The Effect of Lateral Osteotomy of Septorhinoplasty on Nasolacrimal Duct Functions: A Radionuclide Imaging Study

Uzun, Lokman; Uğur, Mehmet Birol; Peksoy, İrfan; Cabuk, Mehmet; Çınar, Fikret

doi:10.1177/194589240501900412

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…Interruption of the lacrimal drainage can cause acute purulent dacryocystitis and thus the lacrimal system should be treated promptly. Nevertheless, the timing and technique of this treatment is controversial; while some authors recommend surgery, the others advocate conservative medical treatment 5,7 . Tehrani et al 5 evaluated 33 patients with transient epiphora after rhinoplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the timing and technique of this treatment is controversial; while some authors recommend surgery, the others advocate conservative medical treatment. 5,7 Tehrani et al 5 evaluated 33 patients with transient epiphora after rhinoplasty. Cases with severe symptoms (constant tearing) were prescribed a nasal spray of corticosteroid and a topical decongestant agent only and the others were followed up without medication.…”

Section: Discussionmentioning

confidence: 99%

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Dacryocystitis With Skin Defects Secondary to Septorhinoplasty

Çetin

Akin

2021

Journal of Craniofacial Surgery

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Septorhinoplasty is a surgical procedure frequently performed by surgeons dealing with facial aesthetic surgery and includes various risks. All surgical procedures have an increased risk of complications. Complication rate of nasal surgeries is approximately 4% to 19%. Although rhinoplasty is a nonsterile procedure, infections occur in less than 2% of all cases. This rate may decrease as the surgeon gains experience. Lacrimal ducts can be injured during nasal aesthetic surgery due to its anatomical structure. In addition to minor and temporary injuries, major injuries requiring surgical intervention may also occur. Most injuries to the lacrimal system remain asymptomatic. Postrhinoplasty dacryocystitis usually occurs secondary to soft-tissue edema that compresses the lacrimal system and typically resolves within 1 to 2 weeks. After reviewing the literature and examining possible traumatic mechanisms, we recommend that the infections in the lacrimal system should be treated with medical therapy before performing surgical interventions such as dacryocystorhinostomy and abscess drainage. Knowing the complications of surgical interventions before the study and administering some basic principles before and after surgery are highly essential. In this study, we present a relatively rare complication of septorhinoplasty known as acute postoperative dacryocystitis, which is mostly encountered in the early postoperative period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dacryocystitis With Skin Defects Secondary to Septorhinoplasty

Çetin

Akin

2021

Journal of Craniofacial Surgery

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“…6 Another study found transient obstruction of the nasolacrimal duct system at postoperative period 1 week (18% of patients) by measuring Tc-99m pertechneate instillation dacryoscintigraphy images. 7 The nasal width should follow a graceful line from the brow to the tip, termed the ''brow-tip aesthetic.'' Discrepancies in width or contour will become readily evident on frontal view.…”

Section: Nasal Width Anatomy Aestheticsmentioning

confidence: 99%

Aligning the Bony Nasal Vault in Rhinoplasty

Shah

Constantinides²

2006

Facial plast Surg

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“…Intermediate osteotomies must be done before going for lateral osteotomies. Lateral osteotomies [4][5][6] are done after intermediate osteotomies 7,8 to narrow the width of the nasal dorsum.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Intermediate Osteotomy and other Unique Techniques used in Reduction Rhinoplasty

Devasamudra¹

2016

An International Journal Clinical Rhinology

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Background: A 25-year-old male patient came with a history of nasal obstruction on the left side. He was also concerned about his nasal framework deformities, such as gross deviation of the nose to left, hump over the nose, asymmetrical nostril, and overall bulky nose. Materials and methods:Detailed history was taken and examination done to rule out contraindication to septorhinoplasty. Expectations, requirements, and postoperative results of the patient were understood. Open approach reduction rhinoplasty was carried out. Unique techniques, such as intermediate and transverse osteotomies were done to achieve the required results.Results: Bulky deviated nose was reduced to an esthetically good-looking nose by humpectomy, four types of osteotomies, extended spreader grafts, columellar strut, and Tipplasty.Conclusion: Surgical steps must be undertaken in order to achieve good esthetic results. Surgeries, such as humpectomy must be done before osteotomies, intermediate osteotomies must be done before lateral osteotomies, and Tipplasty must be done after osteotomies.

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The Effect of Lateral Osteotomy of Septorhinoplasty on Nasolacrimal Duct Functions: A Radionuclide Imaging Study

Abstract: We did not encounter any permanent obstructions after lateral osteotomy of rhinoplasty. Temporary obstructions in the 1st postoperative week improved to normal preoperative status by the postoperative 3rd month.

Cited by 8 publications

References 16 publications

Dacryocystitis With Skin Defects Secondary to Septorhinoplasty

Dacryocystitis With Skin Defects Secondary to Septorhinoplasty

Aligning the Bony Nasal Vault in Rhinoplasty

Intermediate Osteotomy and other Unique Techniques used in Reduction Rhinoplasty

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