ANALYSIS OF NASAL TIP PLASTY

Since the nose is the most prominent part in the face, the plastic surgeons are interested in the continued effort for rhinoplasty. Nasal tip projection is essential to optimal nasal for the patient's face. But, the nasal tips of Orientals are characterized by bulbous appearance due to thick and tense skin, flaring of nostril. and restriction of nasal tip projection due to underdevelopment of medial crus of alar cartilage and short columella. Most orientals want to correct their nasal tip as well as shape of nose. We present clinical cases of various nasal tip deformities which were corrected with various operative methods through either alar rim incision of open rhinoplasty incision depending upon the severity of tip deformity in order to achieve more natural tips and good nasal tip projection. And the clinical cases were categorized into causes of nasal tip deformity and methods of nasal tip augmentation. We are reporting these reporting these cases with review of literatures.

Analysis of facial sensation using two-point discrimination

Subjective changes in sensibility in the face are well recognized sequale to facial trauma, rhytidectomy, tumor resection, elective osteotomies, or treatment of trauma. And so, there are important to understand the sensory innervation of the face and to obtain normal values for objective quantification of facial Sensation. Normal values for facial sensibility were determined in 62 healthy adults using static and moving two-point discrimination in three major regions where are innervated areas by three branches of the trigerminal nerve. Materials of this study comprised 38 men and 24 women, 26 smokers and 36 nonsmokers. Authors excluded from materials if they had previous facial surgery, facial injuries or psychiatric disorders or were taking any prescribed medications. Median static two-point discrimination values were 6 mm in innervation area of the mental nerve, 8.2mm in innervation area of the infraorbital nerve, and 10mm in innevation area of the supraorbital nerve. The most sensitive areas innervated by each three branches of the trigerminal nerve were vermillion border of the lower lip (2PD = 3 mm), crossing area of 3 cm lateral to midline of the face and the infraorbital rim (2PD = 5.5 mm), crossing area of 3 cm lateral to midline of the face and the supraorbital rim (2PD = 4.5 mm). Smoking history proved to be an interesting variable in smokers were significantly less sensitive to two-point discrimination(p < 0.05). The map of sensation of the face produced as a result of this study can be used as a standard for sensory changes after facial trauma or surgical procedures in the face.

THE VERSATILITY OF FREE SERRATUS ANTERIOR MUSCLE FLAP

No abstract available.