| Transfixion incision as an initial technique in nasal tip deprojection. | |
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MedLine Citation:
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PMID: 19949502 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: The overprojected nasal tip presents a significant challenge to the surgeon performing rhinoplasty. Full transfixion incision as a means of dealing with this deformity has been studied only in combination with other surgical methods. OBJECTIVES: To determine whether transfixion incision alone would result in significant nasal tip deprojection, and if skin thickness had an effect on the extent of deprojection the procedure yielded. METHOD: Seventy-two consecutive patients with an aesthetic goal of nasal tip deprojection were enrolled. The sole surgical means of deprojection used was transfixion incision. Subjects were categorized as thin-, medium- or thick-skinned based on the surgeon's analysis. These groups were compared in terms of their postprocedural nasal tip deprojection. RESULTS: Using transfixion incision as the sole means of correcting this deformity resulted in a mean nasal tip deprojection of 1.6 mm (ranging from 0 mm to 3 mm). Patients in the thin skin group had a mean deprojection of 2.12 mm. This was significantly greater than for both the medium- and thick-skinned groups. There was no significant difference between the medium- and thick-skinned groups. CONCLUSIONS: Surgeons may use skin thickness when planning interventions for correcting nasal tip overprojection. When used alone, transfixion incision resulted in tip deprojection comparable with that achieved when combined with other methods, particularly for thin-skinned patients. Surgeons can thus use a graduated approach in which transfixion incision, the least destructive method, is used before proceeding with other interventions. |
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Authors:
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Philip Solomon; Richard Rival; Aimee Mabini; Jennifer Boyd |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique Volume: 16 ISSN: 1918-1507 ISO Abbreviation: Can J Plast Surg Publication Date: 2008 |
Date Detail:
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Created Date: 2009-12-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9434932 Medline TA: Can J Plast Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 224-7 Citation Subset: - |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario. |
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