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Nasal Septal Perforation Repair Using a Composite PDS Plate and Fascial Graft

Perforations of the nasal septum occur from a variety of causes. Disease processes such as rheumatologic and granulomatosis etiologies are one common source. Unfortunately septoplasty surgery and septal cartilage harvest can be an iatrogenic source although it is not the most common. If a septal perforation occurred in a more easily accessible area, the success Read More…

Asian Rhinoplasty and Management of the Pseudohump Deformity

Many Asian patients that seek rhinoplasty have some similar anatomic features to their nose. The bridge of the nose is low and the nasal tip has poor projection with a wide nostril base. This has led to an overall augmentation of the dorsal profile from the radix down through the tip. But in some Asian Read More…

Plastic Surgery Case Study – The Adolescent Cleft Septorhinoplasty

Background: The unilateral cleft lip and palate is the most common orofacial deformity. While the cleft through the lip and palate is the most obvious component to it, adjacent structures are also affected. This is very apparent in the nose with the classic depressed and widened nostril on the cleft side. The correction of the Read More…

Intraoral K Wire Extrusion after Rib Graft Rhinoplasty

Rhinoplasty often uses cartilage grafts for various augmentative and supportive nasal needs. Most of these cartilage grafts are more modest in size and are harvested from the septum or ear. Such grafts are placed by conventional suture fixation or even as onlays in a crushed shape. Greater amounts of nasal augmentation, however, require rib cartilage Read More…

Plastic Surgery Case Study – Early Nasal Swelling After Rhinoplasty

Background: Like all facial surgeries there is going to be swelling and bruising which will persist for a longer period of time after surgery than most people want.  This is certainly no less true for rhinoplasty surgery. But what differentiates nose reshaping surgery from all other facial procedures is the persistence of swelling, often lasting Read More…

Long-Term Evaluation of Allograft Bone in Augmentative Rhinoplasty

  When significant augmentation to the nose is needed, the options have always included the patient’s own bone (autograft), a synthetic material (implant) and cadaveric or tissue bank grafts. (allograft) There are biologic advantages and disadvantages to either nasal augmentation option as well as patient and surgeon preferences, the latter often based on more emotion Read More…

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