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Related Concept Videos

Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Related Experiment Video

Updated: Jul 12, 2025

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Are preservation rhinoplasty techniques safer than structural ones?

S A Bafaqeeh1, N Bayar Muluk, C Cingi

  • 1Otolaryngology Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia. nbayarmuluk@yahoo.com.

European Review for Medical and Pharmacological Sciences
|October 23, 2023
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Summary

Preservation rhinoplasty (PR) avoids keystone region loss and nasal stenosis. This technique preserves nasal structures, unlike traditional methods, by maintaining the scroll ligament complex, nasal dorsum, and alar cartilages.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology

Background:

  • Preservation rhinoplasty (PR) represents a paradigm shift in nasal surgery.
  • Traditional rhinoplasty techniques can lead to complications like keystone region (K-area) loss, lateral cartilage collapse, and nasal stenosis.

Approach:

  • This narrative review comprehensively evaluates the preservation rhinoplasty (PR) technique.
  • Literature search conducted across PubMed, EBSCO, UpToDate, Proquest Central, Google, and Google Scholar.

Key Points:

  • PR involves three core components: preserving the scroll ligament complex via subperichondrial-subperiosteal soft tissue envelope (STE) elevation, maintaining the nasal dorsum without open roof deformity, and preserving alar cartilages using sutures for shaping.
  • Dorsal preservation is a key aspect of PR but not its sole definition.
  • The technique emphasizes maintaining nasal stability and structural integrity, particularly around the critical K-area where nasal bones, superior lateral cartilage, quadrilateral cartilage, and ethmoid perpendicular plate converge.

Conclusions:

  • Preservation rhinoplasty offers a method to avoid common rhinoplasty complications.
  • The technique focuses on preserving key nasal structures to maintain function and aesthetics.