PubMed Health⌕ Search

Biomedical subjects

T D Zijlker

Publications and source records attributed to T D Zijlker.

10 recordsLinked to original sources
PubMed1994

Lateral augmentation of the middle third of the nose with autologous cartilage in nasal valve insufficiency.

Nasal valve insufficiency (NVI) is a troublesome clinical entity for both the patient and the otorhinolaryngologist. Aetiological factors include congenital and iatrogenic causes, trauma, aging. Pathology is frequently located in the middle third of the nose: the upper lateral cartilages (ULC) and the cartilaginous septum (CS). The nasal valve (NV) is the plane through the caudal edges of the ULC and the CS, and is part of a larger three-dimensional area called the nasal valve area (NVA). The NVA is considered to have the narrowest cross-sectional area of the entire airway. Between 1989-1992, 32 patients with nasal obstruction due to an incompetent nasal valve were surgically treated by lateral augmentation with autologous cartilage "spreader" grafts, placed between the CS and the ULC to widen the apex of the NVA. In all cases the open approach for rhinoplasty (OSR) was used. After a mean follow-up of 18 months, 27 patients were evaluated by a self-administered questionnaire, head-and-neck examination, nasal endoscopy, photography and video-documentation of the NVA. The patient's subjective opinion was used in the assessment of the surgical success. In 48% of the patients there was complete resolution of complaints. An overall improvement of nasal patency was seen in 81% of the cases. No major complications occurred. The indications, technique and results are presented.

Adult↗
PubMed1993

Open structure rhinoplasty.

Open structure rhinoplasty (OSR) uses the open or external approach via a mid-columellar and bilateral marginal incision. In combination with grafting procedures, such as columellar struts, dorsal grafts and tip grafts, rhinoplasty has developed from a merely reductive procedure to a more graduated approach to the nose. Emphasis is now placed on repositioning, augmentation and restructuring the nasal anatomy to create as natural and functional a nose as possible. This retrospective study analyses our experience with 130 rhinoplasties over a 3-year-period. The study reveals OSR to be a safe and reliable technique which produces predictable results.

Adolescent↗
PubMed1993

Cartilage grafts for the nasal tip.

Control over nasal tip projection is essential in rhinoplasty. Nasal projection is defined as the length of the perpendicular drawn from the anterior facial plane to the tip-defining point. The nasal lobule shield-type graft, made of autologous cartilage, is one of the most important methods to maintain projection. The graft may also control length, (counter)rotation of the nose and refinement of the tip. The external approach facilitates in-situ suturing and sculpting of the graft. Between 1989 and 1991, 300 patients underwent an external rhinoplasty. In 94 (31%) an autologous graft for the nasal tip was used. The aesthetic result was pleasing to the vast majority of the patients. Nasal tip rigidity resolved in all patients within one year post-operatively. One patient needed revision surgery, because of graft resorption.

Adolescent↗
PubMed1993

Nasal dorsal cyst after rhinoplasty.

Nasal dorsal cyst formation after rhinoplasty is considered a rare complication. These cysts are due to entrapment of mucosal remnants in the subcutaneous space. Meticulous surgical technique aimed at preserving the mucosal lining may prevent cyst formation. Surgical excision with the open approach is a reliable treatment. A case of nasal dorsal cyst after previous rhinoplasty is presented. After four years no sign of recurrence is noted.

Adult↗
PubMed1990

[Open septum rhinoplasty; results in 80 patients].

Corrective rhinoplasty may be performed in two ways. With the traditional endonasal approach the incisions are made on the inside of the nose. The open technique uses an incision made on the outside of the nose, in the columella. This affords better insight into the surgical anatomy than the endonasal approach. It is concluded from the literature and from experiences in 80 patients that the advantages of the open technique more than compensate for the (avoidable) risks such as impaired wound healing and an ugly scar.

Adult↗