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Biomedical subjects

P Stoksted

Publications and source records attributed to P Stoksted.

At least 19 recordsLinked to original sources
PubMed1992

Long-term results of functional and cosmetic rhinoplastic surgery.

Three hundred and twelve of 444 patients admitted consecutively for rhinosurgery for nasal obstruction have been examined 5 years postoperatively regarding adequacy of nasal configuration and functional nasal passages. The surgery was introduced with special consideration given as to whether functional and esthetic surgery could be combined without jeopardizing the percentages of patients cured of nasal obstruction. An open nasal passage was found in 233 of the 312 patients at the follow-up examination, while 28 of 65 were relieved of their preoperative nasal deformities. The functional results were independent of whether only reconstruction surgery of the septum and the valve area or additional reshaping of the bony pyramid was performed. These results in the latter group were less satisfactory in males although the cosmetic results were significantly better in the group treated with additional repair of the bony pyramid. A substantial number of patients (26.7%) without saddling of the nose preoperatively had this deformity at the follow-up examination, indicating that training and/or improved surgical approaches were warranted.

Adolescent↗
PubMed1986

Chronic headache related to nasal obstruction.

A study of the occurrence of chronic headache in 444 patients suffering from nasal obstruction is presented. The localization, frequency, severity of the headache and differences between men and women are described. All the patients were treated with rhinoplastic surgery and examined just prior to surgery and 12 months post-operatively, applying exactly the same scheme of questioning and examination on the two occasions. The investigation shows a very strong association between the establishment of a normal nasal passage and the cure of headache. The study stresses the viewpoint that a negative sinus X-ray cannot rule out the possibility that a headache is of nasal origin, and that careful rhinologic examination is essential.

Adolescent↗
PubMed1986

Crushed cartilage in nasal reconstruction.

Experience when using crushed cartilage for restoration of the dorsal nasal contour is presented. The septal cartilage is used as fresh autogenous grafts and as preserved septal cartilage. Implantation of autogenous grafts is preferable. Bank cartilage, however, has the advantage of being easily available and of causing very little reaction in the host organism. Normally, it is absorbed very slowly and replaced by connective tissue, which retains most of the bulk and shape of the implant. The crushed material is pushed in over the undermined nasal dorsum by means of a syringe connected to a plastic tube. When the piston of the loaded syringe is depressed, the cartilage is injected and the crushed cartilage can be moulded under the skin and the shape maintained by a tight dressing. The cartilage serves as a padding, which covers bony defects, smooths out the irregularities of the bone and avoids the open roof syndrome as well as retracted scar formation between skin and bone.

Absorption↗
PubMed1985

Nasal fractures in children: influence on the development of the nose.

Fifty-seven patients between the ages of zero and 16 years, treated for nasal fractures during childhood by means of closed reduction, have been subjected to follow-up examination after development of the nose has ceased. These patients have been compared to a control group of 50 persons without any known nasal trauma. No difference was found between the two groups with regard to functional complaints, but deviations of the osseous and cartilaginous pyramid, humps and saddle formations, as well as spine formations and deviations of the septum, were particularly prevalent in the fracture group. Crista formation and angulation were found to be equally frequent in both groups. The findings are discussed.

Adult↗
PubMed1985

The importance of nasal fractures during different growth periods of the nose.

Fifty-seven patients who had sustained nasal fractures during childhood were divided into three groups, according to the age at which the fracture had taken place. These three groups were based on the normal periods of development of the nose. They were compared with regard to possible sequelae after fracture. The results are discussed and an example from each group is shown.

Adult↗
PubMed1984

Chronic headache: the role of deformity of the nasal septum.

To ascertain a possible causal relation between chronic headache and nasal stenosis arising from deformity of the nasal septum 79 people suffering from both symptoms were observed over one year. On entry to the study they were randomly allocated to either an operative or a control group. The patients in the operative group underwent nasal reconstructive surgery, and the control patients were observed without treatment. Comparison of the two groups showed a considerable decrease in headache after operation. These findings support the suggestion of a causal relation between chronic headache and nasal stenosis and indicate that a nasal origin should be borne in mind in cases of otherwise unexplained chronic headache.

Adult↗
PubMed1983

The nasal passage following rhinoplastic surgery.

A follow-up examination has been carried out of 238 patients suffering from nasal obstruction and mouth-breathing. Only 75 per cent of the patients achieved normal nasal passages. The results were significantly poorer in patients suffering from allergic or vasomotor rhinitis, in cases of long-standing mouth-breathing, and in those cases in which the patient had been subjected to earlier rhinoplastic surgery. Our investigation has indicated that a re-evaluation of the indications for surgery in the above-mentioned cases is necessary, and that a more cautious attitude should be taken regarding the possibility of achieving a normal nasal passage following rhinoplastic surgery.

Adolescent↗
PubMed1983

Long-term results of dermatoplasty in the treatment of hereditary haemorrhagic telangiectasia.

Dermatoplasty for the treatment of epistaxis caused by HHT has become well established. A modification of Saunders' (1960) original dermatoplastic technique is described, which permits the nasolabial incision to be avoided. This retrospective study of the long-term effect on epistaxis caused by HHT demonstrates, in contrast to those with a short period of observation, that epistaxis can be partially controlled by means of dermatoplasty and, further, that it is impossible to eliminate completely the need for blood transfusion. In two of the patients it was found that newly formed telangiectases had occurred in the transplant 15 and 18 years post-operatively.

Adult↗
PubMed1982

Columella implants. Reconstruction of the anterior septum.

A follow-up study was conducted of implants used to replace the anterior septal cartilage. The implants used were (1) the cartilaginous septum after correction, (2) parts of the bony septum (when it was impossible to use the cartilaginous septum), (3) or bank cartilage (when there was insufficient autograft material). One hundred cases were examined 12 months after surgery and divided into three groups according to the material used. There was no statistical difference between the percentages of satisfactory results in the three groups: 66% satisfactory and 33% unsatisfactory. Further analysis of the unsatisfactory results indicated that the most difficult feature is judging the size of the implant: too small an implant results in instability, reduction in the nasolabial angle, and retraction of the columella. Previous surgery increases the risk of poor results.

Cartilage↗
PubMed1981

Obtaining a gentle contour to the columella by modifying the maxillary spine.

There are several structures involved in columellaplasty, and all affect the support and shape of the tip, the columella, and the upper lip. The present paper considers only the problem of the deformities of the maxillary spine and its lower extension over the midline, causing broadening and asymmetrical development of the columella as well as a short upper lip, and an obtuse columella-lip angle. During rhinoplasty, the nasal spine can be exposed and reshaped by carving and remodeling with drilling. At the same time, the support this structure provides for the columella and tip can be retained. This paper is based on follow-up of 50 patients on whom surgical correction of the maxillary spine was performed with satisfactory results in 90 percent.

Female↗
PubMed1979

Traumatology of the newborn's nose.

Three different types of nasal deformities are described in the newborn: 1. Fixed deviations caused by injury in the prenatal period, which are mainly selfcorrecting. 2. Deviations brought about during delivery, requiring repositioning, and 3. Deformities caused by pressure and moulding of the foetal head, which also require treatment. Methods for the detection of the last two groups are also described.

Birth Injuries↗
PubMed1978

Perforations of the nasal septum following operative procedures.

New operative methods have been introduced into nasal surgery in recent years; these are septoplastic, rhinoplastic and nasal reconstruction. These new methods are now employed together with the more traditional submucous septum resection. Today the above mentioned operations have been carried out in such large numbers that it is possible to commence comparing operative results. The present investigation is a comparison of the number of septum perforations with 1) submucous septum resection, 2) septum correction with reconstruction of the septum skeleton, and 3) septum correction in connection with rhinoplastic of the outer nose, possibly supplemented by nasal reconstruction. In the latter case a systematic suturing of all mucosal lacerations has been carried out, partly to prevent septum perforations and partly in order to keep the septum flaps intact during reimplantation of the cartilage and bone with the object of constructing a solid septum skeleton. While primary suturing of the mucosa is a relatively simple procedure, the closure of postoperative septum perforations is far more difficult. The results depend on the size of the perforation and the amount of cartilage and bone material still remaining in the septum. It must therefore be advisable to employ operative techniques which are able to prevent septum perforations or at least reduce their number to a minimum.

Adolescent↗
PubMed1977

Inspiratory nasal obstruction.

Inspiratory nasal obstruction or collapsing alae is caused by a sucking in of the candal cartilaginous parts of the nose; this is followed by a partial or complete stoppage of the inspiratory air. The nose usually assumes a pinched appearance together with a widening of the nostrils during the inspiratory phase, in cases where the collapse is confined to the upper laterals. Weakening of the upper laterals can results from development anomalies, or atrophy of the tissue with aging. Fractures of the nasal framework may cause displacement or buckling, with subsequent thickening or scar formation. This will again result in poor function. In other cases both the upper and lower lateral cartilages become involved with a resulting collapse of the lobule, producing a silit-like appearance of the nostrils. Examination of patients with inspiratory nasal obstruction will often reveal poor support of the upper laterals, deformity of the lower nasal cartilage, columella and nasal spine or dislocation of the candal parts of the septal cartilage, all of which cause obstruction to the inspiratory air. Collapsing alae should be treated by nasal reconstruction, with removal of the obstruction and stabilization of the nasal framework. In children, it has been possible to enhance symmetric growth, and at times, increase growth-potentials by re-alignment of the cartilaginous structures of the nose.

Airway Obstruction↗
PubMed1976

[Intranasal skin grafting for Osler's disease (author's transl)].

Between 1965-1972, 12 patients with Osler's disease of the nose were treated surgically by a modification of the method suggested by Saunders. The mucosa of the entire nasal septum and entire floor of the nose up to the insertion of the inferior turbinate was removed without interference to the perichondrium or periosteum. The denuded area was covered with split thickness skin graft taken from the thigh. Haemorrhage, which was never severe, occassionally occurred. In all patients, there occurred crusting and foetor, which was controlled by nasal douching. Patients with Osler's disease should be treated as early as possible in order to curtail the work disability.

Age Factors↗