Association between saddle nose deformity and retro-orbital mass in Wegener's granulomatosis.
(9/31)
OBJECTIVES: The relationship between saddle nose deformity (SND) in Wegener's granulomatosis (WG) and other clinical features, including retro-orbital mass formation (ROM), has been poor described. Therefore, this relationship was analyzed retrospectively from 2000 to 2010. PATIENTS AND METHODS: Eighteen consecutive WG patients with SND diagnosed by computed tomography were matched to 36 WG patients without SND (control group) for gender, age at WG diagnosis and disease duration. RESULTS: No difference was found between the two groups in relation to WG type (limited and systemic forms), ethnicity, laboratory features, constitutional symptoms or clinical manifestations, including upper respiratory tract, and treatment, except for ROM (33.3 vs. 2.8% in SND(+) and SND(-) groups, respectively; p=0.004) and subglottic stenosis (22.2 vs. 2.8%; p=0.038). However, on multivariate analysis, only ROM (OR 17.15; 95% CI 1.11-265.52) was statistically associated to SND. In addition, in more than half of the cases, SND manifested prior to ROM. CONCLUSIONS: Results of this prospective analysis showed that SND was strongly associated to ROM in WG. Since early diagnosis and aggressive treatment of orbital involvement could lead to better prognosis, the presence of SND warrants additional vigilance. (+info)
New protocol for construction of eyeglasses-supported provisional nasal prosthesis using CAD/CAM techniques.
(10/31)
A new protocol for making an immediate provisional eyeglasses-supported nasal prosthesis is presented that uses laser scanning, computer-aided design/computer-aided manufacturing procedures, and rapid prototyping techniques, reducing time and costs while increasing the quality of the final product. With this protocol, the eyeglasses were digitized, and the relative position of the nasal prosthesis was planned and evaluated in a virtual environment without any try-in appointment. This innovative method saves time, reduces costs, and restores the patient's aesthetic appearance after a disfiguration caused by ablation of the nasal pyramid better than conventional restoration methods. Moreover, the digital model of the designed nasal epithesis can be used to develop a definitive prosthesis anchored to osseointegrated craniofacial implants. (+info)
Comparison of the frequency of old septal deviation in patients with and without traumatic nasal bone fracture.
(11/31)
Investigating the frequency of traumatic nasal bone fracture in patients with and without old septal deviation and possible deviation. Prospective study of 105 patients with nose trauma conducted and cases were divided into two groups: a study group 35 patients with nasal fracture and a control group of 70 patients without nasal fracture. Diagnosis of septal condition was made by anterior rhinos copy and endoscopy using manipulation of septum. 31 (89%) of the patients with nasal fracture after trauma were diagnosed with old septal deviation. In comparison, only 39 (34%) of patients in the control group were diagnosed with old septal deviation. In comparison, only 39 (54%) of patients in the control group were diagnosed with old septal deviation. Existing old septal deviation significantly increases the risk of traumatic nasal bone fracture. (+info)
Crooked nose: outcome evaluations in rhinoplasty.
(12/31)
A new modified forked flap and a reverse V shaped flap for secondary correction of bilateral cleft lip nasal deformities.
(15/31)
BACKGROUND: The columella, nasal tip, lip relationship in the bilateral cleft lip nasal deformity remains a great challenge for plastic surgeon. An esthetically satisfying result is difficult to obtain. A subset of patients with bilateral cleft lip nasal deformity still require columellar lengthening and nasal correction and philtrial construction. This study aimed to provide a new method based on the forked flap to improve the final appearance of these patients. METHODS: A technique to correct this deformity is described. This consists of (1) a newly modified forked flap including the orbicularis oris muscle and nasalis muscle along the whole flap for columellar lengthening, (2) a reverse V shaped flap from the lower portion of the columella and the prolabium for normal size phitrum construction, (3) inserting the vermilion portion of the forked flap and advancing the nasal floor medially and anteriorly to lengthen and maintain the nasal septum side of the columella for proper tip positioning, (4) open rhinoplasty, allowing definitive repositioning of the lower lateral cartilages, (5) reconstruction of the orbicularis orismuscle as required, and (6) the flaring nostril floor advancing medially and constructing the sill. RESULTS: This technique was applied to 15 cases of secondary bilateral cleft lip nasal deformity. All the flaps took without signs of partial necrosis. In all cases, the nasal tip was projected forward with adequate columella elongation, and the height of the prolabium was added with normal size philtrial dimensions. CONCLUSIONS: This method makes maximum use of the tissue containing the scar in the lip and limits tissues in the lower portion of the columella and the prolabium for adequate columella elongation and reconstruction with normal size philtrial dimensions. It is a very reasonable and useful method in correction of secondary bilateral cleft lip nasal deformities. (+info)
Prosthetic rehabilitation of large nasal septal defect with an intranasal stent: a clinical report.
(16/31)