scholarly journals Transcutaneous and Transmucosal Serdev Sutures® for Nasal Tip Refinement, Alar Base Narrowing, and Other Corrections

Author(s):  
Nikolay P. Serdev
Keyword(s):  
Author(s):  
Dr Munir Alam

Background: Rhinoplasty is the most challenging surgical procedure amongst all the aesthetic/cosmetic operations. As for the challenges with rhinoplasty are great, so the need of minimal invasive techniques, less scarring, quick recovery especially in the asian nose with thick sebaceous nasal tip skin. The aim in beautification rhinoplasty is to improve the aesthetic proportions, volumes, and angles of the nose, adapted to the face as a whole. Frequently the patient desire is to achieve symmetrical, smaller, more attractive nose with better respiration, which require the identification of aesthetic and functional problems to execute the planned operation. Study Period: The author have had performed fifty seven rhinoplasty procedures from July 2014 to July 2017 with almost 6 months follow up period. Material and Methods: The techniques used for almost all rhinoplasty procedures includes T-excision, humpectomy, macidonian technique for lateral digital osteotomy, columellar sliding and nasal tip refinement. Where needed combined with septoplasty, turbinectomy, polypectomy etc additional procedure in nine patients out of fifity seven. Serdev Sutures® in rhinoplasty include: tip rotation, refinement / narrowing of the tip, lower and medial thirds, alar base narrowing and nasal dorsum lifting of concavities and irregularities. Results: With the advancement in minimal invasive techniques, it has become possible to achieve excellent satisfactory results (80 -100 % by using visual analogue scoring system), where indicated combined with ENT Surgery. Conclusion: The correct nose proportions, angles, and volumes guides the appropriate procedure to the surgeon. By using advance minimal invasive techniques provide predictable results for close rhinoplasty, nearly normal “nonoperated appearance” after atraumatic mini-invasive surgery.


2021 ◽  
pp. 105566562110340
Author(s):  
Thinnapat Hantawornchaikit ◽  
Raweewan Arayasantiparb ◽  
Kumar KC ◽  
Kiatanant Boonsiriseth

Objective Three-dimensional assessment of nasal morphology in patients with unilateral cleft lip nose treated by cartilage graft augmentation. Design Retrospective study. Patients and Intervention Thirteen patients with unilateral cleft lip nose underwent definitive secondary rhinoplasty and postsurgical changes were examined using a three-dimensional (3D) laser scan. Main Outcome Measure Nasal dorsum length, nasal tip, alar width, and alar base width in frontal view; nasion depth, nasal tip projection, nasal dorsal angle, and nasal tip angle in lateral view; nostril width, nostril height, and nasal tip height in basal view were measured at preoperative (T1: within 6 months), short follow-up (T2: 2-10 weeks), and long follow-up (T3: 9-14 months). Results A significant change in alar width, alar base width, nostril width, and nostril height at the cleft side, nasal dorsum length, nasion depth, nasal tip projection, and nasal tip height was observed from T1 to T3 follow-up after rhinoplasty ( P < .05), whereas the nostril height at the noncleft side was also significantly increased at T2 follow-up but the mean change in height relapsed at T3 follow-up. Alar width, alar base width, and nostril width at the noncleft side, and nasal tip angle did not change significantly after surgery at any follow-up period. Conclusions 3D imaging evaluation after secondary cleft rhinoplasty demonstrated improved functional and aesthetic outcomes using a septal or conchal graft.


1998 ◽  
Vol 138 (3) ◽  
pp. 559-560 ◽  
Author(s):  
Vieira Mota ◽  
Correia ◽  
Resende ◽  
Azevedo ◽  
Mesquita‐Guimarães
Keyword(s):  

1987 ◽  
Vol 20 (4) ◽  
pp. 797-823 ◽  
Author(s):  
M. Eugene Tardy ◽  
Elise Y. Cheng ◽  
Vance Jernstroin
Keyword(s):  

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