phenylephrine-hydrochloride and Hypesthesia

Topics: Adult; Cranial Nerve Diseases; Diagnosis, Differential; Humans; Hypesthesia; Male; Nose; Skin Ulcer; Trigeminal Nerve

There are a many types of filler products that surgeons used for soft tissue augmentation. Soft Tissue Fillers, also known as injectable grafts, is a medical device implants. One of the materials used in soft tissue fillers is calcium hydroxylapatite (CaHA) that is commonly used for treating nasal deformities and nasal reshaping too. Calcium hydroxylapatite is a kind of mineral that can be found in human teeth and bones. It is considered long-lasting but nonpermanent filler and is biocompatible with human tissue.. The aim of this study is to measure the alterations in sensibility and patient satisfaction following CaHA filler injection.. In a prospective study, 30 patients who underwent CaHA filler injections from January to December 2016 at a Private Tertiary Care Hospital in Riyadh, Saudi Arabia were included.. Means and standard deviations were measured for pressure threshold values at each test area preprocedure 2 weeks after procedure (). Alterations between pre and postprocedure values were verified using the match-paired Student t test preprocedures. None of the patients had any subjective sensory symptoms. Majority of patients were extremely satisfied with the results.(Table is included in full-text article.) CONCLUSION:: With correct anatomic knowledge and precise technique in doing the CaHA gel injection procedure, nasal sensibility will not be altered. In addition, injection of CaHA gel can be valuable tool for plastic surgeons to consider for nasal reshaping.

Topics: Adolescent; Biocompatible Materials; Cosmetic Techniques; Durapatite; Female; Humans; Hypesthesia; Male; Nose; Patient Satisfaction; Pressure; Prospective Studies; Young Adult

The reconstruction of the nasal tip support is one of the most essential issues in septorhinoplasty. A comparison of the results after using the tongue-in-groove technique and the columellar strut technique was the target of this study. Thirty-three patients who underwent a primary, open approach septorhinoplasty using the above-mentioned techniques were retrospectively analyzed. The gain in tip rotation postoperatively, the sensitivity and the rigidity of the nasal tip and the aesthetic outcome after surgery were examined and evaluated. Both techniques led to an increase in nasal tip rotation postoperatively. The gain in rotation was higher in patients, treated with the tongue-in-groove technique (p = 0.0052). The sensitivity of the tip region in the tongue-in-groove group of patients was significantly lower than that in the columellar strut group of patients (p = 0.0424). Both techniques led to high percentages of tip rigidity after surgery with satisfactory aesthetic results though. The tongue-in-groove technique and the columellar strut technique are both reliable techniques for reconstructing the nasal tip support and correcting a droopy tip. Although the tongue-in-groove technique might result in a more significant increase in tip rotation, it leads to less sensitivity in the tip region.

Topics: Adult; Comparative Effectiveness Research; Female; Germany; Humans; Hypesthesia; Male; Nasal Septum; Nose; Nose Deformities, Acquired; Outcome and Process Assessment, Health Care; Plastic Surgery Procedures; Postoperative Complications; Retrospective Studies; Rhinoplasty; Surgery, Plastic; Torsion Abnormality

Nasal tip numbness is a recognized postoperative complication after septorhinoplasty and rhinoplasty. We performed a twin-center retrospective study to determine the incidence of short- and long-term (>6 mo) nasal tip numbness after these procedures, and we studied several variables that might have been associated with this complication. Our study group was made up of 65 patients-31 males and 34 females, aged 15 to 67 years (mean: 30.5). Septorhinoplasty had been performed in 52 patients and rhinoplasty in 13; all surgeries were performed by two different surgeons at two different centers. There were 50 closed (endonasal) surgeries and 15 open surgeries. Follow-up phone calls made 6 to 37 months postoperatively revealed that 17 patients had experienced postoperative nasal tip numbness (26.2%); there were 10 cases of short-term numbness (15.4%) and 7 cases of long-term numbness (10.8%). Numbness resolved within 2 weeks in 8 of the 10 short-term patients. Of the 7 cases of long-term numbness, 6 patients reported severe numbness beyond 8 months, and 1 had mild numbness for at least a year. We found no association between the incidence of numbness and the type of surgery, the particular surgeon, or the particular center where the surgery had been performed. We did find that there was an association between long-term numbness and the open procedure, but it was not statistically significant. We discuss the possible mechanisms that might cause numbness in cases when the external nasal nerve is not cut. We believe it is important to include a discussion of the risk of nasal tip numbness during preoperative consultations and when seeking informed consent.

Topics: Adolescent; Adult; Aged; Female; Follow-Up Studies; Humans; Hypesthesia; Incidence; Male; Middle Aged; Nasal Septum; Nose; Nose Diseases; Postoperative Complications; Postoperative Period; Retrospective Studies; Rhinoplasty; Risk Factors; Time Factors; Young Adult

Patients usually complain about numbness in the nasal tip after microfat injections. The present study evaluated the severity of the numbness in the nasal tip after the procedure.. To address the research question, a prospective study of young women was designed and performed at the Beijing Anzhen Hospital. Time was the primary predictor variable. The nasal tip sensation, which was evaluated using objective and subjective assessments, was used as the primary outcome variable. The McNemar-Bowker test (time vs nasal tip sensation) was used to detect statistical significance.. A total of 30 young women (age 20.04 ± 3.63 years) were recruited for the present study. The preoperative mean touch threshold value was 3.60 units. One week after the injection, the women experienced a decrease in the touch threshold value by 2.50 units. However, the sensation recovered gradually during the follow-up period (1.51 units at week 2, 2.39 units at week 4, 3.01 units at week 8, and 3.35 units at week 12). Significant differences were detected between multiple different measurement points (P < .05). The percentage of those experiencing paresthesia after the microfat injections also gradually diminished to none.. Postoperative numbness occurs in most patients receiving nasal microfat injections. Partial to complete recovery of nasal tip sensation can be expected to occur over a 3-month period.

Topics: Abdominal Fat; Adipose Tissue; Adult; Cohort Studies; Female; Follow-Up Studies; Humans; Hypesthesia; Middle Aged; Nose; Postoperative Complications; Prospective Studies; Recovery of Function; Rhinoplasty; Sensory Thresholds; Touch; Transplant Donor Site; Young Adult

Postoperative evaluation of results of reconstructive procedures of the lips mainly consists of describing the technique, complications and subjectively interpreted patient photographs. The authors present a photo-assisted pre- to postoperative evaluation of reconstructive procedures of the lips based on anthropometric measurements and functional outcome. Forty-eight patients underwent partial or full thickness excision of tumours of the lips and subsequent reconstruction. An analysis of standardized pre- and postoperative photographs included measurements of intercanthal width, mouth width, philtrum width, lateral upper lip height, upper and lower lip height, cutaneous upper and lower lip height, upper and lower vermilion arc and upper and lower vermilion height. Assessment of functional outcome consisted of the evaluation of oral competence, changes of oral opening and sensation. The effects on the described parameters were analysed, when partial or full thickness reconstruction had to be performed. Intercanthal mouth width index, vermilion arc index, vermilion and cutaneous total lower lip height index showed statistically significant effects postoperatively which indicates a postoperative tightened lower lip, when full-thickness excision was performed. In all patients the indices were proven reproducible and reliable. The standardized measurements described are accurate and objective for evaluating postoperative results.

Topics: Aged; Anatomic Landmarks; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Cephalometry; Dissection; Female; Follow-Up Studies; Humans; Hypesthesia; Keratoacanthoma; Lip; Lip Diseases; Lip Neoplasms; Male; Mouth; Mouth Mucosa; Nose; Photography; Plastic Surgery Procedures; Postoperative Complications; Sensation; Skin; Surgical Flaps; Treatment Outcome

Trigeminal trophic syndrome (TTS) is an uncommon medical condition that may be encountered by otolaryngologists and facial plastic surgeons. TTS begins with damage to the trigeminal nerve or its central sensory connections, causing anesthesia in a dermatomal distribution. With repeated scratching and manipulation, an ulceration occurs, often in the alar region. In this multi-institutional report, we summarize a small series of patients with TTS. Treatment options are discussed along with a review of the relevant literature. Although rare, it is important that practicing otolaryngologists be familiar with the classic signs and symptoms of this condition in order to avoid delays in diagnosis and treatment.

Topics: Adult; Female; Follow-Up Studies; Humans; Hypesthesia; Male; Middle Aged; Nose; Nose Diseases; Postoperative Complications; Reoperation; Rhinoplasty; Skin Ulcer; Surgical Flaps; Trigeminal Nerve; Trigeminal Nerve Diseases; Trigeminal Neuralgia

Treatment of trigeminal trophic syndrome is challenging and often unsatisfactory, particularly in patients with cognitive impairment. We report the novel use of a thermoplastic dressing in two patients with trigeminal trophic syndrome. Use of the dressing resulted in successful healing of ulceration in both patients, which has been maintained in the short term, representing a simple and economical therapeutic option in the management of this difficult condition.

Topics: Aged, 80 and over; Bandages; Female; Humans; Hypesthesia; Male; Middle Aged; Neurosurgical Procedures; Nose; Postoperative Complications; Skin Ulcer; Syndrome; Trigeminal Nerve Injuries; Trigeminal Neuralgia; Wound Healing

Topics: Acute Disease; Adult; Cerebral Infarction; Diagnosis, Differential; Disease Progression; Eye; Facial Pain; Female; Humans; Hypesthesia; Lateral Medullary Syndrome; Magnetic Resonance Imaging; Male; Middle Aged; Nose; Paresis; Pons

Topics: Abscess; Anti-Bacterial Agents; Blepharoptosis; Blindness; Cellulitis; Conjunctiva; Cornea; Diagnosis, Differential; Edema; Ethmoid Bone; Eye Diseases; Eyelids; Face; Hypesthesia; Lacrimal Apparatus; Neuralgia; Nose; Ophthalmic Nerve; Ophthalmoplegia; Optic Neuritis; Orbit; Papilledema; Periosteum; Prednisone; Pupil; Sinus Thrombosis, Intracranial; Sinusitis