Facial Plastic Surgery最新文献

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When reductive rhinoplasty goes wrong & how to make it right. 当鼻整形手术出错&如何使它正确。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-08 DOI: 10.1055/a-2577-2805
Ethan Moritz, Jamil Asaria
{"title":"When reductive rhinoplasty goes wrong & how to make it right.","authors":"Ethan Moritz, Jamil Asaria","doi":"10.1055/a-2577-2805","DOIUrl":"https://doi.org/10.1055/a-2577-2805","url":null,"abstract":"<p><p>To be addedAims and Backgrounds Over-resection leads to many complications in rhinoplasty. Here, we detail the most common of these pitfalls, and strategies to both avoid and repair them. Anatomy The nose is frequently divided into thirds. The nasal bones represent the upper third. The middle third is composed of the dorsal septum and upper lateral cartilages. The lower third is comprised of the lower lateral cartilages and tip-supporting structures. Techniques The commonly seen sequelae of over-resection include a deep radix, saddle nose deformity, inverted-V deformity, pollybeak deformity, alar retraction, a pinched nasal tip, bossae, deep alar grooves and external nasal valve collapse. The major mechanism to avoid these issues is avoidance, however several grafting techniques are described here to correct overly aggressive reduction. Conclusions and Clinical Relevance It is critical to avoid the complications as described in this manuscript. Just as important, it is necessary to know how to correct these deformities when patients present for revision rhinoplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategic Decision-Making in Preservation Rhinoplasty: Key Considerations for Optimal Outcomes. 保留鼻整形术的策略决策:最佳结果的关键考虑因素。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-07 DOI: 10.1055/a-2564-7499
Elizabeth S Longino, Sam P Most
{"title":"Strategic Decision-Making in Preservation Rhinoplasty: Key Considerations for Optimal Outcomes.","authors":"Elizabeth S Longino, Sam P Most","doi":"10.1055/a-2564-7499","DOIUrl":"https://doi.org/10.1055/a-2564-7499","url":null,"abstract":"<p><strong>Aim and background: </strong> Candidacy for dorsal preservation rhinoplasty (DPR) techniques is determined by a combination of preoperative nasal analysis and intraoperative assessment of the bony vault and septum. Classic ideal candidates have a pleasing frontal aesthetic, shorter nasal bones, bony cap at or cephalic to the rhinion, straight and appropriately narrow dorsal aesthetic lines (DALs), and a small to medium-sized hump.</p><p><strong>Current and future development: </strong> Alongside the growing popularity of DPR in recent years there have been numerous new methods described for approaching the bony vault and septum that expand both the definition of dorsal preservation and its potential indications. These techniques expand DPR candidacy to the crooked nose, S-shaped hump, wide or irregular DALs, and deviated caudal septum.</p><p><strong>Conclusion and clinical relevance: </strong> The decision toward choosing a dorsal preservation approach is nuanced, surgeon-dependent, and may be less obvious with these new modifications. Classical or modified DPR, when executed well in appropriate candidates, is an excellent method to achieve a natural reduction of the dorsal profile.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two-Point Fixation in Low-Septal-Resection Dorsal Preservation Rhinoplasty. 低鼻翼切除背侧保留鼻整形术中的两点固定。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-04 DOI: 10.1055/a-2575-3105
Ayhan Işık Erdal, Mehmet Fatih Özçiler, Serhat Şibar
{"title":"Two-Point Fixation in Low-Septal-Resection Dorsal Preservation Rhinoplasty.","authors":"Ayhan Işık Erdal, Mehmet Fatih Özçiler, Serhat Şibar","doi":"10.1055/a-2575-3105","DOIUrl":"https://doi.org/10.1055/a-2575-3105","url":null,"abstract":"<p><strong>Background: </strong>Fixation of quadrangular septal cartilage is a basic step in low-septal-resection dorsal preservation rhinoplasty. The most commonly used technique for this purpose is the fixation of the septum with a suture to the anterior nasal spine. This paper presents the use of a previously described dorsal fixation suture as a second fixation maneuver in addition to anterior nasal spine fixation in low-septal-resection cases.</p><p><strong>Methods: </strong>Eighty-six patients who underwent closed-approach low-septal-resection dorsal preservation rhinoplasty between January and December 2022 were included in this retrospective study. Depending on the number of surgical maneuvers performed for stabilization of quadrangular septal cartilage, the patients were divided into two groups as follows: (i) a one-point fixation group in which the septum was fixed only to the anterior nasal spine and (ii) a two-point fixation group in which the septum was fixed to both the anterior nasal spine and the septal mucoperichondrium with dorsal fixation suture. Standardized postoperative 12-month lateral-view photographs were scanned for the presence of hump recurrence. The Rhinoplasty Outcome Evaluation (ROE) scale was applied at 12 months.</p><p><strong>Results: </strong>Hump recurrence was observed in five patients in the one-point fixation group (n = 31) and in one patient in the two-point fixation group (n = 55; p < 0.05). No statistically significant difference was found between the groups (p > 0.05) for the ROE scores and ratio of satisfied patients.</p><p><strong>Conclusions: </strong>The addition of dorsal fixation suture to anterior nasal spine fixation (two-point fixation) may reduce the rate of hump recurrence in low-septal-resection dorsal preservation rhinoplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dorsal Aesthetic Line (DAL) Split Maneuver in Dorsal Preservation Rhinoplasty. 鼻背保留整形术中的鼻背美学线(DAL)分割手法。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-03-28 DOI: 10.1055/s-0044-1780509
José Carlos Neves
{"title":"Dorsal Aesthetic Line (DAL) Split Maneuver in Dorsal Preservation Rhinoplasty.","authors":"José Carlos Neves","doi":"10.1055/s-0044-1780509","DOIUrl":"10.1055/s-0044-1780509","url":null,"abstract":"<p><p>The dorsal aesthetic lines (DALs) osteotomies are a strategy to increase the plasticity of the dorsal pyramid to facilitate control of the convexity of the profile, width of the nasal dorsum, and define the eyebrow-tip aesthetic lines. It is also an alternative to lateral keystone area) disarticulation. This article discusses its advantages, indications, and the technical sequence of the DAL osteotomy procedure.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"245-249"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140318106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Double Triangular Cartilage Excision in Otoplasty Revisited. 重新审视耳整形术中的双三角软骨切除术
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-11-24 DOI: 10.1055/a-2447-8589
Alessandro Gualdi, Janos Cambiaso-Daniel, Filippo Contessi Negrini, Salvatore Giordano
{"title":"Double Triangular Cartilage Excision in Otoplasty Revisited.","authors":"Alessandro Gualdi, Janos Cambiaso-Daniel, Filippo Contessi Negrini, Salvatore Giordano","doi":"10.1055/a-2447-8589","DOIUrl":"10.1055/a-2447-8589","url":null,"abstract":"<p><strong>Background: </strong> Prominent ears negatively impact the psychological and social health of individuals. Despite the availability of different surgical correction methods for this congenital condition, many of these techniques might result in significant risks of complications and the condition often reappears. Herein, we present log-term outcomes of our suture-free method that employs various strategies to reduce these risks and prevent recurrences.</p><p><strong>Methods: </strong> We analyzed the results of patients who had a bilateral double triangular cartilage excision otoplasty as an outpatient procedure. This previously described technique is designed to correct prominent ears by precisely removing sections of cartilage to reshape the ear mechanically without the need for sutures through the cartilage. We documented any complications after surgery and gathered feedback from patients over an extended follow-up period.</p><p><strong>Results: </strong> A total of 146 patients (292 ears) met the inclusion criteria. The mean age was 23.2 ± 5.3 years. The mean follow-up period was 22 months. Complications were as follows: 3 ears (1.02%) showed superficial skin tissue necrosis at the front of the ear and 17 ears (5.8%) needed further surgery due to unsatisfactory ear rotation. Additionally, 2.73% experienced wound dehiscence, 0.68% had hematomas, 1.02% had external ear infections that were treated with local and systemic antibiotics, 4.1% developed hypertrophic scars, and 8.2% experienced temporary paresthesias. Patients reported being satisfied with the final outcomes at follow-up.</p><p><strong>Conclusion: </strong> Double triangular cartilage excision otoplasty is a safe procedure with few complications, low recurrence rates, and good patients' satisfaction at long-term follow-up. This sutureless technique should be included as an alternative to the existing surgical techniques and added to the skill set of surgeons.</p><p><strong>Level of evidence: </strong> IV.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"159-165"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142708894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Full Anterior Scoring Otoplasty. 全耳前痕耳廓成形术
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-24 DOI: 10.1055/a-2448-0708
Eduardo Morera Serna, Raúl Enrique Mellídez Acosta, José Manuel Meléndez García, Fátima Fanjul García
{"title":"Full Anterior Scoring Otoplasty.","authors":"Eduardo Morera Serna, Raúl Enrique Mellídez Acosta, José Manuel Meléndez García, Fátima Fanjul García","doi":"10.1055/a-2448-0708","DOIUrl":"10.1055/a-2448-0708","url":null,"abstract":"<p><p>Lop ear deformity is the most common head and neck congenital malformation with an estimated incidence of 5% among newborns. Otoplasty is the surgical procedure designed for its correction. More than 200 surgical techniques have been described so far to treat this condition, most of them including a cartilage weakening maneuver to avoid the relapse of the original auricle shape a few months after surgery. Classic techniques, such as like Mustarde's, describe this maneuver through scoring the posterior side of the cartilage and stabilizing the new shape with sutures. Cartilage biomechanical properties work against posterior scoring since cartilage folding occurs in the contralateral side of the scoring. This critical point may explain the high rates of relapse in the posterior scoring otoplasty techniques. In this paper, we present our surgical otoplasty technique with anterior scoring and we discuss specific tips and its nuances. We believe that the anterior scoring otoplasty technique achieves natural ears with both low complication rates and significant reduced long-term relapses.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"166-169"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Otoplasty and Ear Reconstruction Complications. 耳部整形和耳部重建并发症。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-11-13 DOI: 10.1055/a-2446-0354
Cibele M Buba, Andres M Gantous
{"title":"Otoplasty and Ear Reconstruction Complications.","authors":"Cibele M Buba, Andres M Gantous","doi":"10.1055/a-2446-0354","DOIUrl":"10.1055/a-2446-0354","url":null,"abstract":"<p><p>Prominauris, often known as prominent ears, is one of the most frequent congenital deformities of the head and neck. Therefore, otoplasty has gained significant popularity and is now one of the most performed procedures in the field of facial plastic surgery.Reconstructing and correcting ear abnormalities remains a challenging procedure in facial plastic and reconstructive surgery. These deformities, whether congenital or acquired, have a substantial influence on patients' lives and inflict psychological harm. Addressing the deformity and tissue loss will improve the overall quality of life.Throughout history, various surgical techniques have been reported for treating external ear abnormalities. While most of these surgeries are considered safe, a comprehensive preoperative evaluation and understanding of the different techniques and risks can minimize potential complications.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"227-233"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ear Correction of Newborn Ear Deformity. 新生儿耳朵畸形的早期非手术矫正。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-29 DOI: 10.1055/a-2453-6685
Iris Zhorov, Melissa Goldstein, Eric Carniol
{"title":"Ear Correction of Newborn Ear Deformity.","authors":"Iris Zhorov, Melissa Goldstein, Eric Carniol","doi":"10.1055/a-2453-6685","DOIUrl":"10.1055/a-2453-6685","url":null,"abstract":"<p><p>Otoplasty has been described for nearly 200 years for children and adults. Although auricular deformity has been recognized in newborns, treatment options were lacking. With the development of ear molding techniques, newborn ear deformities can now be corrected nonsurgically. However, these techniques have distinct limitations with much dependent on the age of initiation of treatment and deformities present. Awareness of these early interventions is therefore crucial to initiate treatment in the early developmental period when the ear is still malleable. During the first few weeks of life, the ears are malleable, and the ears are rapidly growing, relatively. Therefore, the neonatal period provides a unique opportunity to contour the ears properly. Different techniques have been developed. However, the premise is that the ears are stabilized in a favorable contour continuously for several weeks to hold into proper position. This procedure carries minimal risk and can be quite efficacious, preventing a child from needing surgery later in life.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"186-190"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence-Based Dynamics in Rhinoplasty. 鼻整形术中的循证动态。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-02-14 DOI: 10.1055/a-2267-8698
Russell Frautschi, Anthony DeLeonibus, Ali Totonchi, Bahman Guyuron
{"title":"Evidence-Based Dynamics in Rhinoplasty.","authors":"Russell Frautschi, Anthony DeLeonibus, Ali Totonchi, Bahman Guyuron","doi":"10.1055/a-2267-8698","DOIUrl":"10.1055/a-2267-8698","url":null,"abstract":"<p><p>Rhinoplasty is a delicate surgical procedure that requires a thorough understanding of the dynamic interplay between the various structures of the nose. Any changes made to one part of the nose can have downstream effects on the overall harmony and appearance of the nose. For this reason, it is crucial for surgeons to be aware of these potential impacts in order to achieve predictable and aesthetically pleasing results. In this article, we aim to provide a summary of the current evidence-based conclusions on the dynamic influence of the radix, dorsum, tip, and ala during rhinoplasty. By understanding the complex relationships between these structures, surgeons can make informed decisions and achieve the best possible outcomes for their patients.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"238-244"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139734801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cartilage-Sparing Otoplasty: An Overview of the Mustardé and Furnas Suture Techniques. 保留软骨的耳廓成形术:Mustardé 和 Furnas 缝合技术概述。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-03-15 DOI: 10.1055/s-0044-1782539
Marc Levin, Hedyeh Ziai, Andres M Gantous, Peter A Adamson
{"title":"Cartilage-Sparing Otoplasty: An Overview of the Mustardé and Furnas Suture Techniques.","authors":"Marc Levin, Hedyeh Ziai, Andres M Gantous, Peter A Adamson","doi":"10.1055/s-0044-1782539","DOIUrl":"10.1055/s-0044-1782539","url":null,"abstract":"<p><p>Otoplasty is commonly used to treat prominauris. Cartilage-sparing techniques for otoplasty are well popularized. The most common cartilage-sparing otoplasty techniques include the Mustardé and Furnas techniques. This article discusses the preparation, surgical steps, postoperative care, and associated complications for Mustardé and Furnas otoplasty in detail.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"151-154"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140136697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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