Anatomical and profile analysis of the female black American nose.
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An anatomical and anthropometric study was conducted that compared nasal pyramid measurements of Negroid with Caucasian skulls and surface measurements of black with Caucasian controls. Eight external surface measurements were used to develop a classification system to show the range of the female black American nose. This classification will be described along with the range of measurements on which it is based. This classification may provide a better understanding of the anatomic characteristics of the normal variation of Negroid noses, and thus improve the surgeon's ability to evaluate black patients for rhinoplasty. (+info)
The broken nose: does familiarity breed neglect?
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A questionnaire method was used to assess the ability of early primary reduction to treat the fractured nose. Questionnaires were sent to one hundred and twenty eight such patients of whom eighty five (66%) replied. Seventy two (85%) of the patients expressed satisfaction with their nasal appearance with only thirteen (15%) requesting corrective surgery. Thirty one patients (36%) experienced nasal obstruction following reduction and of those, eighteen (21%) wished to undergo further surgery. In a separate study the cause of nasal deformity in fifty five patients undergoing septorhinoplasty was ascertained. In thirty six of these patients (65.5%) the deformity resulted from a neglected nasal injury. The value and limitations of early primary reduction of nasal fractures is discussed. (+info)
Oxyphenbutazone (tandearil) in rhinoplasty. A clinical evaluation of effectiveness.
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To evaluate the effectiveness of Oxyphenbutazone as an anti-inflammatory agent, a double-blind study of Oxyphenbutazone and a placebo in a group of 42 patients who had nasal cosmetic operations involving osteotomy was carried out. The observations included direct objective measurement of the width of the palpebral fissure after operation, grading of the severity of postoperative edema and ecchymosis from photographs, and observations by the patients regarding the clearing of the postoperative discoloration. It appeared from the results of these observations that Oxyphenbutazone is not effective in preventing postoperative edema in such operations or in promoting more rapid resolution of postoperative edema. It did appear to enhance the clearing of postoperative periorbital ecchymosis. (+info)
Cosmetic head and face surgery--ethnic considerations.
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In recent years there has developed an "image awareness" among various racial and ethnic groups throughout the world. Perhaps because people live longer, a greater sense of self-esteem based on the way one looks has developed. The communications media are highly promotional of interest in one's self. People want to feel good and look good, even if it requires blepharoplasty, face-lift, rhinoplasty, dermabrasion, or other types of cosmetic surgery. It is interesting that persons born in one place, and for business or personal reasons transposed to another part of the world, soon desire to remold their physical and cultural images in accordance with the practices and customs of their new milieux. This paper addresses these problems. (+info)
Humoral immune response against minor collagens type IX and XI in patients with cartilage graft resorption after reconstructive surgery.
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OBJECTIVES: The humoral immune response against a broad spectrum of cartilage antigens (cellular and matrix antigens) was studied in a group of patients who showed resorption and/or rejection of transplanted cartilage in nasal surgery. METHODS: Sera were obtained from patients with successful and unsuccessful cartilage grafting in the nose, from age and sex-matched healthy donors and from patients with rheumatoid arthritis. Antibodies to cartilage components were analysed by the following methods: (1) indirect immunofluorescence on cartilage sections, (2) ELISA using cultured human chondrocytes, isolated chondrocyte membranes and purified collagens type I, II, III, VI, IX and XI, and (3) immunoblotting with purified collagens and chondrocyte cell membranes. RESULTS: In the cartilage grafting group showing resorption problems, levels of anti-collagen antibodies were significantly higher against native collagen types IX (p < 0.002) and XI (p < 0.002) compared with the non-resorption group and the normal donors. Both transplantation groups revealed elevated reactivities against isolated chondrocytes in the ELISA. In contrast, no reactivity was detectable against collagens type II, III, and VI and chondrocyte cell membranes by both ELISA and immunoblotting. CONCLUSIONS: These data demonstrate for the first time the existence of a humoral immune response, primarily directed against the so called 'minor cartilage collagens', in patients showing cartilage resorption. Autoreactivities to collagen which are typical of inflammatory rheumatic diseases may also play an important role in the repeated failure of cartilage grafting. (+info)
Regional anaesthesia for outpatient nasal surgery.
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Regional anaesthesia is not used widely for outpatient nasal surgery. The aim of this study was to determine the role of nasociliary and infraorbital nerve block in 24 patients undergoing nasal surgery comprising: cosmetic or reconstructive surgery of the nose and surrounding soft tissue, polypal removal, turbinectomy, reduction of fractured nasal bones, small tumour resection or emergency surgery on isolated facial lacerations. Mild sedation with midazolam 0.03 mg kg-1 was used before anaesthesia. Nasociliary and infraorbital blocks were technically easy to perform, safe and provided good intraoperative conditions. Only minor complications were observed, including local bruising in eight patients and transient diplopia in one patient. No patient received general anaesthesia, but infiltration of local anaesthetic was necessary in four patients because of incomplete anaesthesia in the surgical area. Operative conditions were judged as good or excellent by surgeons in 20 of 24 patients. Twenty of 24 patients were very satisfied or satisfied with anaesthesia. Duration of surgery exceeding 60 min and excessive bleeding in the nasopharynx were the main limiting factors for the use of facial regional anaesthesia. (+info)