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Retaining ligaments of the nose: A cadaveric study in Asians.
[BACKGROUND] This study aimed to identify the anatomy of retaining ligaments in the nasal region and understand their function via dissection of Asian cadavers. [METHODS] Between July 2020 and May 2023, 19 cadavers-11 fresh-frozen Koreans …
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Nasal Osteotomies Revisited in Asians: Surface Aesthetics, Anatomical and Technical Considerations.
Although osteotomy is commonly performed in rhinoplasty, it is difficult for less experienced surgeon to understand mechanism of the procedure. The primary goal of this study is to improve understanding of nasal osteotomy in Asians by cons…
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Septal perforation repair using costal chondro-perichondrial graft: a case report.
Septal perforation is an anatomical defect of the nasal septum that leads to impaired nasal function, including obstruction and respiratory issues. In this study, a novel surgical approach was introduced to address septal perforations, focu…
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Surgical anatomy for Asian rhinoplasty: Part III.
This article, which comprises the third part of a series on surgical anatomy for Asian rhinoplasty, addresses the lower one-third of the nose, including the alar cartilage and tip-supporting structures, known as distal mobile framework. As …
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Klebsiella Aerogenes Infection on the Costochondral Graft of the Nose.
Klebsiella aerogenes is a nosocomial and pathogenic bacterium that causes opportunistic infections including most types of infections. After rhinoplasty, the inserted costochondral graft could be a good material for bacterial growth due to …
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Swing Door Compressive Fracture Technique for Turbinoplasty: Retrospective Study Based on Computed Tomography and NOSE Scale.
[BACKGROUND] Treatment of inferior turbinate hypertrophy is performed using different techniques in rhinoplasty. However, the reported results are not consistent. In this study, we aimed to evaluate the outcomes of Swing door compressive fr…
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Surgical anatomy for Asian rhinoplasty: Part II.
Surgical anatomy for Asian rhinoplasty Part I reviewed layered anatomy with neurovascular system of the nose. Part II discusses upper two-thirds of nose which consists of nasal bony and cartilaginous structures. Nasal physiology is mentione…
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In Vitro and in Vivo Biocompatibility and Degradability Evaluation of Modified Polydioxanone Plate.
[BACKGROUND] Polydioxanone (PDS) has been widely used in the medical field over the past 30 years. In the 2000s, PDS plate began to be used for rhinoplasty and septoplasty. However, in Asia PDS plates are not widely used due to lack of awar…
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Deviated nose: Physiological and pathological changes of the nasal cavity.
Deviated nose is highly challenging in rhinoplasty since the surgeon should consider both aesthetic and functional aspects of the nose. Deviated nose correction is surgically complex, and a thorough understanding of the mechanical and physi…
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Cadaveric study of deep temporal fascia for autologous rhinoplasty grafts: Dimensions of the temporal compartment in Asians.
[BACKGROUND] Due to the anatomical complexity of the deep temporal fascia (DTF), practical guidelines for its safe harvest are lacking. However, since the upper temporal compartment (UTC) contains no vital structures, it may provide safe ac…
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Feasibility of a polydioxanone plate as an adjuvant material in rhinoplasty in Asians.
[BACKGROUND] Nasal framework-supporting procedures such as septal extension grafts, derotation grafts, and columellar strut grafts are usually required in rhinoplasty in Asian patients because the skin envelope is tight, but the nasal frame…
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Surgical anatomy for Asian rhinoplasty.
Surgical anatomy is an important and fundamental aspect for all surgical procedures. Anatomy provides a surgeon with the basic and in-depth knowledge that is required and mandatory when performing an operation. Although this subject might b…
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A New Method for Stabilizing the Columellar Strut Used in Rhinoplasty: The Trans-Septal Columellar Stabilizing Suture.
[PURPOSE] Minimal deformity or instability after columellar strut graft (CSG) placement can be solved by placing a suture between the columella strut and the caudal septum, such as a medial crura anchor suture or a projection control suture…
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Availability and Safety of Osteotomy in Esthetic Rhinoplasty of East Asian Patients.
[OBJECTIVE] East Asians usually have short and flat noses and broad nasal bones. Therefore, rhinoplasty with dorsal augmentation and nasal osteotomy is often required. However, many surgeons are wary of performing nasal osteotomy in conjunc…
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Is breast asymmetry caused by volume differences in women with pectus excavatum?
This study determined the breast volumes of female patients with pectus excavatum that led to asymmetry and hypoplasia compared with normal women. This retrospective study enrolled 13 patients diagnosed with pectus excavatum and 13 normal w…
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Obtaining maximal stability with a septal extension technique in East asian rhinoplasty.
Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose. The success rate of this method has led to the blind faith that it provides superior tip projection and de…
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Effective Use of a Silicone-induced Capsular Flap in Secondary Asian Rhinoplasty.
Performing secondary rhinoplasty in patients who underwent primary rhinoplasty using a silicone implant is difficult due to thinning of nasal skin and formation of a capsule. Excess capsule formation can cause capsular contracture, resultin…
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Hyaluronic acid pulmonary embolism: a critical consequence of an illegal cosmetic vaginal procedure.
The materials used for cosmetic procedures by physicians as well as illegally by non-medical personnel can cause non-thrombotic pulmonary embolism (NTPE). The case history is presented of a woman with acute respiratory failure after an ille…