phenylephrine-hydrochloride and Prolapse

Prolapse of the optic system into an empty sella is an unusual complication of the management of pituitary tumors.. We described the technical nuances for an endoscopic endonasal chiasmopexy, the indications for the procedure, and the caveats on the diagnosis of optic chiasm prolapse.. The endoscopic endonasal chiasmopexy provides a direct route to lift the optic system. In most cases, the procedure may be achieved extradurally, protecting the chiasm from manipulation and postoperative fibrosis.

Topics: Endoscopy; Humans; Neurosurgical Procedures; Nose; Optic Chiasm; Pituitary Neoplasms; Prolapse

The aging nose presents a difficult challenge for the rhinoplastic surgeon. To best address the patient's wishes, the surgeon must possess a sound understanding of the atrophic changes associated with the aging nose, including tip ptosis, increased nasal bulbosity, a lengthened nasal appearance, and altered nasal airflow patterns. Surgical emphasis is placed on conservative structured reduction to address functional concerns. Overresection risks destabilizing the nasal tip and altering the patient's concrete self-image. This article outlines our approach to rhinoplasty in the aging nose with a special emphasis on the use of porous polyethylene alloimplants to provide added structural support.

Topics: Aging; Atrophy; Biocompatible Materials; Cartilage; Humans; Male; Nasal Obstruction; Nasal Septum; Nose; Polyethylene; Prolapse; Prostheses and Implants; Rhinoplasty

Topics: Humans; Nose; Prolapse; Skin