Search

Background and objective. The nose is a complex structure from aesthetic and functional point of view, and current surgical techniques tend to maintain all structures to prevent surgical stigmata in the short or long term. Anatomical descriptions are increasingly with great precision and the importance of the soft structures that support the nasal pyramid increases too. Ligaments, as connective tissue structures, play a fundamental role not only in anatomical positioning, but also in their functionality. The purpose of this paper is to evaluate the surgical anatomy of the nasal ligaments and their usefulness for nasal preservation surgery. Methods. We studied the anatomy of the nasal ligaments in 40 patients who received primary open rhinoplasty and 20 patients with primary closed rhinoplasty, in order to identify and analyze the ligaments found, and compare the anatomical descriptions with the intraoperative findings in closed and open rhinoplasties. Results. The nasal ligaments analyzed were: interdomal, intercrural, piriformis, intercartilaginous sliding area, incisura nasalis zone, Pitanguy ligament, ligament of the base of the columella and sesamoid ligament. Conclusions. In modern anatomy publications on nasal ligaments, not all authors agree with cadaveric descriptions. Our contribution lies in combining these descriptions with intraoperative findings in both closed and open rhinoplasties. [ABSTRACT FROM AUTHOR]

RESUMO Objetivo Apresentar um método de análise do modo respiratório por meio da termografia infravermelha. Método Estudo transversal exploratório de 38 imagens térmicas que representavam o momento da inspiração e da expiração durante a respiração nasal e durante a simulação da respiração oral de quatro voluntárias respiradoras nasais sem queixas respiratórias. Para a extração da temperatura das regiões de interesse (nariz e boca) foram utilizadas três formas de seleção distintas de dados (linha, retângulo e elipse) e três medidas de temperatura (mínima, média e máxima) por meio do software FLIR Tools®. Resultados Dentre as três formas de seleção houve maior variabilidade nas medidas obtidas pela linha, revelando limitações nessa medida. Não houve diferenças entre as medidas do retângulo e elipse, mostrando que ambas as formas de seleção apresentam resultados semelhantes para a extração das temperaturas. Na comparação entre as temperaturas do nariz e da boca na inspiração e expiração, os resultados indicaram que houve diferença com relevância estatística em todas as medidas realizadas, exceto para as medidas de temperatura média da inspiração, usando o retângulo e a elipse. Percebe-se diferenciação do modo respiratório tanto na inspiração quanto na expiração quando utilizada a temperatura média da boca com o retângulo e a elipse. Conclusão Sugere-se para avaliação do modo respiratório a avaliação da boca, por meio da elipse, com análise da temperatura média durante a inspiração.

BACKGROUND: Primary cutaneous CD8-positive acral T-cell lymphoma is a rare primary cutaneous T-cell lymphoma, with less than 50 published cases. This entity can be confused with more frequent diseases, such as pseudolymphomas, B lymphomas and aggressive epidermotropic CD8 lymphomas. Unlike the latter, acral CD8+ lymphoma has an excellent prognosis. Making the correct diagnosis is essential in order not to overtreat the patient, avoid side effects of the established treatments and avoid patient anxiety. CLINICAL CASE: A 62-year-old male patient with a tumor lesion on the skin of the left ear, with clinical, histological and immunohistochemical characteristics of CD8-positive acral T-cell lymphoma, with a good response to radiotherapy and interferon but with 4 relapses over 12 years of treatment. CONCLUSIONS: CD8-positive primary cutaneous T-cell lymphoma is a rare entity with a good prognosis, which can be confused with numerous inflammatory and granulomatous illnesses. The few published cases generally have an excellent response to treatment; however, follow-up is short. We report a case with a typical presentation, with a long follow-up time and a special behavior due to multiple recurrences. [ABSTRACT FROM AUTHOR]

Objective: Ventilator-associated pneumonia (VAP) is one of the most common ICU-acquired infections. Preventing nasal canal colonization through an effective nasal cavity care, along with oral care seem to be an important issue. Methods: This single-blind randomized controlled trial was conducted on 31 patients in each intervention and control group in Alzahra and Kashani hospitals, Iran. The interventional program was considered every 8 h for 5 days. It included cleaning the nasal cavities with cotton swabs soaked in sterile normal saline, then 2 puffs of 65% sodium chloride nasal spray were used for each nostril, and finally the nasal canal was moistened with a swab dipped in Veramin gel (0.5 ml into each nostril). For the control group, routine nasal care including cleaning the outer nostrils was offered. Oral care in 2 groups was performed according to the standard protocol. Data collected through demographic and clinical questionnaire as well as modified pulmonary infection clinical scale. The chi-square and independent tests were used to determine the homogeneity of basic characteristics. Also, we estimated and compared the incidence of VAP between 2 groups by chi-square test. Results: The incidence of VAP was not statistically different in the intervention and control groups on the third day after intervention (29.1% vs. 32.3%, respectively, P = .915), while this rate on the sixth day was significantly lesser in the intervention than control (32.3 vs. 58%, P = .041). Conclusion: The present nasal care program along with oral care is an effective strategy to prevent VAP. Resumen: Objetivo: La neumonía asociada al ventilador (NAV) es una de las infecciones adquiridas en la UCI más comunes. La prevención de la colonización del canal nasal a través de un cuidado efectivo de la cavidad nasal, junto con el cuidado oral, parece ser un tema importante. Métodos: Este ensayo controlado aleatorio simple ciego se realizó en 31 pacientes en cada grupo de intervención y control en los hospitales de Alzahra y Kashani, Irán. Se consideró el programa intervencionista cada 8 horas durante 5 días. Incluyó la limpieza de las fosas nasales con hisopos empapados en solución salina normal estéril, luego se aplicaron dos inhalaciones de cloruro de sodio al 65% en aerosol nasal por cada fosa nasal y finalmente se humedeció el canal nasal con un hisopo humedecido en gel Veramin (0,5 ml en cada uno). fosa nasal). Para el grupo de control, se ofreció atención nasal de rutina, incluida la limpieza de las fosas nasales externas. El cuidado oral en dos grupos se realizó de acuerdo con el protocolo estándar. Datos recogidos mediante cuestionario demográfico y clínico, así como escala clínica de infección pulmonar modificada. Se utilizó la prueba de chi cuadrado y la prueba independiente para determinar la homogeneidad de las características básicas. Además, estimamos y comparamos la incidencia de VAP entre dos grupos mediante la prueba de chi cuadrado. Resultados: La incidencia de VAP no fue estadísticamente diferente en los grupos de intervención y control al tercer día después de la intervención (29,1% vs. 32,3%, respectivamente, p = 0,915), mientras que esta tasa al sexto día fue significativamente menor en el grupo de intervención. que el control (32,3 vs. 58%, p = 0,041). Conclusión: El presente programa de cuidado nasal junto con el cuidado oral es una estrategia efectiva para prevenir la VAP.

Objetivo: Descrever os efeitos adversos, intercorrências e complicações do preenchimento com ácido hialurônico na região de nariz, indicando possíveis causas para os problemas apresentados após o procedimento. Metodologia: Trata-se de uma revisão integrativa realizada nas seguintes bases de dados: Medline via PubMed, SciELO e Lilacs, com artigos incluídos no período 2013 a 2023, utilizando os descritores, Ácido hialurônico; Necrose; Preenchedores dérmicos; Nariz. A busca integrada foi realizada unindo os descritores com o operador booleano “AND”. Foram analisadas 9 publicações. Resultados: Foi realizada a identificação dos trabalhos selecionados, elencando-se os dados relacionados à título, autor, ano de publicação, tipo de estudo, metodologia, principais intercorrências encontradas e a conclusão do estudo. Após análise dos estudos, observou-se que a ocorrência de complicações após a aplicação de ácido hialurônico não é frequente. Para que não ocorra o agravamento, é necessário que os primeiros sinais e sintomas sejam analisados para assim seguir com o protocolo mais adequado a fim de prevenir ou reverter. Conclusão: Seguindo passos simples de segurança e tendo um conhecimento anatômico refinado, os preenchedores podem ser uma boa ferramenta para um aprimoramento seguro e abrangente da rinomodelação.

The face for many centuries, has represented the focus of appearance. The middle facial third is its most important area and is therefore extremely vulnerable to facial deformities. Within it, the nose is the most important facial prominence. From years ago, his deformities were considered a curse, so many men were condemned to death. From this moment, the nasal reconstruction boom increases, and, currently, the evolution of techniques in nasal reconstruction is an extremely useful option to repair facial defects of any size. This review intends to update information on non-rhinoplastic techniques for the reconstruction of trans-surgical defects on the nasal dorsum. An evaluation of the available bibliography and previous research on the topic was carried out in the period from May 2018 to May 2023. 31 popular science magazines were considered. Articles published in English, Italian and Spanish were prioritized. The Pubmed, Ebsco, SciELO y Scopus databases were consulted. Of the 95 articles reviewed, the study was limited to 43 of them. Among the non-rhinoplasty techniques reviewed were healing by secondary intention, primary closure, grafts and flaps. There are factors that influence the selection of one or the other, such as: the diameter of the defect, its depth, location, texture and contour of the skin, mastery and professionalism of the surgeon, among others. There is no consensus on a technique of choice. With all of them, favorable results can be achieved by making a good selection and application of it. [ABSTRACT FROM AUTHOR]

Introducción: El rinofima es una enfermedad sobre la cual se publican muchos artículos en la literatura médica internacional, fundamentalmente sobre el tratamiento. El estudio clínico de la afectación de la piel nasal, las estructuras de soporte de la punta de la nariz y la presencia de lesiones de aspecto clínico maligno, son importantes para el diagnóstico integral de la enfermedad. Objetivo: Presentar una nueva clasificación clínica del rinofima. Desarrollo: El rinofima se clasifica en 4 tipos. El tipo, 1 crecimiento fimatoso que no afecta el contorno nasal; tipo 2, crecimiento fimatoso con afectación del contorno nasal; tipo 3, rinofima gigante y tipo 4, rinofima asociada a lesión de aspecto clínico maligno. Se presenta la nueva clasificación clínica del rinofima, mediante casos clínicos; diferencian de forma clínica los tipos de rinofima, la afectación de las subunidades anatómicas nasales, el contorno nasal, la estabilidad de la columela, la visibilidad de los orificios nasales, así como la presencia de lesiones de aspecto clínico maligno. Se clasifica en 4 tipos los cuales repercutirán en el diagnóstico y planificación del tratamiento, así como la prevención de secuelas de difícil corrección para lograr una estabilidad estética, funcional y emocional del paciente.

Introduction: rhinomodeling fillers represent an important innovation niche in aesthetic medicine. Among the main substances, hyaluronic acid (HA), polymethylmethacrylate (PMMA) and calcium hydroxyapatite (CHA) stand out. Recently, technological advances have allowed the development of dermal fillers with less immunogenicity; however, their use is not free of adverse effects. Objective: To analyze the advances in the last 10 years in terms of research studies related to fillers in rhinomodeling. Material and methods: A bibliographic review was carried out consulting Medline, Web of Science, Google Scholar, LILACS, ProQuest, PLOS ONE, Embase, Ovid, ScienceDirect, Pascal and Francis, Cochrane and Trip Database. A combination of Medical Subject Headings (MeSH terms), descriptors and free terms was used. The terms, in English, included: nonsurgical rhinoplasty, nose, hyaluronic acid, and fillers. In Spanish, the following were included, among others: "rinomodelación", "nariz", "rellenos dérmicos" and "estudio de caso". Results: 36 articles were included. The majority corresponded to case reports (58.3%), followed by prospective studies (22.2%). Articles from South Korea, China and the U.S. predominate. The most frequently described filler was HA and the main thematic cluster corresponded to "complications". Conclusions: Complications, especially ophthalmic, represent an element of great importance within the area of rhinomodelation. The aesthetic medicine specialist must have extensive training and deep knowledge of nasal anatomy. Likewise, it is relevant to establish consensus with regard to the methods and times for evaluating patient satisfaction with both the procedure and the filling. [ABSTRACT FROM AUTHOR]

Nasal reconstruction was born in India, 3000 years before our era. Nasal reconstruction has followed three basic lines: the Indian method, using the median frontal flap; the French method with the lateral cheek flap; and the Italian method with the brachial flap. Flaps allow the reconstruction of defects by restoring nasal shape and function. The classic method for reconstructing the ala nasal is the nasolabial flap. The nasolabial flap has specific characteristics in terms of location, size, circulatory pattern, vascularization, innervation, and function. We present two cases of patients treated at the Princess Marina Hospital in Botswana in Africa, who required inverted nasolabial flaps for the reconstruction of their nasal wings. After the application of the procedure, the affected nasal wing was recovered, returning functionality, harmony, symmetry and order in both cases in relation to the contralateral wing in the absence of complications. The inverted nasolabial flap is useful to restore the contour of the nasal wing, as well as to support the wing and to shape the nasal floor. This flap can have a minimum of complications if the structures are handled gently and the sutures are handled without tension. That cases are presented because of how interesting this type of intervention is, carried out by Cuban specialists in their medical collaboration in an african country.

Copyright of Revista Habanera de Ciencias Médicas is the property of Universidad de Ciencias Medicas de La Habana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Resumo A intenção do artigo está em reabilitar o diagnóstico de sífilis de Nietzsche proposto pelo neurologista alemão Paul Möbius, autor da obra Nietzsche. Doença e filosofia (Nietzsche. Krankheit und Philosophie). Para tanto, ele traz a relação ambígua que o médico estabelece com a irmã do filósofo - sempre ávida em elucubrar versões para desviar da hipótese do acometimento por sífilis -, traz à luz o comentário de Möbius sobre o “acidente” que teria vitimado o pai de ambos, evidencia a correlação entre paralisia e sífilis, compara as versões de Elisabeth e do próprio Möbius para a anedota do bordel (1865), narrada por Paul Deussen, deslinda as excessivas (e sugestivas) preocupações do filósofo com o nariz, que poderia ser afetado como decorrência da sífilis. E, não por último, se Möbius erra ao excessivamente patologizar suas interpretações de Nietzsche, o texto faz ver o quanto a patologização de elementos do percurso intelectual do filósofo contribuiu para a transmissão despreocupada de sua obra.

Presentado en sesión de 25 de julio de 1956

Copyright of Creneida is the property of Creneida and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Nose is the central organ of the face and an essential part when talking about beauty. Since ancient times, different practices and techniques to modify its shape have been documented that laid the foundations for modern rhinoplasty. The techniques used over time to improve nasal surgery denote the human creativity required to achieve the desired results and make rhinoplasty, in addition to a complex and meticulous surgery, a form of art, which can create and transform the essence of a person. This paper collects the changes and evolution of rhinoplasty through history, from the first records of its existence to the development of modern techniques that are still used. [ABSTRACT FROM AUTHOR]

Resumen Son pocos los casos de defecto total de la piel de la nariz al extirpar carcinomas no melanocíticos cutáneos. Con este trabajo queremos conocer la seguridad de la aplicación del colgajo frontal paramediano de pedículo estrecho en un paciente de edad avanzada. Aplicamos la técnica en 3 tiempos quirúrgicos para la reconstrucción de la cubierta de piel nasal. El defecto del área donante cerró directamente. No se presentó necrosis del colgajo ni infección y el resultado fue estético y funcional. Valoramos así la seguridad de la reconstrucción de la cubierta total de piel de la nariz en pacientes de edad avanzada con el colgajo frontal paramediano de pedículo estrecho en 3 tiempos quirúrgicos.

Presentado en sesión de 5 de junio de 1940

Presentado en sesión de 14 de abril de 1943

Defeitos cirúrgicos nasais provenientes da retirada de câncer de pele não melanoma representam um desafio para o cirurgião devido à complexidade anatômica e à alta relevância funcional e estética da região. O objetivo deste trabalho é demonstrar o retalho de avanço jigsaw puzzle. Foi realizada ressecção de carcinoma basocelular na região perialar do paciente, seguida de reconstrução com retalho jigsaw puzzle, com excelente resultado estético e funcional. A técnica apresentada é útil e pouco difundida, devendo fazer parte do arsenal do cirurgião dermatológico na reconstrução de defeitos cirúrgicos localizados nas regiões alar e perialar do nariz.

Introducción: Los pacientes con lesiones cutáneas presentan cambios en su apariencia personal, no solo por la lesión propiamente dicha, sino también por los tratamientos quirúrgicos a que deben someterse. En la región facial estas lesiones son claramente evidentes y poseen mayor importancia estética. Objetivo: Caracterizar un caso de reconstrucción nasal alar tridimensional por exéresis de carcinoma basocelular en paciente geriátrico. Caso clínico: Paciente masculino de 81 años de edad con antecedentes patológicos personales de hipertensión arterial, que refiere presentar lesión nasal de 5 meses de evolución con crecimiento progresivo. Al examen físico facial se detecta alteración del contorno del ala nasal derecha por una lesión con impresión diagnóstica de carcinoma basocelular. Luego del chequeo preoperatorio se decide la exéresis tridimensional de esta, y reconstrucción mediante injerto cartilaginoso de concha auricular y colgajo pediculado nasogeniano. A las cuatro semanas se programa el segundo acto quirúrgico para la desconexión del colgajo pediculado. Conclusiones: El colgajo pediculado de la región nasogeniana combinado con injerto cartilaginoso autólogo constituye una excelente opción terapéutica que permite la reconstrucción nasal tridimensional, en la cual se obtienen buenos efectos estéticos y funcionales, combinados con una alta satisfacción del paciente por los resultados.

Copyright of Acta Veterinaria Brasilica is the property of Acta Veterinaria Brasilica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

BACKGROUND: Cocaine abuse is a common practice with acute and chronic consequences in the upper airway, clinical suspicion by professionals is essential to identify cases. OBJECTIVE: To describe the otorhinolaryngological manifestations related to cocaine abuse. MATERIALS AND METHODS: A retrospective, descriptive, observational study was done with the medical records of patients who consulted for head and neck problems related to cocaine abuse from January 2016 to March 2019. Bibliographic research was conducted in MEDLINE, between 1990 and 2018, using the word "cocaine" and the following search terms: head and neck, nasal, oral cavity, pharynx, nasopharynx, oropharynx, hypopharynx, larynx, trachea, paranasal sinus, sinusitis, otitis, ear, hearing loss and vertigo. RESULTS: During the study period, six patients with otorhinolaryngological manifestations related to cocaine abuse were treated. Four patients presented midline necrosis, one pyomyositis after intramuscular injection of cocaine in the neck and another subcutaneous emphysema after cocaine inhalation. The less frequent manifestations were mouth ulcers, pemphigus-like lesions, laryngeal edema or rhinitis. CONCLUSIONS: The destructive lesions of the midline are the most common presentation of cocaine abuse, others can be observed, where a high index of suspicion of consumption can grant the etiological diagnosis. [ABSTRACT FROM AUTHOR]

Introducción: la septorrinoplastia es el procedimiento operatorio indicado para el manejo quirúrgico de las deformidades nasales, y una de las intervenciones quirúrgicas más frecuentemente realizadas en otorrinolaringología. Objetivo: identificar las características clínicas y de manejo de las deformidades nasales postraumáticas y no traumáticas. Metodología: estudio observacional, descriptivo, retrospectivo, de todos los casos tratados quirúrgicamente para solucionar deformidad nasal postraumática y no traumática en el Hospital Universitario del Caribe, Cartagena, Colombia. Se obtuvieron y analizaron datos socio-demográficos, evaluación, manejo y evolución. Resultados: fueron manejados quirúrgicamente 18 pacientes para deformidades nasales postraumáticas y 13 con deformidades no traumáticas. La diferencia en el tiempo de evolución fue menor en los pacientes con deformidades traumáticas. El principal motivo de consulta fue la obstrucción nasal y la principal deformidad la laterorrinia, en ambos grupos. Se observaron más desviaciones caudales (p=0,047) y deformidades en “silla de montar” en pacientes sin trauma nasal. La mayoría de procedimientos fueron septorrinoplastias con turbinoplastia, con abordajes cerrados. Se observaron pocas complicaciones; con resultados comparables con los reportados en series previas. Conclusiones: no hubo diferencia entre las características clínicas y de manejo de las deformidades nasales, con excepción del tiempo de evolución que fue más corto en las traumáticas. En el Hospital Universitario del Caribe se realiza con mayor frecuencia abordaje quirúrgico cerrado. Rev.cienc.biomed. 2012;3(1):31-39

RESUMO Objetivo Desenvolver protetor nasal anatômico para recém-nascidos em uso de pronga. Método Estudo descritivo e de produção tecnológica baseado no Processo de Desenvolvimento de Produto, que envolveu as fases de projeto informacional, projeto conceitual e projeto detalhado, entre março de 2017 e fevereiro de 2019. Resultados Alcançou-se o desenho e materialização dos protetores nasais em placas de hidrocoloide. Estes foram reprocessados por cinco métodos de esterilização: radiação ultravioleta e gama, formaldeído gasoso, plasma de peróxido de hidrogênio e vapor saturado sob pressão. Os testes microbiológicos indicaram crescimento bacteriano após processamento por formaldeído e radiação ultravioleta. A radiação gama garantiu a esterilidade e estabilidade do material. Conclusão Após os testes, foram alcançadas três classificações de protetores nasais de hidrocoloide com características seguras e promissoras para a continuação de estudos, visando à avaliação clínica em recém-nascidos em uso de pronga.

Presentado en sesión de 12 de junio de 1940

Objective: to analyze the characteristics of the facial profile as a fundamental tool in functional rhinoseptoplasty of patients who consult in the Rhinology Unit of the Otolaryngology Service of the Hospital Militar Dr. Carlos Arvelo, between January and April 2016. The face is made up of structures anatomical that provide certain characteristics. The nose occupies a central place, the precise diagnosis of nasal alterations is the most important and complex step of a functional rhinoseptoplasty. The purpose of the surgical restoration of the nose is to ensure proper function and harmony in shape, so the angles of the facial profile are relevant in the presurgical assessment. Materials and methods: descriptive-observational cross-sectional study. The sample consisted of 25 patients who voluntarily agreed to carry out a photographic study and rhinomanometry. Results: prevalence of the female sex with 72% of the total sample. The preponderant age group was made up of 92% young adults. Regarding the nasolabial and nasofacial angles, 56% and 24% presented alterations respectively. Rhinomanometry was performed on the population showing 100% alteration (valvular factor), of which 80% presented modification of the nasofacial and nasolabial angles. Conclusions: the correlation between the variation of the nasofacial and nasolabial angles with nasal patency establishes that facial analysis can be considered as a fundamental tool for determining aesthetic and functional corrections in functional rhinoseptoplasty. [ABSTRACT FROM AUTHOR]

Nasal Cavity can be divided by the nasal septum into two cavities, extending from the nares above until choanae subsequently, continuing from there with the nasopharynx. Usually both cavities are different sizes. Each side can be divided into a nasal vestibule and nasal cavity itself. The aim of this paper is to describe the endonasal anatomy and correlate with tomographic images of cadaveric cuts. We used 15 (fifteen) bodies fixed with 10% formalin and preserved in phenoxetol 4% carbolic acid and 1%; to which underwent endonasal endoscopic dissection. Then five were sectioned in sections on the coronal and axial plane.**The nasal endoscopic examination should follow a systematic progression in three major steps: 1) Lobby nasal, septum, inferior meatus and nasopharynx. Sphenoethmoidal; 2) Recess and superior meatus; 3) middle meatus. Tomographic images of craniofacial used without contrast axilal and coronal slices. The different axial and coronal head compared with the tomographic slices of craniofacial, which allows the location of relevant anatomical elements when planning an endonasal approach. The endoscope is an instrument used to look inside a body cavity, duct or hollow organ. It consists of a flexible tube which has a light and a camera at the end of the probe. Introducing the instrument, it is used through a natural body orifice such as the mouth, nose nostril, rectum or urethra, or also through an incision. Endoscopic surgery of nose and paranasal sinuses is a surgical technique that has spread rapidly. Sinonasal pathology and anatomical variations make essential the use of diagnostic endoscopy and computed tomography. In times when tomographic findings do not match the endoscopic view, comes into play the role of anatomical knowledge to conserve important structures in the region. [ABSTRACT FROM AUTHOR]

BACKGROUND: The chondroid syringoma is a slow-growing benign epithelial tumor derived from the eccrine or apocrine sweat glands of the skin. It is characterized by the presence of epithelial and myoepithelial structures within a cartilaginous and myxoid stroma. The incidence is low and is observed more frequently in men, with a characteristic topography of the head and face. They are classified into myoepithelial neoplasms of skin and soft tissues. The risk of malignancy is extremely rare, but follow-up is recommended. CLINICAL CASE: We report the case of a man in his fifth decade of life, with chondroid syringoma in the left nasal wing who was treated with surgical excision. CONCLUSIONS: The importance of reporting this case lies in the fact that it is a rare benign neoplasm, which should be suspected when we have a nodular appearance of new growth in the nose; however, for its diagnosis a histopathological study is necessary, and the treatment of choice is surgical excision. [ABSTRACT FROM AUTHOR]

Copyright of Ars Longa is the property of Ars Longa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A região nasal é local frequente de tumores cutâneos, e reparar defeitos nessa região pode ser um grande desafio cirúrgico devido à necessidade do restabelecimento de suas propriedades estrutural, funcional e estética. Este estudo descreve a aplicação de um retalho A-T como opção para reconstrução de ferida operatória secundária à excisão de carcinoma basocelular na ponta nasal.

This paper reviews the history of endoscopy of the nose and paranasal sinuses in the Mexican Republic. The objective is to know why actually in the most countries the chirurgical and diagnostic rhinosinusal endoscopy is the gold standard. [ABSTRACT FROM AUTHOR]

Introdução: O retalho mediofrontal foi descrito 600 anos antes de Cristo para a reconstrução nasal, mas é ainda muito utilizado na reconstrução das lesões nasais tumorais. Objetivo: Relatar a experiência de um serviço universitário de cirurgia plástica no uso desse retalho. Métodos: Foi realizado o estudo restrospectivo descritivo de uma série de 35 casos operados em período de dez anos e seis meses. Resultados: A idade média dos pacientes foi de 68,6 anos com predomínio do gênero masculino. O retalho mediofrontal foi utilizado para reconstrução após ressecção de tumores, sendo o carcinoma basocelular o mais frequente. Conclusões: O retalho mediofrontal representa a escolha ideal reconstrutiva para muitos pacientes com bom resultado estético e funcional.

Presentado en sesión de 13 de agosto de 1947

ABSTRACT INTRODUCTION: The mandibular advancement device (MAD) is a option to treat patients with Obstructive Sleep Apnea Syndrome (OSAS). OBJECTIVE: To assess the influence of upper airway abnormalities on the success of and adherence to MAD in patients with OSAS. METHODS: Prospective study with 30 patients with mild to moderate OSAS and indications for MAD. The protocol included questionnaires addressing sleep and nasal complaints, polysomnography, and upper airway assessment. The analyzed parameters of patients who showed therapeutic success and failure and those who exhibited good and poor treatment adherence were compared. RESULTS: 28 patients completed the protocol; 64.3% responded successfully to treatment with MAD, and 60.7% exhibited good adherence to treatment. Factors associated with greater success rates were younger age (p = 0.02), smaller cervical circumference (p = 0.05), and lower AHI at baseline (p = 0.05). There was a predominance of patients without nasal abnormalities among patients treated successfully compared to those with treatment failure (p = 0.04), which was not observed in relation to adherence. Neither pharyngeal nor facial skeletal abnormalities were significantly associated with either therapeutic success or adherence. CONCLUSION: MAD treatment success was significantly lower among patients with nasal abnormalities; however, treatment adherence was not influenced by the presence of upper airway or facial skeletal abnormalities.

Total resection of the skin of the nose in non-melanoma skin carcinoma is rare. In this paper we want to know the safety of the performance of the forehead paramedian flap with narrow pedicle in an elderly patient. Three stage forehead paramedian flap with narrow pedicle was performed in the lining reconstruction of the total skin nasal surface. The donor site was closed primarily. Necrosis of the flap did not occur, nor infection happened. Excellent aesthetic and functional results were achieved. We conclude on the safety of the reconstruction of the total surface of the skin of the nose in the elderly patient with the three-stage forehead paramedian flap with narrow pedicle. [ABSTRACT FROM AUTHOR]

Introduction: The complexity of the nasal tip structures and the impact of surgical maneuvers make the prediction of the final outcome very difficult. Therefore, no single technique is enough to correct the several anatomical presentations, and adequate preoperative planning represents the basis of rhinoplasty. Objective: To present results of rhinoplasty, through the gradual surgical approach to nasal tip definition based on anatomical features, and to evaluate the degree of patient satisfaction after the surgical procedure. Methods: Longitudinal retrospective cohort study of the medical charts of 533 patients of both genders who underwent rhinoplasty from January of 2005 to January of 2012 was performed. Cases were allocated into seven groups: (1) no surgery on nasal tip; (2) interdomal breakup; (3) cephalic trim; (4) domal suture; (5) shield-shaped graft; (6) vertical dome division; (7) replacement of lower lateral cartilages. Results: Group 4 was the most prevalent. The satisfaction rate was 96% and revision surgery occurred in 4% of cases. Conclusion: The protocol used allowed the implementation of a gradual surgical approach to nasal tip definition with the nasal anatomical characteristics, high rate of patient satisfaction with the surgical outcome, and low rate of revision.

INTRODUCTION: The size, angle, shape, and type of nose is a signature indicating race, age, and sex. OBJECTIVE: Describe and compare nasal angles, nose types, nostril models, and nasal profiles in young Turkish males and females. METHODS: The study group consisted of university students, 56 males and 59 females. Nasal measurements were obtained from all subjects, using anthropometric methods. RESULTS: The nose types of females and males were 78% and 70% narrow nose, respectively. The means of females' nasofrontal, nasal tip, nasolabial, and alar slope angles were 133.16 ± 8.88; 77.91 ± 9.80 ; 98.91 ± 10.01 , and 80.89 ± 8.33 , respectively. The means of males' nasofrontal, nasal tip, nasolabial, and alar slope angles were 123.85 ± 13.23 ; 82.16 ± 9.98 ; 97.91 ± 8.78 and 85.98 ± 8.72 , respectively. CONCLUSION: The average values of the nose in this population may be used as a guide to plan corrective aesthetic-cosmetic surgery and for burn scars of the nose.

Objetivo avaliar a mudança do ângulo columelar que ocorre após cirurgia de correção para fissura labial. Métodos o estudo foi observacional de caráter descritivo e de corte transversal. Foram avaliadas crianças no primeiro e segundo ano de vida, portadoras de fissura labial unilateral de ambos os sexos, que foram submetidas a cirurgia para correção da fissura. A pesquisa teve um total de 11 crianças participantes. Foi examinada a região nasal e lábio superior da criança e identificados os pontos antropométricos pronasal, subnasal e glabela. Em seguida, foi realizada fotografia para análise fotogramétrica. Foram realizadas fotos no preoperatório e cerca de 4 meses após a cirurgia. As imagens obtidas por fotogrametria foram avaliadas com o programa gráfico Image J,por meio de ferramentas de estudo angular. Resultados a média da medida dos ângulos no pré-operatório foi de 55,41 graus; a média no pós foi de 78,80 graus, percebendo-se uma aproximação ao plano vertical (p

Introdução: Existem inúmeros materiais para reconstrução de deformidades do dorso nasal que Orelha são divididos em quatro categorias: enxertos autólogos, homólogos, heterólogos e aloplásticos. Objetivo: Comparar as condições através do tempo das reações inflamatórias do enxerto de cartilagem auricular com e sem Gelfoam® quando colocadas no dorso nasal de coelhos. Método: Foram estudados 30 coelhos, em dois grupos de 15 coelhos cada (Grupo com cartilagem e Grupo com cartilagem mais Gelfoam®) e em seguida subdivididos em três sub grupos de 7, 30 e 60 dias de seguimento onde os enxertos de 1,5 centímetro de comprimento e 0,5 de largura eram colocados metade com Gelfoam® e outra metade sem Gelfoam® na bolsa de enxertia sobre o dorso nasal de coelhos. Após o período determinado, os coelhos de cada grupo foram submetidos à eutanásia e a seguir os enxertos foram submetidos a estudo histológico. Resultados: O grupo experimental foram os que mais apresentaram neovascularização e formação de tecido de granulação e em relação a presença de processo inflamatório agudo e crônico, os resultados se mostraram praticamente iguais tanto nos coelhos do modelo controle quanto no experimental em todos os três grupos. Conclusão: Não há diferença estatística entre os grupos.