Advanced Septoplasty: Augmentation of cartilage deficient nose after multiple sports injuries.
Augmentation Rhinoplasty after complete destruction or dissolution of Septal cartilage necessitates surgeries with a high potential for morbidity. The most popular choice of material has been costal cartilage, irradiated cadaver cartilage or alloplastic material. This is the first use of PDS foil scaffolding for conchal cartilage graft in Ireland where two cases of septal cartilage replacement were successfully acheived. PDS foil has been used in the nose before and the pioneering work by Miriam Boenisch and Gilbert Nolst Trenite is remarkable …
EAFPS GUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS
EAFPS Guidelines for post-processing of patient photographs
This code is intended to promote the highest quality in all forms of facial plastic surgery photography and to strengthen confidence in the profession, standardizing what is acceptable post-processing and what is not.
Surgeons and those who process patient photographs are accountable for upholding the following standards:
Be accurate and comprehensive in the representation of patients and surgical techniques.
When editing, maintain the integrity of the photographic images’ content and context. Do not manipulate images in any way that can mislead viewers or misrepresent patients, techniques or outcomes.
You may use the following post-processing techniques without declaration:
1. Cropping and sizing
2. Adjustment of Levels to histogram limits
3. Minor colour correction including the use of the eye dropper to check/set gray or selective colour lambda adjustment of the whole frame
Do not use any of the following post-processing on patient photographs (exception: see below):
1. Additions or deletions to image
2. Cloning & Healing tool (except dust)
3. Airbrush, brush, paint
4. Rearrangement of pixels with liquify filter
5. Selective area sharpening
6. Selective area lightening/darkening
7. Selective area colour tone change
8. Blurring
9. Eraser tool
10. Quick Mask
Exception:
The integrity of the photographic images’ content and context may be altered for
1. pre-operative consultation and planning of the procedure (computer imaging; simulation)
2. enhancement of the didactic value of intra-operative images
Declare any post-processing that alters the impression of size, shape or colour and thereby distorts the meaning of the original image by stamping the processed image with a clearly visible “modified”.
References:
National Press Photographers Association http://photo.net/bboard/q-and-a-fetch-msg?msg_id=008oUq
Reuters http://blogs.reuters.com/blog/2007/01/18/the-use-of-photoshop/
EAFPS Guidelines onUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS
EAFPS Guidelines for post-processing of patient photographs
This code is intended to promote the highest quality in all forms of facial plastic surgery photography and to strengthen confidence in the profession, standardizing what is acceptable post-processing and what is not.
Surgeons and those who process patient photographs are accountable for upholding the following standards:
Be accurate and comprehensive in the representation of patients and surgical techniques.
When editing, maintain the integrity of the photographic images’ content and context. Do not manipulate images in any way that can mislead viewers or misrepresent patients, techniques or outcomes.
You may use the following post-processing techniques without declaration:
1. Cropping and sizing
2. Adjustment of Levels to histogram limits
3. Minor colour correction including the use of the eye dropper to check/set gray or selective colour lambda adjustment of the whole frame
Do not use any of the following post-processing on patient photographs (exception: see below):
1. Additions or deletions to image
2. Cloning & Healing tool (except dust)
3. Airbrush, brush, paint
4. Rearrangement of pixels with liquify filter
5. Selective area sharpening
6. Selective area lightening/darkening
7. Selective area colour tone change
8. Blurring
9. Eraser tool
10. Quick Mask
Exception:
The integrity of the photographic images’ content and context may be altered for
1. pre-operative consultation and planning of the procedure (computer imaging; simulation)
2. enhancement of the didactic value of intra-operative images
Declare any post-processing that alters the impression of size, shape or colour and thereby distorts the meaning of the original image by stamping the processed image with a clearly visible “modified”.
References:
National Press Photographers Association http://photo.net/bboard/q-and-a-fetch-msg?msg_id=008oUq
Reuters http://blogs.reuters.com/blog/2007/01/18/the-use-of-photoshop/
Nose Fracture Clinic in Ireland
Globally the largest prospective series of Nasal Fracture Management by one single Rhinoplasty Fellowship trained Consultant Surgeon.
CHECKLIST
Get seen in a casualty department immediately after injury, to exclude a haematoma blood collection which can disrupt your nose cartilage.
Get seen by us ideally within a week or two. We recommend a review and opinion even if longer time has elapsed since the injury.
In 2009 I started a unique project …
A Nasal Fracture Clinic
Why did we do it?
To provide optimum management for this seemingly innocuous injury that leaves many patients unhappy and dis-satisfied.
Was it worth the effort?
Yes, only seven unsatisfied patients.
High rate of satisfaction with results. 80%. Breathing as well as Appearance.
Very high satisfaction with the overall management provided. 98%.
Patients felt that all that could be done, was done.
What did we do ?
One Rhinoplasty Consultant surgeon provided management of Nasal fractures.
454 cases comprise the worlds largest prospective study in a short time (16 months)
Complete followup including immediate and delayed surgery, as appropriate
formal MNB/ Rhinoplasty/ Septoplasty.
This Service is now available in Dublin and Waterford every week
