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Related Concept Videos

Epistaxis01:30

Epistaxis

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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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Skin excision revision rhinoplasty

V C Quatela1, D A Sherris, C M Johnson

  • 1Division of Otolaryngology-Head and Neck Surgery, University of Rochester, NY Medical Center 14642-8629.

Archives of Otolaryngology--Head & Neck Surgery
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

Revision rhinoplasty techniques involving nasal dorsal skin excision can correct difficult post-surgical deformities like the polly beak. Both horizontal and vertical excisions offer unique benefits for improving nasal aesthetics and patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Plastic Surgery

Background:

  • Revision rhinoplasty addresses complex deformities after initial surgery.
  • Soft-tissue nasal deformities, such as the polly beak, present unique challenges.
  • Existing surgical techniques may not fully resolve all post-rhinoplasty issues.

Observation:

  • Horizontal nasal dorsal skin excision can elevate the nasal tip and reduce supratip fullness.
  • Vertical midline nasal dorsal skin excision can enhance tip definition, decrease dorsal height, and eliminate supratip fullness.
  • These techniques are applicable to various cosmetic deformities following both closed and open rhinoplasty.

Findings:

  • Nasal dorsal skin excision is a viable technique for correcting specific revision rhinoplasty deformities.
  • Horizontal excision primarily impacts tip elevation and supratip fullness.
  • Vertical excision offers benefits in tip definition, dorsal height reduction, and supratip fullness elimination.

Implications:

  • The described skin excision techniques expand the armamentarium for revision rhinoplasty surgeons.
  • These methods provide additional options for managing challenging post-rhinoplasty cosmetic deformities.
  • The techniques aim to improve aesthetic results for patients with persistent nasal irregularities.