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Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty

The nasofrontal angle (radix) has a great impact on the rhinoplasty outcome. Minimal alterations in this area can give an unusual nasal appearance and midfacial length. Different management approaches have been described with regard to radix augmentation. This study aimed to describe the techniques...

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Autores principales: Alawadh, Ibrahim, Bogari, Ahmad, Bedaiwi, Reenad, Alanazi, Hani, Bafaqeeh, Sameer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518963/
https://www.ncbi.nlm.nih.gov/pubmed/35013074
http://dx.doi.org/10.1097/SCS.0000000000008456
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author Alawadh, Ibrahim
Bogari, Ahmad
Bedaiwi, Reenad
Alanazi, Hani
Bafaqeeh, Sameer
author_facet Alawadh, Ibrahim
Bogari, Ahmad
Bedaiwi, Reenad
Alanazi, Hani
Bafaqeeh, Sameer
author_sort Alawadh, Ibrahim
collection PubMed
description The nasofrontal angle (radix) has a great impact on the rhinoplasty outcome. Minimal alterations in this area can give an unusual nasal appearance and midfacial length. Different management approaches have been described with regard to radix augmentation. This study aimed to describe the techniques of rhinoplasty, different materials used in the procedure, and results of at least 1 year of follow-up in our 12-year experience in this field. The authors retrospectively reviewed the data of patients who underwent rhino-plasty/septorhinoplasty with radix augmentation performed by 1 of the authors (a senior surgeon at our institution) using different graft materials, between January 2007 and December 2019. Patients younger than 18 years or who were followed up for less than 1 year were excluded from the study. In total, 387 patients (235 [60.7%] female; age range, 19–39 years) were included. Primary procedures were performed in 311 patients (80.5%), and revision procedures were performed in 76 patients (19.6%). Most patients (97%) were satisfied with the aesthetic result. There was no incidence of infection, displacement, or extrusion of the graft. The only complications observed were irregularities; 3% required revision surgery. It is important to consider the nasal radix when pursuing a balanced profile in rhinoplasty. Many graft materials can be used safely and can achieve good aesthetic outcomes. Proper anatomical analysis and patient selection are essential for successful graft placement.
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spelling pubmed-95189632022-10-03 Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty Alawadh, Ibrahim Bogari, Ahmad Bedaiwi, Reenad Alanazi, Hani Bafaqeeh, Sameer J Craniofac Surg Clinical Studies The nasofrontal angle (radix) has a great impact on the rhinoplasty outcome. Minimal alterations in this area can give an unusual nasal appearance and midfacial length. Different management approaches have been described with regard to radix augmentation. This study aimed to describe the techniques of rhinoplasty, different materials used in the procedure, and results of at least 1 year of follow-up in our 12-year experience in this field. The authors retrospectively reviewed the data of patients who underwent rhino-plasty/septorhinoplasty with radix augmentation performed by 1 of the authors (a senior surgeon at our institution) using different graft materials, between January 2007 and December 2019. Patients younger than 18 years or who were followed up for less than 1 year were excluded from the study. In total, 387 patients (235 [60.7%] female; age range, 19–39 years) were included. Primary procedures were performed in 311 patients (80.5%), and revision procedures were performed in 76 patients (19.6%). Most patients (97%) were satisfied with the aesthetic result. There was no incidence of infection, displacement, or extrusion of the graft. The only complications observed were irregularities; 3% required revision surgery. It is important to consider the nasal radix when pursuing a balanced profile in rhinoplasty. Many graft materials can be used safely and can achieve good aesthetic outcomes. Proper anatomical analysis and patient selection are essential for successful graft placement. Lippincott Williams & Wilkins 2022-10 2022-01-10 /pmc/articles/PMC9518963/ /pubmed/35013074 http://dx.doi.org/10.1097/SCS.0000000000008456 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of Mutaz B. Habal, MD. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Clinical Studies
Alawadh, Ibrahim
Bogari, Ahmad
Bedaiwi, Reenad
Alanazi, Hani
Bafaqeeh, Sameer
Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty
title Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty
title_full Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty
title_fullStr Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty
title_full_unstemmed Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty
title_short Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty
title_sort twelve-year experience with nasofrontal angle (radix) augmentation in rhinoplasty
topic Clinical Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518963/
https://www.ncbi.nlm.nih.gov/pubmed/35013074
http://dx.doi.org/10.1097/SCS.0000000000008456
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