ABSTRACT
Scalp incisions of an elective nature are commonly used as an approach in upper cranial maxillofacial surgery. Similarly, isolated linear parietal incisions are occasionally used to harvest outer table calvarial bone grafts. Although morbidity from these incisions is generally minimal, there is a tendency, particularly when a scar is widened, for it to be more visible if it is of a linear nature. In this review we will present our results with 16 consecutive patients in which a geometric pattern incision was used instead of a straight incision in hopes of improving the ultimate appearance of this scar. We have found that, in general, incisions made in a geometric fashion are less noticeable than traditional linear elective scalp incisions. This is particularly true when there was widening of the scar.
Subject(s)
Cicatrix, Hypertrophic/prevention & control , Oral Surgical Procedures , Postoperative Complications/prevention & control , Scalp/surgery , Wound Healing/physiology , Adolescent , Adult , Aged , Child , Child, Preschool , Cicatrix, Hypertrophic/etiology , Esthetics , Female , Humans , Male , Middle Aged , Postoperative Complications/etiologySubject(s)
Labyrinthitis/diagnostic imaging , Meningitis, Pneumococcal/diagnostic imaging , Ossification, Heterotopic/diagnostic imaging , Adolescent , Deafness/diagnosis , Humans , Labyrinthitis/etiology , Male , Meningitis, Pneumococcal/etiology , Ossification, Heterotopic/etiology , Temporal Bone/diagnostic imaging , Temporal Bone/pathology , Tomography, X-Ray ComputedABSTRACT
The nose is the most prominent aesthetic feature of the facial profile. Nasal length, tip rotation, and tip projection are integral aspects in analysis of the nasal profile. In most rhinoplasties the surgeon has the difficult task of increasing or maintaining tip projection of an underprojected or normally projected nasal tip. Less commonly, the rhinoplastic surgeon is presented with an overprojected nasal tip, and efforts are focused on deprojecting the nasal profile. In this article, the authors present a discussion of the overprojected tip, elucidating strategies of analysis, etiologies, and management of the nasal profile and give clinical examples.
