Gli effetti sul flusso aereo nasale della turbinoplastica inferiore in corso di rinosettoplastica

Zojaji, Ramin; Keshavarzmanesh, Mojdeh; Bakhshaee, Mehdi; Esmaeelzadeh, S.; Baf, Morteza Mazloum Farsi

doi:10.14639/0392-100x-410

Cited by 8 publications

(4 citation statements)

References 11 publications

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“…22 Finally, to prevent respiratory problems that can cause dissatisfaction to the patient despite a pleasant aesthetic outcome, inferior turbinoplasty is a simple adjuvant procedure to prevent nasal obstruction after rhinoplasty. 23 In the present trial, turbinoplasty was routinely adopted.…”

Section: Discussionmentioning

confidence: 96%

Cartilage Remodeling in Nasal Tip Rhinoplasty Using “Lateral Crural Steal” and “Tongue in Groove” Strategies: A Randomized Controlled Trial

Gentile

Cervelli

2021

Journal of Craniofacial Surgery

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Background: The authors present their experience using ''Lateral Crural Steal'' (LCS) and ''Tongue in Groove'' (TING) techniques in nasal tip remodeling. Objectives: The paper aimed to evaluate the efficacy and safety of the use of LCS and TING in nasal tip remodeling for aesthetic improvement. Methods: A randomized controlled trial was conducted. Thirty-five patients affected by low and boxy nasal tips were treated with LCS and TINGs (study group [SG]), comparing results with the control group (CG) (n ¼ 30) treated with cartilage grafts. The preoperative analysis has been performed with an accurate clinical evaluation, a photographic assessment, and a computed tomography scan. Postoperative follow-up took place at 1, 2, and 4 weeks, 3, 6, and 12 months, and then annually. Results: A total of 82.9% (n ¼ 29) of SG patients showed excellent cosmetic and functional results after 1 year compared with the CG patients, who showed the same results in only 40% (n ¼ 12) of cases. The tip projection maintenance and contour restoring in the SG were higher than that in the CG (P < 0.0001 versus CG). Conclusions: The use of LCS and TING was safe and effective in this series of cases performed.

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Section: Discussionmentioning

confidence: 96%

Cartilage Remodeling in Nasal Tip Rhinoplasty Using “Lateral Crural Steal” and “Tongue in Groove” Strategies: A Randomized Controlled Trial

Gentile

Cervelli

2021

Journal of Craniofacial Surgery

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“…Moreover, these procedures aim to expand the nasal valve region in 2 dimensions. 18,19 Therefore, golden ratio can provide us with a useful perspective to evaluate the pathological anatomical status of the nose. The golden ratios of individuals with normal nasal anatomy and normal nasal functions have been evaluated in this study.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Golden Ratio in Nasal Conchae for Surgical Anatomy

et al. 2019

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Purpose: The golden ratio is reached by the fractal model of the number sequence which is known as the “Fibonacci series” and has a convergent ratio of approximately 1.618 between 2 consecutive Fibonacci numbers. Golden ratio relationships have been shown in several plants in the nature and several organs and structures in the human body. The conchae, which form an important part of the nasal valve, have a special geometric significant in terms of providing turbulence to the laminar airflow that passes to the nasal cavity. Methods: This study made golden ratio calculations on 34 adults aged 20 to 45 years over computed tomography (CT) images. Totally, 34 volunteers (male, n = 18 and female, n = 16) with no nasal pathologies participated in the study. Using Adobe Photoshop, golden ratio calculations were made by applying the Fibonacci spiral on the images that best showed the conchae and meatuses on the CT images. Results: The intersection points of the spiral that was projected on the inferior and middle nasal concha were determined as S0, S1, S2, S3, and S4. The distances of S0-S1, S1-S2, S2-S3, and S3-S4 were measured. The concha measurements of the women showed significantly similar values to the golden ratio constant of ∼1.618 in the RS3/S4 and LS3/S4 measurements. Conclusion: We found that the S3/S4 region that captured the golden ratio in our study corresponds to the base part of the inferior nasal concha, and its place of spiraling in the nasal cavity is observed to have an important role in creating vortices.

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“…Reducing turbinate size improves airflow through the nose by decreasing intranasal resistance. 51 In recent decades, the treatment options for inferior turbinate hypertrophy have expanded from total and subtotal turbinectomy to partial turbinectomy, submucosal resection, radiofrequency ablation, microdébrider submucous resection, electrocautery, laser cautery, cryotherapy, and turbinate outfracture. 52 Complications of turbinate overreduction include crusting, bleeding, atrophy, rhinorrhea, postnasal drip, infection, and synechiae formation.…”

Section: Surgical Management Of Nasal Airway Obstructionmentioning

confidence: 99%

Functional Nasal Surgery

Avashia

Glener

Marcus

2022

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: (1) understand the functional significance of nasal anatomy as it relates to rhinoplasty and perform a comprehensive functional nasal assessment. ( 2) Identify the anatomical level of obstruction based on the authors' algorithmic approach and understand the current evidence supporting operative techniques for correcting nasal airway obstruction from septal deformity, inferior turbinate hypertrophy, internal nasal valve collapse, external nasal valve collapse. (3) Understand the current evidence supporting operative techniques for correcting nasal airway obstruction from septal deformity, inferior turbinate hypertrophy, internal nasal valve collapse, and external nasal valve collapse. (4) Appreciate the objective assessment tools for functional nasal surgery from a clinical and research perspective. Summary: The intent of functional rhinoplasty is to improve nasal airflow (and the perception thereof) by surgically correcting the anatomical sources of obstruction in the nasal airway. Cosmetic and functional rhinoplasty are not mutually exclusive entities, and the techniques that address one area, inevitably may affect the another. The rate of functional problems after cosmetic rhinoplasty range from 15 to 68 percent with nasal airway obstruction found to be the most common indication for secondary surgery. The objective of this CME article is to provide readers with an understanding of the (1) functional components of nasal anatomy, (2) clinical functional assessment, and (3) the current evidence supporting corrective maneuvers for each component. (Plast.

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Gli effetti sul flusso aereo nasale della turbinoplastica inferiore in corso di rinosettoplastica

Cited by 8 publications

References 11 publications

Cartilage Remodeling in Nasal Tip Rhinoplasty Using “Lateral Crural Steal” and “Tongue in Groove” Strategies: A Randomized Controlled Trial

Cartilage Remodeling in Nasal Tip Rhinoplasty Using “Lateral Crural Steal” and “Tongue in Groove” Strategies: A Randomized Controlled Trial

Evaluation of the Golden Ratio in Nasal Conchae for Surgical Anatomy

Functional Nasal Surgery

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