Dissertation > Excellent graduate degree dissertation topics show

Analysis of Rhinoplasty for Nasorostral Hypertrophy

Author: ZhangAiXia
Tutor: QinHongZhi
School: Dalian Medical University
Course: Surgery
Keywords: rhinoplasty nasal tip nasorostral hypertrophy
CLC: R765.9
Type: Master's thesis
Year: 2011
Downloads: 6
Quote: 0
Read: Download Dissertation

Abstract


Objective: To investigate surgical technique in treating with nasorostral hypertrophy.Methods: From January 2008 to March 2011, 35 famale cases accepted operations. Their age ranged from 20 to 45 with a mean age of 32. The comprehensive rhinoplasty are based on the specific clinical manifestations, the use of the open incision which is butterfly shaped outside of the nose alar、nasal tip and columella ;or through closed incision in both of the narial rim.The comprehensive rhinoplasty is for mere nasorostral hypertrophy: Trimming of the triangle of soft tissues such as commective and fat tissue, then suture the medial crura and fornix; for the nasorostral hypertrophy with nostrils wide and hypertrophy : cut off appropriate part of the lateral alar cartilage then suture the medial crura and fornix ,at the same time cut the appropriate size basolateral bilateral alar wedge organizations; for the nasorostral hypertrophy with the low and flat dorsum and the nasal tip: implant the silicone gel prosthesis which is L shaped to correct the flat dorsum and with autologous auricular cartilage grafting to fill at the same time to prevent rupture of the nasal tip.Results: The postoperative treatment given to conventional anti-inflammatory swelling of 3-5 days, after 7-10 days remove the nose suture and 12-14 days remove the ear suture and the fixed package. The nasal dorsum fastened with paper tape for 1 week or shaped with thermoplastic sheet for 2-3 weeks. The follow up period was 3 months to 2 years. All the 35 patients with the nasorostral hypertrophy were corrected, the effect is satisfactory. Measuring the ICD after the operation that reduced about 0.2cm on average, and the nasal tip increased about 0.3cm.Through comparison of the photograph that preoperative and after operation, the result was assessed by three sides including doctor、patient and investigator. If all the three sides were satisfied with the result, the result was regarded as excellent, two sides satisfactory was good and one side fair. If all sides dissatisfied with the outcome or serious complications occurred, the result was regarded as bad. According to the above standard, among all 35 cases, 18 were excellent, 10 were good, 7 were fair and no bad case was found 2 years after operation.Conclusion: According to the Oriental features of the anatomy of the nasal tip hypertrophy, we put the principle of nasal tip sub-units into practice. According to aesthetic standards, first to deal with the various anatomical units, then do the comprehensive surgical procedures such as cutting, sewing and filling, to re-allocate the various parts of the sub-units to form a new equilibrium. Nasorostral hypertrophy be corrected , while the other deformities to be associated with restoration. so that the overall shape consistent with oriental aesthetic standards and achieve a satisfactory result; correction of the nasorostral hypertrophy used this combined surgical technique can achieve a desired effect.

Related Dissertations

  1. A Systematic Analysis between Silicone Implant and Gore-Tex in Augment Rhinoplasty Surgery,R622
  2. Evaluating the Surgery Effect of the Alar Cartilage Modification Techniques,R622
  3. Studying of the Nasal Tip Deformity and Reshaping the Nasal Tip with Autogenous Auricular Cartilage,R765.9
  4. The Study of Applied Anotomy of External Nose for Plastic Surgery,R622
  5. Rhinoplasty by Buried Suture with Implantation of Silicon Prosthesis,R622
  6. Repair of the Rabbit Nose Cartilage Defects with Autogenous Perichondrium/DBM Complex,R765
  7. Based on the vascular anatomy of the frontal nasal defects principles,R765.9
  8. Hanging Alar and Large Nostril: Diagnosis、Classification and Reshaping,R765
  9. Study on Injectable Tissue-engineered Bone with Calcium Alginate Gels as Carriers,R318.1
  10. Nasal Base Reduction by Guided Suture Technique (A Report of 23 Cases),R765.9
  11. Exploration of aesthetic surgery procedure to nose tip and related anatomic study,R622
  12. Investigation of Anatomic Anthropometric Measurement of the External Nasal Soft-tissue in 119 Normal Young Adults of Han Nationality,R322
  13. Experimental Studies on Engineered-cartilage Used in Augmentation Rhinoplasty,R622
  14. Correlation of Humulus Pollen Allergic Rhinitis with HLA-DQA1 Gene,R765.21
  15. An Investigation of Allergens of Allergic Rhinitis and An Efficacy Analysis of 78 Cases Accepted Specific Immunotherapy in Dalian,R765.21
  16. Analysis on the Prevalence of Allergic Rhinitis among 3～ 7 Years Old Children in Urumqi , S First-grade Kindergarten,R765.21
  17. p38MAPK on allergic rhinitis peripheral blood mononuclear cells IL-4, IL-5 effects,R765.21
  18. Combined surgery 34 cases of severe persistent allergic rhinitis efficacy,R765.9
  19. Comparative Efficacy of Alternative Deviation of Nasal Septum Incision,R765.9
  20. Function Research of Th1/2、Th17 Cells and CD4~+ IL-10~+ Treg Cells of Peripheral Blood in AR and DE,R765.21

CLC: > Medicine, health > Otorhinolaryngology > Rhinology,nasal disease > Nasal surgery
© 2012 www.DissertationTopic.Net  Mobile