomly selected rhinoplasty patients were studied with respect to the indications for hinge maneuvers, techniques applied, and resulting affect on tip aesthetics. Clinical results are shown. The applicability of these hinge techniques is compared with other lateral crural techniques. The importance of the hinge region in rhinoplasty dynamics and the necessity of knowledgeably applying surgical maneuvers in this region are discussed.

Metal locators have been used extensively in the removal of intraocular foreign bodies. I but use in otolaryngology-head and neck surgery is very uncommon. Herein we describe our experience with the Roper-Hall Electro-Acoustic Discriminator and Locator (RHEADAL) in removing a metallic foreign body from the neck. The use of this instrument was essential in reducing (l) intraoperative time and expense; (2) morbidity associated with a much longer and involved procedure; and (3) radiation exposure to the patient, surgeon. and other operating room personnel. We believe there is a useful role for the metal locator in otolaryngology-head and neck surgery for the management of certain metallic foreign bodies. APPARATUSThe Roper-Hall Electro-Acoustic Discriminator and Locator (RHEADAL) (Fig. I) consists of two small coils; one in the probe head and a second remote from the first. Their inductance is balanced. When a ferrous object enters the magnetic field of the probe, the inductance increases, creating an audible high-pitched monotone. In contrast, a nonferrous object decreases the inductance, producing a bleeping tone. Both inductance changes are converted into a deftection of the meter needle, thereby creating a visual display.Three probes are available: (1) a long-range probe to identify the general area to search; (2) a short-range side-active probe determines on which side the foreign body is lying; (3) and a second short-range probe precisely localizes the object. The instrument is the size of a small suitcase, instantly ready for use, and produces no radiation. A foot-operated reset switch eliminates the need for an assistant.