effectiveness of modified vertical dome division technique in reducing nasal tip projection in rhinoplasty

The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision divides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly and sutured together to increase tip projection. The present study aimed at assessing a new vertical dome division, which is modified version of vertical dome technique to decrease nasal tip projection, and increase or decrease nasal tip rotation and other tip deformities. The medical files of patients undergone rhinoplasty from 2003 to 2008 were retrospectively analyzed. The files were selected from a computerized rhinoplasty database of patients, who had been operated using a modified vertical dome technique and followed-up for one year or more after the surgery. A total of 3756 patients were operated. Complications related to the nasal tip such as bossae, bifidity, persistent tip projection or tip asymmetry was seen in 81 patients [2.1%]. Revisions for tip-related problems were performed in 42 patients [1.1%]. The findings suggest that the modified vertical dome technique is an effective method for nasal tip deprojection and narrowing via an open approach. The length of follow-up and the large sample size support effectiveness of the technique

Airway foreign bodies; a retrospective review

To study the pattern of laryngotracheal foreign bodies in South of Iran and to compare it with other studies. A retrospective chart review of patients who had airway foreign body. From 1991 to 2000. Department of Otolaryngology Khalili Hospital, Shiraz, Iran. Patient characteristics including age, sex, laryngobronchoscopic findings, clinical presentations and history of foreign body aspiration were recorded .Type and site of foreign body aspirated was also recorded to determine the common type and site of foreign body enlodgement in this country. From 1012 patients with airway foreign bodies,683 patients were male and 329 patients were female. Aspiration most commonly occurred in the 1-6 year age group. The most common presenting symptom was cough, dyspnea and chocking. The most common site of foreign body enlodgement was right bronchus and the most common foreign bodies in our area were various types of seeds. Education of physicia ns and public awareness are important steps needed to reduce the morbidity and mortality of foreign body aspiration. Parents should be instructed to abstain from feeding nuts and seeds to young children and to keep small, potentially ingestible objects out of their reach