Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 4.518
Filtrar
1.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(5): 546-549, 2020 Oct 01.
Artigo em Chinês | MEDLINE | ID: mdl-33085240

RESUMO

OBJECTIVE: To investigate the application of nasal clip in the one-stage repair of unilateral cleft lip nasal deformity. METHODS: Sixty patients with unilateral cleft lip nasal deformity underwent one-stage repair in the Department of Cleft Lip and Palate, West China Hospital of Stomatology, Sichuan University, from January 2017-June 2018. Sixty patients were divided into three groups, nasal clip group, the nasal module group, and the control group. All of the patients were returned to the clinic after the operation (6-12 months), and the nasal appearance was evaluated. RESULTS: The nasal shape development and aesthetic effect in the nasal clip group were significantly improved than that in the control group (P<0.05). CONCLUSIONS: The nasal clip has a good effect on the improvement of nasal appearance after the one-stage repair of unilateral cleft lip nasal deformity. The nasal clip is easy to operate, and the patient compliance is good, which is worthy of clinical promotion.


Assuntos
Fenda Labial , Rinoplastia , China , Fenda Labial/cirurgia , Humanos , Nariz/cirurgia , Instrumentos Cirúrgicos
2.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(8): 954-959, 2020 Aug 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-33053538

RESUMO

OBJECTIVES: Saddle nose deformity is a common clinical nose deformity. This study aimed to evaluate the effectiveness of the 6th autogenous costal cartilage in the treatment of severe saddle nose deformity after trauma. METHODS: A retrospective analysis was conducted on 15 patients with severe post-traumatic saddle nose deformity from March, 2016 to March, 2019. The nasal tip and dorsum were reconstructed with autogenous costal cartilage. All patients were followed up for 6 to 13 months and changes in nasal appearance were evaluated. The changes in dorsum sag, nasolabial angle, nasal dorsal angle, and dorsum length were measured. RESULTS: Fourteen patients were basically satisfied with post-operative outcome. Only one patient developed infection afterwards, which was improved by the revised rhinoplasty 2 months after active treatment. The immediate nasal dorsal depression [(1.19±0.94) mm] and nasolabial angle [(94.06±1.52)°] after operation decreased compared with those before surgery [(8.28±0.24) mm, (109.42±2.78)°, respectively; all P<0.05]. The immediate nasal dorsal length [(44.18±1.02) mm] and nasal dorsal angle [(132.84±2.33)°] increased compared with those before operation [(31.73±1.86) mm, (122.87±2.42)°, respectively; all P<0.05]. The data at follow-ups showed no statistical difference compared with the immediate data after operation. CONCLUSIONS: Rhinoplasty with the 6th autogenous costal cartilage is an effective method for the correction of severe saddle nose deformity after trauma.


Assuntos
Cartilagem Costal , Deformidades Adquiridas Nasais , Rinoplastia , Humanos , Nariz/cirurgia , Deformidades Adquiridas Nasais/cirurgia , Estudos Retrospectivos
3.
J Craniomaxillofac Surg ; 48(11): 1035-1044, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33041189

RESUMO

To compare three-dimensional (3D) nasal forms after definitive correction of unilateral cleft lip (UCL)-nose using an extended spreader cartilage graft with/without a cross-lap joint cartilage graft technique. Twenty-four patients with UCL who underwent definitive nose correction using an extended spreader cartilage graft with a cross-lap joint technique (CLJ group) and fifteen patients with UCL who underwent nose correction without a cross-lap joint technique (non-CLJ group) were enrolled in this study. Pre- and postoperative 3D nasal forms were compared between the two groups. The CLJ group demonstrated more successful recovery of the nasal tip and anterior nasal ridge in the center of the face (P < 0.01), and the higher nasal tip was maintained for more than 1 year (P = 0.008). The differences in the cephalo-caudal heights of the nasal alar groove and curvatures of the alar groove arch were successfully improved in both CLJ and non-CLJ groups. The nasal angles on lateral profiles did not change in either group. An extended spreader cartilage graft with a cross-lap joint technique facilitates satisfactory recovery of the nasal tip in the center of the face and a higher nasal tip, avoiding over-projection in the definitive correction of UCL-nose.


Assuntos
Fenda Labial , Rinoplastia , Cartilagem/transplante , Fenda Labial/cirurgia , Humanos , Nariz/cirurgia , Resultado do Tratamento
4.
J Stomatol Oral Maxillofac Surg ; 121(5): 473-477, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32835859

RESUMO

BACKGROUND AND METHOD: The aim of this prospective study was to evaluate the adherence frequency of Candida albicans and non-albicans Candida species in newborn babies with Cleft Lip and Palate (CLP) who receive presurgical orthopedic therapy with Nasoalveolar Molding (NAM) appliances. This study comprised of 25 CLP newborns including 8-right unilateral, 8-left unilateral and 7-bilateral CLP. First swab samples were taken from the hard palate when the baby was referred and renewed after 3 days. Following the 7th day of delivery of NAM appliance, the swab samples were retaken from both the hard palate and the NAM appliance. Samples were renewed with 2-month intervals. The last swab samples were taken one month after the surgery. Oral swabs were cultured on CHROMagar Candida medium for the growth of yeasts. RESULTS: There were no statistically significant differences between the time points regarding C. albicans proliferation frequency and severity rates on the palate. No significant difference was found due to the type of cleft and sex in terms of candidal colonization. A constant increase in proliferation frequency of non-albicans on the palatal mucosa was observed between all of the time points. Although the results were insignificant, there was a constant increase in C. albicans proliferation which presented a decrease following primary lip surgery. CONCLUSION: The appliance might not only cause an increase in the colonization of C. albicans but also provide the continuation of the colonization. Therefore, mouth cleaning is important even after primary lip surgery.


Assuntos
Fenda Labial , Fissura Palatina , Processo Alveolar/cirurgia , Candida albicans , Fenda Labial/epidemiologia , Fenda Labial/cirurgia , Fissura Palatina/epidemiologia , Fissura Palatina/cirurgia , Humanos , Recém-Nascido , Nariz/cirurgia , Estudos Prospectivos
5.
Plast Reconstr Surg ; 146(3): 292e-295e, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32842105

RESUMO

Deprojection of an overprojected nose and correction of an infralobular deformity are very challenging for rhinoplasty surgeons because a systematic approach is needed to correct these problems. A deviated nose with a dorsal hump is a common deformity that is best treated using septal reconstruction and the component dorsal hump reduction technique using an open rhinoplasty approach. This article and its videos show how to correct a deviated nose with overprojection and a dorsal hump deformity.


Assuntos
Nariz/anormalidades , Nariz/cirurgia , Rinoplastia/métodos , Feminino , Humanos , Pessoa de Meia-Idade
6.
Niger J Clin Pract ; 23(7): 1022-1025, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32620735

RESUMO

Maxillofacial prosthetics is the branch of prosthodontics which involves rehabilitation of the defects in the maxillofacial region involving the hard and soft tissue with the prosthesis. Facial defects that occur in the midfacial regions are commonly due to trauma and neoplasms like basal cell carcinoma which involves the nose. Reconstruction of the nose is an important esthetic challenge due to its esthetic and retention problems. This article emphasis rehabilitation of the nasal defect of a patient with nasal prosthesis using donor method.


Assuntos
Carcinoma Basocelular/cirurgia , Neoplasias Nasais/reabilitação , Nariz/cirurgia , Desenho de Prótese , Procedimentos Cirúrgicos Reconstrutivos/métodos , Carcinoma Basocelular/patologia , Carcinoma Basocelular/reabilitação , Humanos , Masculino , Prótese Maxilofacial , Implante de Prótese Maxilofacial , Pessoa de Meia-Idade , Neoplasias Nasais/patologia , Neoplasias Nasais/cirurgia , Implantação de Prótese , Doadores de Tecidos , Resultado do Tratamento
7.
J Oral Maxillofac Surg ; 78(11): 2070.e1-2070.e10, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32640208

RESUMO

PURPOSE: The aim of this study was to introduce a morpho-functional technique of rhinoplasty for correction of defective nasal morphology of the secondary unilateral cleft lip and improvement of air passage through the nose. MATERIALS AND METHODS: The described comprehensive approach follows the rule of 5 R's: relieve, resect, reposition, restructure, and restrengthen. The extended septal graft serves as a columellar strut on the one hand and as a spreader graft on the other hand. RESULTS: The described morpho-functional septorhinoplasty technique is effective for correction of the unilateral cleft lip nasal deformity because it improves the symmetry of the nose, improves the morphology of the alar cartilage, and increases the nasal tip projection. An improvement in breathing occurs as a result of restored symmetry of the ala and nasal vestibule. CONCLUSIONS: Morpho-functional septorhinoplasty is a practical tool to handle adult patients with secondary cleft nasal deformities.


Assuntos
Fenda Labial , Doenças Nasais , Rinoplastia , Adulto , Fenda Labial/cirurgia , Humanos , Cartilagens Nasais/cirurgia , Septo Nasal/cirurgia , Nariz/cirurgia , Doenças Nasais/cirurgia
8.
J Laryngol Otol ; 134(6): 481-486, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32616097

RESUMO

BACKGROUND: Advances in endoscopic technology have allowed transnasal oesophagoscopy to be used for a variety of diagnostic and therapeutic procedures. METHOD: A review of the literature was carried out to look into the extended role of transnasal oesophagoscopy within otolaryngology, using the Embase, Cinahl and Medline databases. RESULTS: There were 16 studies showing that transnasal oesophagoscopy is safe and cost effective and can be used for removal of foreign bodies, tracheoesophageal puncture, laser laryngeal surgery and balloon dilatation. CONCLUSION: This study presents a summary of the literature showing that transnasal oesophagoscopy can be used as a safe and cost-effective alternative or adjunct to traditional rigid endoscopes for therapeutic procedures.


Assuntos
Esofagoscopia/métodos , Nariz/cirurgia , Otolaringologia/normas , Análise Custo-Benefício , Dilatação/instrumentação , Esofagoscopia/efeitos adversos , Esôfago/cirurgia , Corpos Estranhos/cirurgia , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Laringe/cirurgia , Terapia a Laser/instrumentação , Otolaringologia/estatística & dados numéricos , Punções , Segurança , Traqueia/cirurgia
9.
J Laryngol Otol ; 134(8): 735-738, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32718361

RESUMO

BACKGROUND: Coronavirus disease 2019 is an international pandemic. One of the cardinal features is acute respiratory distress syndrome, and proning has been identified as beneficial for a subset of patients. However, proning is associated with pressure-related side effects, including injury to the nose and face. METHOD: This paper describes a pressure-relieving technique using surgical scrub sponges. This technique was derived based on previous methods used in patients following rhinectomy. CONCLUSION: The increased use of prone ventilation has resulted in a number of referrals to the ENT team with concerns regarding nasal pressure damage. The described technique, which is straightforward and uses readily available materials, has proven effective in relieving pressure in a small number of patients.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pressão/efeitos adversos , Decúbito Ventral/fisiologia , Respiração Artificial/métodos , Tampões de Gaze Cirúrgicos/normas , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Desenho de Equipamento/métodos , Traumatismos Faciais/prevenção & controle , Humanos , Nariz/lesões , Nariz/cirurgia , Posicionamento do Paciente/métodos , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia
10.
J Craniomaxillofac Surg ; 48(8): 792-799, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32711960

RESUMO

INTRODUCTION: Hump nose in Asians should be managed differently in consideration of the lateral profile and the balance between the dorsal height and nasal tip projection. We suggest an alternative approach comprising mild rasping and nasal tip projection using a septal extension graft. MATERIAL AND METHODS: In this retrospective study, patients who underwent hump nose correction with rhinoplasty between March 2012 and July 2015 were recruited. Instead of applying conventional dorsal augmentation after humpectomy, our approach involved only smooth dorsal contouring in limited cases. 15 patients were evaluated, with surgical outcomes demonstrated using three-dimensional photogrammetry. RESULTS: Over the postoperative period, hump height decreased (pre 2.77 ± 2.07, post 0.31 ± 0.55, p = 0.001). Regarding the efficacy of tip projection, both nasal tip protrusion (pre 17.64 ± 4.82, post 20.46 ± 4.05, p = 0.001) and tip projection (pre 19.75 ± 4.26, post 21.83 ± 4.17, p = 0.023) were increased. The hump nose reduction ratio was 84.94% after 6 months and 76.47% after 1 year, whereas increases in nasal tip projection and dorsal augmentation were minimal, with ratios of 14.75% and 12.76%, respectively, after 6 months). CONCLUSION: Therefore, creating a balance between the nasal tip and nasal dorsum in hump nose correction is more important than dorsal augmentation after hump resection in Asians.


Assuntos
Rinoplastia , Grupo com Ancestrais do Continente Asiático , Humanos , Septo Nasal/cirurgia , Nariz/cirurgia , Fotogrametria , Estudos Retrospectivos
11.
Int J Oral Sci ; 12(1): 21, 2020 07 27.
Artigo em Inglês | MEDLINE | ID: mdl-32719336

RESUMO

Surgeons need to understand the effects of the nasal cartilage on facial morphology, the function of both soft tissues and hard tissues and nasal function when performing nasal surgery. In nasal cartilage-related surgery, the main goals for clinical research should include clarification of surgical goals, rationalization of surgical methods, precision and personalization of surgical design and preparation and improved convenience of doctor-patient communication. Computational technology has become an effective way to achieve these goals. Advances in three-dimensional (3D) imaging technology will promote nasal cartilage-related applications, including research on computational modelling technology, computational simulation technology, virtual surgery planning and 3D printing technology. These technologies are destined to revolutionize nasal surgery further. In this review, we summarize the advantages, latest findings and application progress of various computational technologies used in clinical nasal cartilage-related work and research. The application prospects of each technique are also discussed.


Assuntos
Simulação por Computador , Cartilagens Nasais , Impressão Tridimensional , Rinoplastia/tendências , Face , Humanos , Modelos Anatômicos , Septo Nasal/cirurgia , Nariz/cirurgia
12.
Rev. bras. cir. plást ; 35(2): 258-259, apr.-jun. 2020.
Artigo em Inglês, Português | LILACS | ID: biblio-1103844

RESUMO

Introdução: O aumento da projeção da ponta nasal às vezes se torna necessário para a obtenção de uma boa proporção entre ela e o dorso. Inúmeras técnicas e táticas são descritas com essa finalidade utilizando enxertos cartilaginosos obtidos do septo nasal, concha auricular e cartilagem costal. Quando esse aumento deve ser discreto é proposto o uso dos excedentes de cartilagens alares laterais em forma de "pseudo-retalhos". Métodos: Em rinoplastias abertas primárias os excedentes das cartilagens alares, geralmente removidas, são utilizados como "pseudo-retalhos", dobrados sobre si mesmos, em forma de "suspensório de soldado francês", sobre o domus das cartilagens alares, tendo como acolchoamento de apoio os tecidos moles delas próprias, e o tecido mole interdomal, geralmente desprezado, que é liberado, e elevado para sobre os domus. Ele é mantido, descolado e deslocado para a ponta nasal, e fica contido pelos "pseudo-retalhos" das cartilagens alares ali suturados ou cobrindo o extremo do enxerto estrutural da columela. Foram operados com essa tática 36 pacientes. Resultados: 35 com bons resultados e um apresentou um abcesso de ponta nasal, provocado pela exposição endonasal de um fio de sutura não absorvível, que foi removido. Houve necessidade de uma segunda intervenção, utilizando novo enxerto auricular, ainda com resultado insatisfatório. O método é relativamente simples para quem opera narizes. Conclusão: A ponta nasal pode ser discretamente mais projetada utilizando os excessos de cartilagens alares, "pediculadas" no domus.


Introduction: An increased nasal tip projection is sometimes necessary to achieve an appropriate proportion between nasal tip and dorsum. Numerous techniques and tactics have been described for this purpose using cartilaginous grafts obtained from the nasal septum, auricular concha, and costal cartilage. When this increased projection must be discrete, the use of excess lateral alar cartilage in the form of "pseudo-flaps" is proposed. Methods: In primary open rhinoplasty, excess alar cartilage, which is generally removed, was used to produce "pseudo-flaps". The cartilages were folded over themselves in the form of a "French soldier's suspender" over the domes of the alar cartilage and supported by interdomal soft tissue padding raised over the domus. It was kept detached, and relocated to the nasal tip and was contained by "pseudoflaps" of the alar cartilages sutured there or covering the columella's structural graft. Thirty-six patients underwent surgery using this technique. Results: Thirty-five had good results and one had a nasal tip abscess, caused by endonasal exposure to a non-absorbable suture, which was removed. A second intervention was then performed using a new auricular graft, but the result was still unsatisfactory. The "pseudoflaps" method is relatively simple for those performing nasal surgery. Conclusion: The nasal tip can be projected discretely using the excess of alar cartilage "pedicled" in the domus.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , História do Século XXI , Seios Paranasais , Rinoplastia , Relatos de Casos , Nariz , Estudos Retrospectivos , Estudo de Avaliação , Cartilagens Nasais , Mucosa Nasal , Seios Paranasais/cirurgia , Rinoplastia/efeitos adversos , Rinoplastia/métodos , Nariz/cirurgia , Cartilagens Nasais/cirurgia , Mucosa Nasal/cirurgia
13.
Rev. bras. cir. plást ; 35(2): 254-257, apr.-jun. 2020. ilus
Artigo em Inglês, Português | LILACS | ID: biblio-1103842

RESUMO

Hemangioma infantil (HI) é o tumor vascular mais comum e a neoplasia benigna mais frequente da infância, com maior incidência no sexo feminino e na população branca. Quase 60% dos casos ocorrem em cabeça e pescoço, sendo o tratamento ativo durante a fase proliferativa mais frequentemente indicado, em decorrência dos possíveis problemas funcionais e do potencial desfigurante. Relatamos um caso de paciente com hemangioma infantil involuído de ponta nasal e lábio superior, tratado de forma expectante durante a infância, submetida à correção da deformidade residual com técnicas de rinoplastia, associado à zetaplastia e lipoenxertia do lábio superior com bom resultado e satisfação do paciente.


Infantile hemangioma (IH) is the most common vascular tumor and the most frequent benign neoplasm in childhood, with the highest incidence in females and the white population. Almost 60% of cases occur in the head and neck, and active treatment during the proliferative phase is the most frequently indicated, due to possible functional problems and disfiguring potential. We report a case of a patient with involute infantile hemangioma of the nasal tip and upper lip, treated expectantly during childhood, submitted to residual deformity correction with rhinoplasty techniques, associated with zetaplasty and upper lip grafting with good results and patient satisfaction.


Assuntos
Humanos , Feminino , Adulto , História do Século XXI , Rinoplastia , Ferimentos e Lesões , Relatos de Casos , Nariz , Doenças Nasais , Neoplasias Vasculares , Hemangioma , Lábio , Rinoplastia/efeitos adversos , Rinoplastia/métodos , Ferimentos e Lesões/cirurgia , Nariz/cirurgia , Nariz/patologia , Doenças Nasais/cirurgia , Doenças Nasais/patologia , Neoplasias Vasculares/cirurgia , Neoplasias Vasculares/patologia , Hemangioma/cirurgia , Hemangioma/patologia , Lábio/cirurgia , Lábio/patologia
15.
J Plast Reconstr Aesthet Surg ; 73(9): 1692-1699, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32536462

RESUMO

BACKGROUND AND PURPOSES: Multi-staged forehead flaps are a well-recognised reconstructive workhorse for subtotal and total nasal defects. It carries the disadvantage of repeated trips to theatre for revisional surgery, which is not suited to all patient cohorts. The single-stage islanded forehead flap eliminates this need. We detail our indications and outcomes of using this flap to highlight the maintained versatility of the technique without significant compromise on reconstructive and patient outcome. SUBJECTS STUDIED AND METHODS: A prospective surgical database was collated where patients were categorised as partial or total reconstruction. We detail surgical technique and review of rationale of patient selection. Patient demographics, perioperative data and follow-up course were recorded. MAIN FINDINGS: A total of 22 patients were recorded from both the U.K. and Ethiopia via working with the charity Facing Africa. Defects occurred from a mixture of trauma, Noma and cancer resections. Thirteen were total nasal reconstructions and nine partial. The mean follow-up period was 2.25 years. We experienced two major complications which required minor revision in the theatre and two minor complications, all resolved satisfactorily. CONCLUSIONS: We demonstrate good outcomes and safety of the procedure in this first report of a varied cohort of nasal reconstructions in a heterogenous cohort of patients. We advocate the use of this flap in the multi-morbid patient where recovery can be expedited or those who have limitations from economical restraints.


Assuntos
Testa/cirurgia , Rinoplastia/métodos , Retalhos Cirúrgicos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Leishmaniose Cutânea/cirurgia , Masculino , Pessoa de Meia-Idade , Nariz/lesões , Nariz/cirurgia , Neoplasias Nasais/cirurgia , Complicações Pós-Operatórias , Adulto Jovem
16.
Int J Pediatr Otorhinolaryngol ; 135: 110092, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32480136

RESUMO

While children, particularly infants, are susceptible to severe and critical COVID-19 disease, over 55% of pediatric cases are present in asymptomatic or mildly symptomatic children. Aerosolized SARS-CoV-2 viral particles remain viable for up to 3 hours, raising concern about risk to healthcare workers during aerosol generating procedures (APGs) in the airway and nasopharynx. Herein we describe the first case of a nasal foreign body in an asymptomatic child with SARS-CoV-2 infection. We discuss management of this child and highlight the importance of considering asymptomatic infection and preoperative testing when planning procedures of the airway in the COVID-19 era.


Assuntos
Infecções Assintomáticas , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus , Endoscopia/métodos , Corpos Estranhos/cirurgia , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Nariz/virologia , Pandemias , Pneumonia Viral , Betacoronavirus/genética , Pré-Escolar , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Feminino , Humanos , Nariz/cirurgia , Pneumonia Viral/diagnóstico , Cuidados Pré-Operatórios , Reação em Cadeia da Polimerase Via Transcriptase Reversa
18.
Facial Plast Surg ; 36(3): 276-280, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32512603

RESUMO

Repair of nasal defects is technically challenging due to inelastic nasal skin and unforgiving nasal geometry. The bilobe flap is a double transposition flap that can transpose skin from cephalad to caudad to repair defects of the lower third of the nose. However, pincushioning may complicate this flap, yielding untoward aesthetic outcomes. We review our single surgeon series of patients who underwent bilobe flap reconstruction of nasal defects, and describe our surgical technique to minimize pincushioning and poor aesthetic outcomes. This was a retrospective chart review of patients who underwent bilobe flap reconstruction of nasal defects at a tertiary referral facial plastic and reconstructive surgery clinic between January 1, 2010 and February 12, 2019. All postoperative clinic notes were analyzed for complications, reports of unfavorable cosmetic outcome, and rates of revision procedures. Surgical technique is described. In the analysis, 125 patients were included, of whom 84 (67%) patients were women, and the mean (standard deviation) age was 60.7 (12.5) years. Complications were reported in 20 (16%) patients, including scars, pincushioning, and nasal obstruction. Five patients underwent revision surgery (4%), including scar revision and z-plasty. Pincushioning was reported in four patients (3.2%), of whom three underwent scar revision procedures. One patient had alar notching requiring correction. There was no statistically significant association between ear cartilage graft and complications (p = 0.84) or requirement of intervention (p = 1.0). Univariate and multivariate logistic regression did not show statistically significant association between size of the defect and the presence of complications (p > 0.05). The bilobe flap is an excellent transposition flap for the repair of small nasal tip defects. By adequately thinning the transposition flap of excess subcutaneous tissue prior to inset, rates of poor aesthetic outcomes, revision procedures, and pincushioning are minimized.


Assuntos
Neoplasias Nasais/cirurgia , Rinoplastia , Estética Dentária , Feminino , Humanos , Nariz/cirurgia , Estudos Retrospectivos , Retalhos Cirúrgicos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA