Navegando por Palavras-chave "Rhinoplasty"
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- ItemSomente MetadadadosAnatomy of the depressor septi nasi muscle: the basis for correction of deformities of the nose/lip junction(Informa Healthcare, 2013-04-01) Barbosa, Marcus Vinicius [UNIFESP]; Nahas, Fabio Xerfan [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The purpose of this study was to analyse the macroscopic aspect of the depressor septi nasi muscle in cadavers according to its relations with the nasolabial region, and to describe a surgical technique developed out of the knowledge gained from its study to take care of nasal tip drooping and gummy smile. Twenty fresh adult cadavers were studied. All of them were men. A transverse incision was done at the gingivo-labial sulcus, through the frenulum, to expose the orbicularis oris and the depressor nasi muscles. These muscles were isolated and their anatomical aspect, localisation, origin, and insertion were registered. Sixteen of the cadavers presented the muscle. From these, 14 were bilateral and two were unilateral. Four cadavers did not present the muscle. Muscular fibres were vertically disposed and presented oblique direction towards the midline, in a quadrangular shape. From the 16 cadavers of the subgroup in whom the muscle was present, 14 originated in the orbicularis oris and its insertion was in the maxilla. Two of the cadavers presented the origin and insertion at the maxilla. According to these findings, a surgical approach of the muscles was proposed to treat the gummy smile deformity during rhinoplasty and two clinical cases are presented. the depressor nasi muscles presented an anatomical variation. in most cases it is intimately related with the orbicularis oris and the maxilla, being a relatively thick structure. We suggest its treatment simultaneously during rhinoplasty for a better result of the nasal tip and it benefits the tense nose aspect and the smiling deformity.
- ItemSomente MetadadadosCartilagem alar maior: estudo mensural nos brancos e negros brasileiros(Universidade Federal de São Paulo (UNIFESP), 1982) Zani, Rolando [UNIFESP]
- ItemSomente MetadadadosPatients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty(Elsevier B.V., 2014-05-01) Felix, Gabriel de Almeida Arruda [UNIFESP]; Brito, Maria José Azevedo de [UNIFESP]; Nahas, Fabio Xerfan [UNIFESP]; Tavares, Hermano; Cordás, Táki Athanássios; Dini, Gal Moreira [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Sapucai Valley Univ UNIVAS; Universidade de São Paulo (USP)Body dysmorphic disorder (BDD) is one of the most common psychiatric conditions found in patients seeking cosmetic surgery. BDD is also a challenge for plastic surgeons because it is still an underdiagnosed mental disorder. the aims of this study were to prospectively investigate whether patients with mild to moderate BDD are suitable for rhinoplasty, and to assess BDD severity and patient satisfaction with the surgical outcome 1 year after the intervention. All women (n = 116) seeking rhinoplasty at a university hospital between September 2009 and August 2010 were recruited for the study and assessed for BDD. the final sample consisted of 31 patients aged 32 (standard deviation (SD), 10) years with mild to moderate BDD who underwent rhinoplasty. the participants were assessed preoperatively (baseline) and 1 year postoperatively with the Body Dysmorphic Disorder Examination (BDDE). Most patients (22/31, 71%) were of African descent. Socio-demographic variables and the extent of the nasal deformities had no effect on the severity of BDD symptoms and patient satisfaction with surgery outcome. At the 1-year postoperative follow-up, there was a significant decrease from baseline in BDDE scores and time spent by patients worrying about their appearance; 25 (25/31, 81%) patients experienced complete remission from BDD and 28 (28/31, 90%) were satisfied with the results of surgery. Rhinoplasty may be indicated in the treatment of female patients with mild to moderate BDD. (C) 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier B.V. All rights reserved.
- ItemSomente MetadadadosA Pinça Hammerhead Para Rinoplastia(Universidade Federal de São Paulo (UNIFESP), 2018-02-15) Lee, Kuang Hee [UNIFESP]; Garcia, Elvio Bueno [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: The Use Of Cartilaginous Graft Has Become More And More Common In Rhinoplasty. This Treatment Is Indicated To, Among Others: Correction Of Cleft Lip, Traumas, Granulomatous Diseases And Functional And Aesthetic Improvements. The Procedure To Obtain Grafts Increases Local Comorbidity And Surgery Duration. Therefore, It Is Necessary To Rationalize And Optimize The Use Of Graft By Creating A Proper Surgical Plan And Dexterity To Use It. The Tools Used To Shape The Cartilaginous Grafts Are Currently Rudimental And Do Not Provide Precise Cuts. Aim: Developing Tweezers To Help The Process Of Precise Cuts Of Cartilaginous Grafts. Methods: Searching For Other Studies In Databanks Such As Uspto, Espacenet, Wipo, And Google Patent Search. To Develop The Tool, We Designed Surgical Forceps That Helps Gripping, Measuring And Cutting The Cartilage. To Measure The Forceps, We Researched In Literature Where There Is Reference For Each Type Of Graft In Rhinoplasty. Results: We Found Seven Related Patents, Four U
- ItemSomente MetadadadosValidation of the Rhinoplasty Outcomes Evaluation (ROE) questionnaire adapted to Brazilian Portuguese(Springer, 2014-04-01) Izu, Suemy Cioffi [UNIFESP]; Kosugi, Eduardo Macoto [UNIFESP]; Lopes, Alessandra Stanquini [UNIFESP]; Brandao, Karen Vitols [UNIFESP]; Garcia Sousa, Leonardo Bomediano [UNIFESP]; Suguri, Vinícius Magalhães [UNIFESP]; Gregório, Luiz Carlos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Purpose the aim of this study was to validate the Rhinoplasty Outcomes Evaluation (ROE) questionnaire adapted to the Brazilian Portuguese.A prospective study was conducted with ROE administration to 56 patients submitted to rhinoplasty (preoperatively, and then 15-day and 90-day postoperatively) and 100 volunteers without the need or desire of cosmetic or functional nasal surgery. Reliability (internal consistency and test-retest reproducibility), validity, responsiveness and clinical interpretability were assessed.Rhinoplasty patients' mean preoperative score was 7.14, 15 days post-op 17.73 and 90 days post-op 20.50, while controls presented 17.94 points (p < 0.0001), showing the questionnaire's validity and responsiveness. Internal consistency was 0.86. Inter- and intra-examiner test-retest reproducibility was 0.90 and 0.94, respectively. the effect size caused by the surgery was considered large (15 days post-op compared to the preoperative score: effect size = 3.22; 90 days post-op compared to preoperative score: effect size = 4.06). the minimally important difference was 8.67 points, so changes smaller than 9 points in ROE might not be perceived by the patient as an improvement or worsening.The Brazilian Portuguese version of ROE is a valid instrument to assess results in rhinoplasty patients.