부비동 내시경수술과 코성형술의 동시 시행의 효용성과 한계

박보나,유윤종,문수진,윤병기,진홍률 대한이비인후과학회 2014 대한이비인후과학회지 두경부외과학 Vol.57 No.7

Background and Objectives Combined endoscopic sinus surgery (ESS) and rhinoplasty may benefit patients but can pose a considerable task to the surgeon at the same time. The aim of this study is to analyze the surgical outcomes of the concurrent ESS and rhinoplasty with emphasis on the efficacy and limitation. Subjects and Method Consecutive 21 patients who underwent concurrent ESS and rhinoplasty (combined group) were identified. For comparison, rhinoplasty group who had only rhinoplasty and ESS group who had only ESS over the same period were selected. Medical records, endoscopic findings, and CT scans were reviewed. A telephone survey was done to evaluate subjective outcomes of the surgery. Objective aesthetic outcomes of rhinoplasty were evaluated by comparing the preoperative and postoperative photos by two rhinoplasty surgeons. Results In the combined group, ten patients (24%) had ESS-related complications and one patient (5%) had rhinoplasty-associated complications. On the other hand, only one patient (5%) had recurred rhinosinusitis in the ESS group but three patients (14%) had complications including revision surgery in rhinoplasty group. Subjective functional satisfaction score after ESS and subjective aesthetic satisfaction score after rhinoplasty did not show any significant difference between the combined group and each matching group. Objective aesthetic evaluation did not show any difference either. Conclusion Concurrent ESS and rhinoplasty have similar subjective functional improvement and objective surgical outcome compared with ESS alone or rhinoplasty alone. However, concurrent surgery had a tendency to show poorer surgical outcome in ESS than in rhinoplasty warranting a cautious approach with patient selection. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(7):460-5

이차코수술에 적합한 콧등 융기술

김현수 대한미용성형외과학회 2008 Archives of Aesthetic Plastic Surgery Vol.14 No.2

Two most common pathologic mechanisms which cause secondary rhinoplasty are related with nasal framework and it's envelope. The reasonable definition defining key features of the secondary rhinoplasty 'Scarred nasal soft tissue envelope overlying adherent and distorted nasal framework' gives full explanation about main deformities in the secondary rhinoplasty, and leads us to focus on reconstructing and reinforcing both structures when the secondary rhinoplasty is performed. Moreover, artificial alloplastic implants and injectable materials, popularly used for augmentation rhinoplasty, erode skin and give damages to skin and appendages. It is, therefore, essential to understand the importance of skin problem and to know that one must be ready to suffer from another more difficult operations and its unpredictable results, unless it is properly reinforced. I have used several autogenous materials (n=294) and two kinds of xenografts (n=35) in the secondary rhinoplasties during the last 8 years for reinforcing the envelopes in pathologic conditions and augmenting the dorsal volume. I have learned a lesson from these 8 years of experience about dorsal augmentation in secondary rhinoplasty. 1) Even though it seems to be time consuming and annoying to harvest and prepare autogenous graft materials, no xenografts or artificial materials are safer and more consistent than autogenous materials, and no convenience is more valuable than consistency and safety in secondary rhinoplasty. 2) If you need to augment nasal dorsum in secondary rhinoplasty, get the permission from the nasal envelope. 3) Remind this aphorism: Alloplastics are only convenient on the day of surgery.

융비술에 관한 설문지 결과: 코 성형연구회 보고

홍성택,송선호,김덕우,윤을식,동은상,황세휘,정재용,김재훈,박성근 대한미용성형외과학회 2011 Archives of Aesthetic Plastic Surgery Vol.17 No.2

Rhinoplasty is one of the most popular surgical procedures in plastic surgeries. Good results depend not only on the surgical technique but also on individual preference and philosophy of the surgeons. This article reports on the survey of the attitude, preference, and philosophy of surgeons, and finally to elicit the evidence based consensus of current trends mainly dealing with the primary rhinoplasty. The Korean Society of Rhinoplasty Surgeons (KSRS) prepared a questionnaire composed of 20 questions asking about the primary esthetic rhinoplasty. A total of 77 out of 450 plastic surgeons attending the rhinoplasty symposium, 2009, Korea replied and the answerswere assessed. Twenty questions were about operation techniques, preference of alloplastic implant, autologous materials and trivia about the complications rates, etc. Many plastic surgeons preferred silicone to Gore-tex . In cases of autologous cartilage grafts, experienced plastic surgeons were more likely to use septal cartilage. But generally, ear cartilages were more frequently used when it is concomitantly used with alloplastic implants. Among silicone implants, boat-shape implant was preferred to L-shape regardless of their surgical experiences. Many Korean plastic surgeons prefer open rhinoplasty to closed rhinoplasty and routinely use boat shape silicone with auricular cartilage when they are doing simple primary rhinoplasty. (Archives of Aesthetic Plastic Surgery 17: 99, 2011)

구순열 환자에서의 개방형 비성형술

이종호,전세일,명훈,임구영,서병무,최진영,정필훈,김명진,남일우,김종원,민병일 대한구순구개열학회 2000 대한구순구개열학회지 Vol.3 No.1

While in endonasal rhinoplasty transection and resection of nasal structures is primarily used for correction of nasal deformities, open rhinoplasty is performed using sutures and repositioning of nasal structures in the repair of severe nasal deformities. We reviewed our experiences in the repair of cleft nasal deformities from 1991 to 1999 year in our institute, and compared the results of open rhinoplasty with endonasal rhinoplasty. In overall 164 cases of rhinoplasty in cleft nasal repair, open rhinoplasty was done in 13 cases. Male patients were 10, female 3(age between 6 to 34 years old). In this article, our experience, together with review of literatures of open rhinoplasty in the cleft nasal deformities are reported.

Outcomes of Closed versus Open Rhinoplasty: A Systematic Review

Rohun Gupta,Jithin John,Noopur Ranganathan,Rima Stepanian,Monik Gupta,Justin Hart,Farideddin Nossoni,Kenneth Shaheen,Adam Folbe,Kongkrit Chaiyasate 대한성형외과학회 2022 Archives of Plastic Surgery Vol.49 No.5

Open and closed rhinoplasty are two main approaches to perform nasal modifications. According to current literature, there is no current consensus among plastic surgeons and otolaryngologists on which technique is preferred in terms of aesthetic result, complications, and patient satisfaction. This study uses published research to determine whether open or closed rhinoplasty leads to superior patient outcomes. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed and a literature search was conducted in four databases based on our search strategy. Articles were then imported into COVIDENCE where they underwent primary screening and full-text review. Twenty articles were selected in this study after 243 articles were screened. There were 4 case series, 12 retrospective cohort studies, 1 prospective cohort study, 1 case–control, and 2 outcomes research. There were three cosmetic studies, eight functional studies, and nine studies that included both cosmetic and functional components. Sixteen studies utilized both open and closed rhinoplasty and four utilized open rhinoplasty. Both techniques demonstrated high patient and provider satisfaction and no advantage was found between techniques. Based on available studies, we cannot conclude if there is a preference between open or closed rhinoplasty in terms of which technique leads to better patient outcomes. Several studies determined that open rhinoplasty and closed rhinoplasty leads to comparative patient satisfaction. To make outcome reporting more reliable and uniform among studies, authors should look to utilize the Nasal Obstruction and Septoplasty Effectiveness scale and the Rhinoplasty Outcome Evaluation.

FCT 2-7 Evaluating the longevity of filler rhinoplasty via anthropometric analysis

( Sung Hwan Youn ),( Kyle Koo-il Seo ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.2

Background: Filler rhinoplasty is a simple and effective treatment modality producing outcomes comparable to surgical augmentation rhinoplasty. There are no reports of objectively evaluating the longevity of filler rhinoplasty using anthropometric techniques. Objectives: To objectively evaluate the longevity of filler rhinoplasty via anthropometric analysis. Methods: We retrospectively reviewed the medical records of the patients who received the filler rhinoplasty in Modelo clinic from 2006 to 2014. We included the 76 Korean patients who revisited the clinic after the hyaluronic acid filler rhinoplasty and dividable by follow-up duration as 3months, 6months, 9months 12months and 18months subgroup. We compared the anthropometry between before and follow-up by paired t-test. Results: Until 18months, nasofrontal angle, modified nasofacial angle and radix height increment showed statistical difference between before and follow-up. But, nasolabial angle start to lost efficacy between 12months and 18months after filler rhinoplasty. Conclusion: Nasal dorsum, especially nasal root is more stable area for filler rhinoplasty than nasolabial angle in terms of longevity. But nasolabial angle also showed at least over 12months longevity. More data will be needed to conclude the longevity at the nasal dorsum.

융비술에 적합한 필러 및 시술법

고익수,이세환 대한미용성형외과학회 2008 Archives of Aesthetic Plastic Surgery Vol.14 No.2

Because of its simplicity, augmentation rhinoplasty with filler material has been used as alternative choice of the operative augmentation rhinoplasty. With development of various filler materials the duration of which is long, the augmentation rhinoplasty using filler material has wide usage. This article describes the choice of filler suitable for augmentation rhinoplasty. As skin and soft tissue are abundant at the nasal tip and root, they are easily elevated when filler material is injected. However, in case of nasal dorsum, especially supratip depression, there is a lack of skin and soft tissue, therefore, the filler material injected is redistributed into the nasal tip and dorsum. Ideal filler material for augmentation rhinoplasty should be located at the injection site without quantitative change. Fortunately, 3.3% PAAG(polyacrylamide gel) has hard consistency, but no component change, and has long duration. Therefore, it seems to be an ideal filler material among numerous filler materials currently sold.

연장된 연변절개를 이용한 코성형술

윤영석,장태영,김규성 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.9

한국인의 코성형에 흔히 사용되는 이식 술식의 해부학적 위치에 따른 한글 명칭 및 정의

김동영,김인상,진홍률 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.7

Background and Objectives No definite concepts or nomenclature have yet been established in Korean for a number of different grafts used frequently in Korean rhinoplasty. The aims of this study were to define indications and usages of grafts frequently used in Korean rhinoplasty and to suggest appropriate Korean nomenclatures for these grafts. Materials and Method We prepared diagrams and explanations for the grafts frequently used in rhinoplasty in Korea and suggested Korean nomenclature that were considered the most appropriate. We carried out a survey on the rhinoplasty experts in order to reach a consensus on the nomenclature. We also reviewed recent Korean articles on rhinoplasty to investigate how names of each graft had been translated into Korean nomenclature. Results We classified grafts according to anatomical locations; the nasal dorsum, the nasal tip, the alar region, and the alar base. Grafts of the nasal dorsum included radix graft, dorsal onlay graft, dorsal sidewall onlay graft, and spreader graft. Grafts of the nasal tip were the columellar strut, shield graft, buttress graft, cap graft, and septal extension graft. The alar batten graft,alar rim graft, composite alar rim graft, lateral crural onlay graft, and lateral crural strut graft belonged to grafts of the alar region. Grafts of the alar base included the columellar plumping graft, premaxillary graft, and alar base graft. The names of all these grafts were translated into Korean. Conclusion We set definitions, indications, and usages of each graft, and suggested the most appropriate Korean nomenclature. We hope that this nomenclature can be widely accepted and used in future papers and books on Korean rhinoplasty. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:412-8

코높임술을 시행받은 비골골절 환자에서 진피지방 이식을 이용한 즉시 이차코높임술을 시행한 치험례

강문석,하영인,박은수 대한미용성형외과학회 2010 Archives of Aesthetic Plastic Surgery Vol.16 No.1

Augmentation rhinoplasty is one of the most common aesthetic procedures in Asian countries. For this procedure, a variety of implants are used. Nasal bone fracture is one of the common facial bone fracture, and patients who have nasal bone fracture often need secondary rhinoplasty because of certain complications such as nasal deviation and depression. Unfortunately, the management protocol has not yet been established. Depending on whether the previous implant is removed or not,therefore, this may lead to partial decompression of the nasal bone, mobility of the implant, or reposition of the implant. For these reasons, we corrected fractured nasal bone, removed silicon implants and capsules, and employed immediate secondary rhinoplasty with dermofat graft for the patient who had had rhinoplasty. The height and appearance of the patient's nose were maintained as before surgery. The patient appealed a little depression of the nasal dorsum, but was very satisfied with its natural appearance. There were no complications such as nasal tip deformity, chronic inflammation, or partial depression deformity. We report herein the usefulness of this procedure;doing non-invasive closed reduction, removing silicon implants, and employing immediate secondary rhinoplasty with dermofat graft of the patients who had rhinoplasty previously. (J Korean Soc Aesthetic Plast Surg 16: 49, 2010)