• A comparative study of br...
Price 10.50 €
• Different clinical approa...
Price 5.50 €
• Two cases of primary mali...
Price 8.50 €
• Nasopharyngeal tuberculos...
Price 5.50 €
• Liposarcoma of the hypoph...
Price 5.50 €
• The «intra-cordal polyp»:...
Price 5.50 €
• Actinomycosis of the midd...
Price 5.50 €
• Phonatory threshold press...
Price 10.50 €
• New technique of myringop...
Price 5.50 €
• Brain stem cavernous angi...
Price 8.50 €
• A case of nasal foreign b...
Price 8.50 €
• Improving quality of life...
Price 12.00 €
• Botulinum toxin in the lo...
Price 14.00 €
• Ethmoid-nasal meningioma ...
Price 10.00 €
• Paranasal sinus mucoceles...
Price 14.00 €
• Perceptual assessment of ...
Price 10.50 €
• Pleomorphic adenoma of th...
Price 12.00 €
• Attention deficit disorde...
Price 10.50 €
• Cerebro-spinal fluid otor...
Price 5.50 €
• Bronchoscopic findings in...
Price 10.50 €
• Evolution of the otology ...
Price 5.50 €
• Management of a huge amel...
Price 5.50 €
• Dynamic palatography: Dia...
Price 12.50 €
• Chondrosarcoma of the hyo...
Price 12.50 €
• Middle ear barotraumas du...
Price 8.50 €
• One-stage surgery of midd...
Price 8.50 €
• Argon Plasma Coagulation ...
Price 5.50 €
• Laryngeal sarcoidosis: Ca...
Price 5.50 €
• Hearing aid : practical a...
Price 10.50 €
• Bone anchored hearing aid...
Price 8.50 €
• Balloon catheter dilatati...
Price 10.50 €
• Acoustic recognition of e...
Price 8.50 €
• Thyroid oncocytomas....
Price 10.50 €
• Reconstruction of a trans...
Price 8.50 €
• Epidermoid carcinoma of p...
Price 10.50 €
• A perceptual study of the...
Price 8.50 €
• Larynx manipulation....
Price 5.50 €
• The role of larynx kinest...
Price 10.50 €
• The EXIT procedure: Princ...
Price 8.50 €
• Middle ear tuberculosis e...
Price 5.50 €
• Mucus physiopathology, up...
Price 12.50 €
• Predictive factors for su...
Price 15.00 €
• Hearing aid : practical a...
Price 8.50 €
• Comparison of radical (na...
Price 10.50 €
• Paediatric endoscopic sin...
Price 10.50 €
• Unsteadiness and drunkenn...
Price 10.50 €
• Sinonasal hemangiopericyt...
Price 8.50 €
• Disability in patients wi...
Price 10.50 €
• Comparison between extern...
Price 10.50 €
• A survey of current wound...
Price 5.50 €
• Polypose nasosinusienne a...
Price 15.00 €
• Callas or the trajectory ...
Price 10.50 €
• Respiratory epithelial ad...
Price 12.50 €
• Comparative study using A...
Price 10.50 €
• Protruding ears...
Price 8.50 €
• Orbital decompression in ...
Price 10.50 €
• Lateral fixation of the v...
Price 8.50 €
• Characteristics of the co...
Price 8.50 €
• Sphenoid arachnoidocele: ...
Price 8.50 €
• These lesions of the voca...
Price 10.50 €
• Eye rings: Morphological ...
Price 10.50 €
• Defects in accuracy of th...
Price 10.50 €
• An unusual cause of neona...
Price 5.50 €
• Stuttering and Tourette’s...
Price 5.50 €
• Traditional and emerging ...
Price 10.50 €
• Drop weld thermal injurie...
Price 8.50 €
• Role and importance of pH...
Price 12.00 €
• Thyroid papillary microca...
Price 10.50 €
• Recurrences of pleomorphi...
Price 10.50 €
• Association of thyroid he...
Price 12.50 €
• Benign paroxysmal vertigo...
Price 8.50 €
• Post-operative evaluation...
Price 10.50 €
• Post-traumatic otoscleros...
Price 8.50 €
• Diagnosis of non organic ...
Price 8.50 €
• Therapeutic choices for c...
Price 8.50 €
• The Bell Labs contributio...
Price 12.50 €
• Sarcomatoid carcinomas of...
Price 10.50 €
• Post-operative complicati...
Price 10.50 €
• Bilateral paranasal sinus...
Price 8.50 €
• Rhinolithiasis: Review ab...
Price 5.50 €
• Middle ear osteoma: A rar...
Price 8.50 €
• The relevance of Choukrou...
Price 10.50 €
• Chondrocalcinosis of the ...
Price 8.50 €
• Acoustic study of sustain...
Price 10.50 €
• Tuberculous otomastoiditi...
Price 5.50 €
• Bilateral cochlear implan...
Price 5.50 €
• Free novascularized bone ...
Price 15.00 €
• Importance of a molding n...
Price 10.50 €
• Cosmetic radiofrequency...
Price 10.50 €
• Transverse maxillary defi...
Price 8.50 €
• Chronitis tonsillitis...
Price 8.50 €
• Vocal fold structure and ...
Price 10.50 €
• Training strategies of th...
Price 8.50 €
• New trends in rhinoplasty...
Price 10.50 €
• Autologous bone pate in m...
Price 10.50 €
• Somatic tinnitus (review)...
Price 12.50 €
• Utility of positron emiss...
Price 8.50 €
• Vocal rehabilitation with...
Price 10.50 €
• Disorders of the sense of...
Price 5.50 €
• A clinical respiratory ev...
Price 10.50 €
• Kikuchi-Fujimoto’s diseas...
Price 10.50 €
• An unusual case of intrat...
Price 5.50 €
• The neurotologic evaluati...
Price 10.50 €
• A report of two cases of ...
Price 5.50 €
• Bilateral spontaneous cho...
Price 10.00 €
• Acinic cell carcinoma in ...
Price 8.50 €
• The lymphoepithelial carc...
Price 5.50 €
• Soft palate ventilation: ...
Price 14.00 €
• International Conference ...
Price 5.50 €
• Recurrent mandibular amel...
Price 12.50 €
• Is coincidence detection ...
Price 10.50 €
• The monaural pseudo-stere...
Price 8.50 €
• A comparative acoustic st...
Price 5.50 €
• Morbidity of neck dissect...
Price 15.00 €
• Facial paralysis: Functio...
Price 10.50 €
• Is it possible to evolve ...
Price 8.50 €
• Construction and validati...
Price 10.50 €
• The use of ultrasound eva...
Price 8.50 €
• Evaluation of vocal abuse...
Price 8.50 €
• Using the superficial tem...
Price 10.50 €
• Hyperglycemia after intra...
Price 8.50 €
• Non-Hodgkin's lymphoma of...
Price 5.50 €
• Glomangioma or "glomic tu...
Price 5.50 €
• Post intubation collected...
Price 8.50 €
• Ectopic ossification in t...
Price 5.50 €
• A specific plain X-ray in...
Price 8.50 €
• Presentation of a prototy...
Price 10.50 €
• Temporary loss of visual ...
Price 8.50 €
• Aspects of ageing on prof...
Price 12.00 €
• Sinonasal hemangiopericyt...
Price 5.50 €
• Pott’s puffy tumour, rare...
Price 8.50 €
• "Bamboo nodes" : a clinic...
Price 8.50 €
• Importance of swallowing ...
Price 10.50 €
• Teeth and sinuses...
Price 8.50 €
• Vocalab: A new software f...
Price 8.50 €
• The sound intensity after...
Price 10.50 €
• Complete branchial cleft ...
Price 5.50 €
• Adenoid cystic carcinoma ...
Price 5.50 €
• Surgical anatomy of the n...
Price 10.50 €
• Cervical spondylodiskitis...
Price 5.50 €
• Are we sectioning the coc...
Price 10.50 €
• Principes underlying the ...
Price 10.50 €
• Cat scratch disease: A di...
Price 8.50 €
• A new technique for the u...
Price 5.50 €
• BAHA in single sided deaf...
Price 12.50 €
• Blepharoplasty and upper ...
Price 10.50 €
• Revision ossiculoplasty: ...
Price 10.50 €
• Multidisciplinary daytime...
Price 12.00 €
• Giant pleomorphic adenoma...
Price 5.50 €
• Treatment of severe epist...
Price 5.50 €
• Personality study in prof...
Price 5.50 €
• Occult otologic fistulas ...
Price 5.50 €
• Rare benin tumors of the ...
Price 5.50 €
• Kikuchi Fujimoto, one cas...
Price 10.50 €
• Frontal sinus osteoma com...
Price 5.50 €
• Gastro-oesophageal reflux...
Price 8.50 €
• The “Deglutition Handicap...
Price 10.50 €
• Effect of vestibular neur...
Price 10.50 €
• Ossicular reconstruction ...
Price 10.50 €
• Interest of MIBI scintigr...
Price 10.50 €
• Does indermil glue improv...
Price 5.50 €
• Therapeutic education of ...
Price 12.50 €
• Esthesioneuroblastoma....
Price 5.50 €
• Benign paroxysmal positio...
Price 10.50 €
• ...
Price 5.50 €
• Forcing the voice : the c...
Price 5.50 €
• Laryngeal tuberculosis: A...
Price 5.50 €
• Eagle’s syndrome: A case ...
Price 10.50 €
• Oncocytoma of the parotid...
Price 8.50 €
• Unilateral frontal sinus ...
Price 8.50 €
• Salivary gland choristoma...
Price 5.50 €
• Migrating esophageal fore...
Price 5.50 €
• Myofibroma of the mandibu...
Price 8.50 €
• Objective tinnitus and es...
Price 5.50 €
• Histology of the larynx....
Price 8.50 €
• A new tongue plate for us...
Price 5.50 €
• Nasal glioma, diagnosis i...
Price 12.00 €
• Hearing disorders at the ...
Price 12.50 €
• Vibrant Soundbridge for h...
Price 10.50 €
• Role of positron emission...
Price 15.00 €
• Intrapetrous cholesteatom...
Price 10.50 €
• Adaptation and validation...
Price 10.50 €
Total Order 1640.00 €
|
2019
N#
1
|
2018
N#
1
|
2
|
3
|
4
|
5
|
2017
N#
1
|
2
|
3
|
4
|
5
|
2016
N#
1
|
2
|
3
|
4
|
5
|
2015
N#
1
|
2
|
3
|
4
|
5
|
2014
N#
1
|
2
|
3
|
4
|
5
|
2013
N#
1
|
2
|
3
|
4
|
5
|
2012
N#
1
|
2
|
3
|
4
|
5
|
2011
N#
1
|
2
|
3
|
4
|
5
|
2010
N#
1
|
2
|
3
|
4
|
5
|
2009
N#
1
|
2
|
3
|
4
|
5
|
2008
N#
1
|
2
|
3
|
4
|
5
|
2007
N#
1
|
2
|
3
|
4
|
5
|
2006
N#
1
|
2
|
3
|
4
|
5
|
2005
N#
|
1
|
2
|
3
|
4
|
5
|
2004
N#
1
|
2
|
3
|
4
|
5
|
2003
N#
1
|
2
|
3
|
4
|
5
|
2002
N#
1
|
2
|
3
|
4
|
5
|
2001
N#
1
|
2
|
3
|
4
|
5
|
2000
N#
|
1
|
2
|
3
|
4
|
5
|
1999
N#
1
|
2
|
3
|
4
|
5
|
1998
N#
1
|
2
|
3
|
5
|
1997
N#
1
|
2
|
3
|
4
|
5
|
1996
N#
4
|
5
|
Click on the number of the review to see the content
|
|
List of all teaching bulletins CME.
|
|
Editor reading committee.
|
|
Select of books and press articles.
|
|
If you wish to adjust the size of the displayed characters, click in
the high menu on "Your account" and choose the desired size.
|
|
Issue N# 4 - 2008
PLASTIC SURGERY
Medical rhinoplasty: Rationale for atraumatic nasal modelling using botulinum toxin and fillers
Authors : Braccini F, Dohan Ehrenfest DM. (Nice)
Ref. : Rev Laryngol Otol Rhinol. 2008;129,4:233-238.
Article published in french 
Downloadable PDF document french
Summary :
Objectives: To describe the new techniques for medical rhinoplasty, associating fillers and botulinum toxin without invasive surgery, to evaluate their efficiency with a retrospective analysis on 85 patients for 2 years, and to discuss the adequate indications for this new approach. Materials and methods: between january 2006 and january 2008, 85 patients were treated using a non surgical approach for aesthetic disorders of the nasal pyramid. 62 women and 23 men were included, with different indications: 32 primary rhinoplasties, 53 secondary rhinoplasty corrections. Fillers were used alone in 58 cases, botulinum toxin alone in 12 cases, and both products were used together in 15 cases. Botulinum toxin was always an A-type toxin. For fillers, reticulated hyaluronic acid was used in 56 cases, calcium hydroxyapatite in 11 cases, tricalcium phosphate in 2 cases, L-polylactic acid in 2 cases and polyacrylamid gel in 2 cases. Fillers were injected after application of anaesthetic gel, and placed in depth with osteo-cartilaginous contact following a retro-tracing movement. At the end of the procedure, the nose was manually modelled in order to improve the product distribution. Botulinum toxin injection was performed without anaesthesia following a specific protocol. Clinical results were evaluated by the patient and the physician immediately after treatment, after 15 days and after 1 month. The satisfaction index was based on 3 answers after 1 month: very satisfactory, satisfactory, insufficient. Results: In this series of 85 cases, the satisfaction index was very high (66/85 patients, very satisfactory result), higher than the classical values obtained after other treatments of face wrinkles and defects (apart from botulinum toxin effects). The complication rate was very low, with only one reversible case in this series (infection of the tip on a multi-operated nose). The durability of results was dependent on the product: 4 months for botulinum toxin, 12 to 14 months after 2 injections for resorbable fillers. Conclusion: Medical rhinoplasty provides a large range of therapeutic solutions for minor corrections of nasal morphological or dynamic defects. The benefit/risk ratio for all aesthetic treatments must be high, what implies to reach the best result with the less complex, invasive and brutal protocol. This new approach for rhinoplasty fits in totally with actual patient expectations. The main inconveniences of this approach are the short durability of results and the cost of the procedure repetition.
Price : 10.00 €
|
|
|
|
