مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
دوشنبه 10 آذر 1404
[Archive]
چکیده: (446 مشاهده)
Rhinoplasty is usually associated with adding and subtracting tissues around structural cartilages to provide favorable contour. Minor corrections in cartilage shape and position, may have significant effect on final result. Upon last look in rhinoplasty, surgeon decides to do refinement, especially in thin skin patients. Traditionally blades and scissors are commonly available instruments to apply refinement. We examined a different solution in some patients and here presented our experience in a 36 yr old female in Tehran, Iran. Upon completion all stages of surgery such as osteotomy and cartilage sutures and before skin closure, surgeon examined the nose and if there was any minor hump on dorsum or asymmetric prominence of lower lateral cartilage, he could apply low voltage electrocautery with strict control to do camouflage. This may help surgeon to administer last monitoring before closure. Blades and scissors are commonly used to remove extra marginal cartilages, and reduce remained cartilage hump. We noticed low voltage electrocautery may provide smoother dorsum or even curves with more control during final curve.
attachement [MP4 7773 KB] (0 دریافت)
فهرست منابع
1. Kim MJ, Lim H, Park DH. Current strategies for aesthetic soft tissue refinement in nasal reconstruction. Arch Craniofac Surg 2022;23(3):95-102. [DOI:10.7181/acfs.2022.00689]
2. Kaplowitz LJ, Joseph EM. A Practical Approach for Learning Rhinoplasty Surgery. Int J Head Neck Surg 2016;7(1):33-46. [DOI:10.5005/jp-journals-10001-1262]
3. Cobo R. Correction of Dorsal Abnormalities in Revision Rhinoplasty. Facial Plast Surg 2008;24:327-338. [DOI:10.1055/s-0028-1083086]
4. Avşar Y. Nasal hump reduction with powered micro saw osteotomy. Aesthet Surg J. 2009 Jan-Feb;29(1):6-11. [DOI:10.1016/j.asj.2008.10.009]
5. Brown WE, Lavernia L, Bielajew BJ, Hu JC, Athanasiou KA. Human nasal cartilage: Functional properties and structure-function relationships for the development of tissue engineering design criteria. Acta Biomater 2023 Sep 15;168:113-124. [DOI:10.1016/j.actbio.2023.07.011]
6. Niazi, F.; Niazi, S.; Alizadeh Otaghvar, H.; Goravanchi, F. Clinical Evaluation of Safety and Complications of the Nasal Tip Defatting in Rhinoplasty. RBMS 2019, 23, e7.
7. Powell NB, Riley RW, Troell RJ, Blumen MB, Guilleminault C. A porcine pilot study for the treatment of obstructive sleep apnea syndrome. Chest 1997;111:1348-1355. [DOI:10.1378/chest.111.5.1348]
8. Sharma R. Safety of Colorado Microdissection Needle (Stryker) for Skin Opening in Craniomaxillofacial Surgery. J. Maxillofac. Oral Surg 2012; 11(1):115-118 [DOI:10.1007/s12663-011-0179-z]
9. González LF, Herrera H, Motta A. Tratamiento con electrocirugía del rinofima moderado grave Actas Dermosi-filiogr 2018;109:e23---e26. [DOI:10.1016/j.ad.2017.02.033]
10. Aferzon M, Millman B. Excision of Rhinophyma with High-Frequency Electrosurgery. Dermatol Surg 2002;28: 735-738. [DOI:10.1046/j.1524-4725.2002.02013.x]
11. Rand JA, GaffeyTA. Effect of Electrocautery on Fresh Human Articular Cartilage. Arthroscopy 1985; 1(4): 242-6. [DOI:10.1016/S0749-8063(85)80091-8]
12. Fertuzinhos A, Teixeira MA, Goncalves Ferreira M, Fernandes R, Correia R, Malheiro AR, Flores P, Zille A, Dourado N. Thermo-Mechanical Behaviour of Human Nasal Cartilage. Polymers (Basel) 2020 Jan 9;12(1):177. [DOI:10.3390/polym12010177]
13. Youn JI, Telenkov SA, Kim E, Bhavaraju NC, Wong BJF, Valvano JW, Milner TE. Optical and thermal properties of nasal septal cartilage. Lasers in Surgery and Medicine 2000; 27(2): 119-128.
https://doi.org/10.1002/1096-9101(2000)27:2<119::AID-LSM3>3.0.CO;2-V [DOI:10.1002/1096-9101(2000)27:23.0.CO;2-V]
14. Griffin MF, Premakumar Y, Seifalian AM, Szarko M, Butler PE. Biomechanical characterisation of the human nasal cartilages; implications for tissue engineering. J Mater Sci Mater Med 2016 Jan;27(1):11. [DOI:10.1007/s10856-015-5619-8]
15. Edwards RB, Lu Y, Nho S,et al.Thermal Chondroplasty of Chondromalacic Human Cartilage An Ex Vivo Comparison of Bipolar and Monopolar Radiofrequency Devices. The American Journal of Sports Medicine 2002; 30(1): 90-7. [DOI:10.1177/03635465020300012801]
16. Keim F, Sella GCP, Ferraz M. Use of Electrosurgery to Refine Cartilaginous Structures in Rhinoplasty. Biomed J Sci & Tech Res 2023; 48(1): 1-2. [DOI:10.26717/BJSTR.2023.48.007608]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
