Nasal Tip Projection: Asymmetries after Rhinoplasty
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2013, Vol 6, Issue 2
Abstract
Background: Nasal tip projection has been defined as the distance along a perpendicular line from the vertical facial plane to the most anterior projecting point of the nasal tip. The tripod concept, although an oversimplification of nasal tip dynamics, highlights the intimate relationship between projection and rotation. Aim: The aim of the study was to evaluate the rate of nasal tip irregularities after the medial crura overlay procedure, and following the Tripoid concept. Methods: We completed a retrospective review of patients who have been admitted at ENT Clinic, Skopje from the period of 2008-2012. Operative technique rhinoplasty was prepared in 36 patients. Procedures included full-transfixion incision, release of tension septum, lateral crural overlay (LCO), dome truncation, medial crural overlay (MCO), and combinations of them. We reviewed major and minor secondary revision procedures that patients underwent, postoperative complications, and any functional complaints. Results: Of the remaining 36 patients: one (2.5%) required minor revision of dorsal irregularities, 3 (3.0%) required tip revision, 33 patients (93.3%) were satisfied without qualification, 3 patients (3.5%) were not satisfied and wont for revision surgery. Three patients (2.5%) underwent radix grafts. 5 (13.3%) of the patients had had previous rhinoplasty performed by another physicians. Seven patients (18.3%) were classified as having tension nose. One patient had postoperative epistaxis, and there were no cases of postoperative functional complaints. Conclusion: Our revision rate of 4.2% for tip irregularity and our finding that no patients had postoperative functional complaints allows us to feel confident that this algorithmic paradigm can be used to accomplish tip deprojection in almost any circumstance.
Authors and Affiliations
Gabriela Kopacheva-Barsova| University Clinic for Ear, Nose and Throat, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia, Nikola Nikolovski| University Clinic for Ear, Nose and Throat, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia, Maja Kirjas| University Clinic for Ear, Nose and Throat, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia, Aleksandar Avramovski| Policlinic ”Akus Medikus” , Skopje, Republic of Macedonia
Keywords
Related Articles
- EP ID EP8923
- DOI 10.3889/MJMS.1857-5773.2013.0290
- Views 399
- Downloads 21
Déjà vu - A Report of Highly Similar Citations in the Biomedical Scientific Literature from the Republic of Macedonia
Background. Plagiarism and repeated publications of the same data are considered unacceptable practices, but they are not recognized and sanctioned in Macedonian biomedical journals. Aim. The aim of this report was to s...
Matrix Metalloproteinase-2 as a Marker of Microvascular Complications in Children and Adolescents with Type 1 Diabetes Mellitus
Background. Patients with type 1 diabetes develop microangiopathic complications, which are responsible for morbidity in adulthood. It had been widely known that diabetes is associated with alteration in extracellular...
Respiratory and Nasal Symptoms, Immunological Changes, and Lung Function in Industrial Bakers
Background: Several studies reported that occupational exposure in bakery may cause respiratory impairment in exposed workers. Aim: To assess the respiratory effects and immunological changes of occupational exposure i...
Antidiabetic Activities of Foeniculum Vulgare Mill. Essential Oil in Streptozotocin-Induced Diabetic Rats
Background: Foeniculum vulgare Mill (F. Apiaceae) is an ancient common herb and spice known to the ancient Egyptians and Greeks, traditionally used as a carminative, a weak diuretic and lactation stimulant. Aim: To ev...
Breast Cancer among Urban Nigerian Women: Appraising Presentation and the Quality of Care
Introduction: Late presentation is the hallmark of breast cancer among Nigerians. Awareness of the disease is low and care of this condition has not received adequate attention from Government. Health education to impr...