OBJECTIVE To present technical modifications to the original presurgical nasal remodeling appliance introduced in 1991. The purpose of the modifications is to improve the cleft nasal deformity before unilateral and bilateral cleft lip repair. METHOD The principle behind this technique, known as dynamic presurgical nasal remodeling (DPNR), is the use of the force generated during suction and s...

LEARNING OBJECTIVES After reading this article, the participant should be able to: 1. Discuss desired preoperative aesthetic and functional assessment of the postsurgical nose with rhinoplasty patients. 2. Identify factors that have the potential to affect procedural outcomes. 3. Develop an operative plan to address aesthetic goals while preserving/improving nasal airway function. 4. Recognize ...

The subject of our case report is a young girl who was attacked by a raccoon when she was 5 months old. She lost the majority of her nose, her entire right ear, and part of her upper lip. She had previous attempts at reconstructive surgery with poor results. Our collective goals were to provide lifelong reconstruction without the use of synthetic implants and to organize the steps in a way that...

OBJECTIVE To discuss our experiences with the use of a supratip transposition flap to simultaneously correct pollybeak deformity and nasal tip dimpling. DESIGN From April 1, 2007, through August 31, 2008, 10 Asian women with a contracted, short nose that exhibited nasal tip dimpling were retrospectively included in this study. By use of an open approach, the osteocartilaginous framework was e...

Pfaundler reported two cases to the Medical Society in Munich which were described in detail in 1919 by his assistant Hurler. They displayed the following unusual combination of congenital anomalies: clouding of the corneae, a deformity of the skull (oxycephaly), a disproportionate dwarfism strongly resembling that of hypothyroidism and associated with some of the usual signs of that condition ...

Primary surgical correction of cleft-lip nose deformity is now well accepted. Despite various surgical techniques proposed, perfect nasal symmetry has not been persistently attained. The main reason is that the maxillary deficiency is frequently overlooked.This paper presents 62 cases of unilateral cleft lip repaired over the last 20 years by using the author's modification of the Millard prima...

OBJECTIVES This study aims to show the placement of extended spreader grafts in reductive septorhinoplasty operations to support the nasal bony vault as well as the middle cartilaginous structures. PATIENTS AND METHODS Thirty-eight patients (16 males, 22 females; mean age 26.4 years; range 18 to 55 years) who underwent septorhinoplasty under general anesthesia via open approach between Januar...

Purpose To report a case of surgical interventions for a patient with relapsing polychondritis who presented with late ocular complications. Observations A 44-year-old male was diagnosed to have relapsing polychondritis on the basis of recurrent acute auricular chondritis, deformity of the ear, saddle nose deformity and painful nasal chondritis, acute ocular inflammation with conjunctivitis, ...

Nasal deformities are known to attract attention, are felt to be stigmatizing, and are known to affect negatively the perception of personalities. These effects have not been studied on profile views. The objective of this study was the quantification of visual attention directed toward nasal deformities and its impact on the perception of personality traits. Forty observers were divided into t...