Implications of Facial Asymmetry in Rhinoplasty

Rohrich, Rod J.; Villanueva, Nathaniel L.; Small, Kevin; Pezeshk, Ronnie A.

doi:10.1097/prs.0000000000003606

Cited by 60 publications

(32 citation statements)

References 17 publications

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“…Unsere Ergebnisse sind vergleichbar mit einer Untersuchung von Rohrich et al aus 2017. Die Autoren führten eine anthrometrische und eine subjektive Analyse der Gesichtssymmetrie bei Patienten vor einer primären Rhinoplastik (n = 100) durch, ohne dabei den Fokus explizit auf Schiefnasen zu legen [20]. Rohrich et al kamen zu dem Ergebnis, dass bei Patienten vor einer Rhinoplastik häufig die Gesichtshälften unterschiedlich breit sind und auch das Kinn dabei von der Mittellinie abweicht.…”

Section: Diskussionunclassified

Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen

et al. 2019

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Zusammenfassung Hintergrund Das chirurgische Management der Schiefnase stellt selbst für erfahrene Rhinochirurgen eine Herausforderung dar, obwohl zahlreiche Techniken zur Korrektur beschrieben sind. Nicht selten besteht zusätzlich zur Schiefnase eine Asymmetrie des Gesichtes, die das ästhetische Ergebnis der Operation beeinflusst. In dieser Studie sollte festgestellt werden, wie häufig bei Patienten mit einer Schiefnase zusätzlich eine anthrometrische Asymmetrie des Gesichtes besteht. Material und Methoden Hierzu wurden retrospektiv die Daten von Patienten mit Schiefnasen (n = 607, 304 Frauen, 303 Männer, mittleres Alter 30 Jahre) ausgewertet. Die präoperativen Fotos des Gesichtes wurden standardisiert anthrometrisch anhand von Winkelmessungen ausgewertet. Ergebnisse 382 der 607 Patienten hatten eine C-förmige (63 %) und 225 eine I-förmige (37 %) Schiefnase. Mehr als Dreiviertel der Patienten wiesen eine Gesichtsasymmetrie bezüglich der Pupillenverbindungs-/Nasenbasislinie auf. 49 % der Patienten gaben ein Nasentrauma in der Vorgeschichte an, dieses hatte jedoch keinen relevanten Einfluss auf die Häufigkeit einer Gesichtsasymmetrie. Schlussfolgerungen Eine vorbestehende Gesichtsasymmetrie ist sehr häufig und kann das ästhetische Operationsergebnis erheblich beeinträchtigen. Dies sollte im Rahmen der präoperativen Aufklärung angesprochen werden. Insbesondere sollte erwähnt werden, dass das Operationsergebnis bei Schiefnasen ästhetisch erheblich hinter den Erwartungen bleiben kann und nicht selten eine Revisionsoperation notwendig werden kann.

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Section: Diskussionunclassified

Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen

et al. 2019

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“…Harmony of the face, mouth and nose plays an important role in this scenario. Facial deformities could affect techniques and protocols for functional and aesthetic treatments [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Impact of facial bone deformity on nasal shape

Ravelo¹,

Sigua-Rodríguez²,

Haidar³

et al. 2021

PAR

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The aim of this study was to analyze nose shape and size in subjects with sagittal facial deformities.Methods: One hundred fifteen subjects were included for orthognathic surgery; the previous cone bean computed tomography was used to perform the analysis. The sample consisted of 46 males (40%) and 69 females (60%); the nasal morphology in frontal view and profile, the deviation of the nasal septum, the skeletal class and the sagittal position of the maxilla were compared using the Spearman test, considering a P value < 0.05.Results: Males had a greater vertical nasal skeletal measurement (P = 0.0006), greater cartilaginous nasal height ( P = 0.0001) and greater horizontal distance between the A point and Prn (P = 0.001). Considering the sagittal position of the maxilla, subjects with maxillary prognathism had a higher nasal morphology value than subjects with a retrognathic maxilla. In addition, nasal septum deviation was statistically related to facial class II (P = 0.03) with significantly more deviation than class III subjects. Conclusion:It may be concluded that there are variables in facial deformities related to nose shape and have to be included in the surgical plan for orthognathic surgery or rhinoplasty.

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“…The nasal anatomical arrangement and structure are major contributors of aesthetics and facial coherence. 2,3 Rhinoplasty was usually carried out and was among the most performed procedures of aesthetics. 2 A rhinoplasty patient's assessment is multidimensional and involves a nasal history, nasal airway assessment, and nasofacial performance analysis, which contributes significantly in selecting the best surgical procedure to accomplish improved aesthetics along with facial harmony.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Rhinoplasty was usually carried out and was among the most performed procedures of aesthetics. 2 A rhinoplasty patient's assessment is multidimensional and involves a nasal history, nasal airway assessment, and nasofacial performance analysis, which contributes significantly in selecting the best surgical procedure to accomplish improved aesthetics along with facial harmony. 2,4 Particularly in case of plastic surgery, the assessment of surgical outcome determined by patient contentment or standard of living is highly crucial.…”

Section: Introductionmentioning

confidence: 99%

Rhinoplasty, A Powerful Tool to Boost Patient’s Self-Confidence

Khaliq

Daniel

Javed³

2020

APMC

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Objective: To determine the Rhinoplasty as a powerful tool to boost patient's self-confidence. Study Design: Prospective study. Settings: Islamabad cosmetic surgery and department of plastic surgery PIMS Islamabad Pakistan. Duration: From October 2019 March 2020. Methodology: All the patients underwent rhinoplasty having age 18 to 50 years and wither of gender were included. Rhinoplasty outcomes Evaluation (ROE) questioner containing (6 questions, was used to assess improvement of patient's self-confidence. All the data was recorded by study proforma. Data was analyzed by using SPSS version 20. Results: Total 51 patients were assessed; their mean age was 28.54+6.65 years. Male were 27(52.9%) and females were 24(47.1%). After 3 months postoperatively patients were assessed, according to (ROE) questioner. Almost all the patients were completely agree with the appearance their nose, they can completely breath and feeling very much and completely their friends and loved ones like their nose. All the patients were confident regarding their nasal appearance as it is the best that it can be and refused, when they were asked regarding that they want to alter appearance or function of their nose surgically. Conclusion: Rhinoplasty is the best tool to boost patient's self-confidence having nose common deformities. Almost all the participants were satisfied, good feeling and confident after surgery.

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Implications of Facial Asymmetry in Rhinoplasty

Abstract: Diagnostic, IV.

Cited by 60 publications

References 17 publications

Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen

Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen

Impact of facial bone deformity on nasal shape

Rhinoplasty, A Powerful Tool to Boost Patient’s Self-Confidence

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Implications of Facial Asymmetry in Rhinoplasty

Abstract: Diagnostic, IV.

Cited by 60 publications

References 17 publications

﻿Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen

﻿Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen

Impact of facial bone deformity on nasal shape

Rhinoplasty, A Powerful Tool to Boost Patient’s Self-Confidence

Contact Info

Product

Resources

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Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen

Analyse von Gesichtsasymmetrien bei Patienten mit Schiefnasen