Prof. Dr. Ahmet Özdoğan

Referans

القاموس الطبي

تعريفات واضحة للمصطلحات الطبية الشائعة في أمراض الأنف والأذن والحنجرة وجراحة الغدة الدرقية وأورام الرأس والرقبة.

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Rhinoplasty & Nasal Surgery

105 seçili terim

Nasal Obstruction

Reduced nasal airflow due to anatomical, mucosal or dynamic causes that requires structured ENT assessment.

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Turbinate Hypertrophy

Enlargement of the nasal turbinates that narrows the airway and is commonly assessed in chronic nasal obstruction.

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Radiofrequency Turbinate Reduction

A minimally invasive procedure aiming to reduce turbinate volume using controlled thermal energy.

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Submucosal Turbinate Resection

A surgical technique that reduces excess tissue or bone beneath the turbinate mucosa while preserving the lining.

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Rhinoplasty Recovery Timeline

The post-rhinoplasty period involving splinting, swelling, bruising and gradual settling of final results.

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Rhinoplasty Splint

An external support used after rhinoplasty to protect nasal bones and soft tissues early in healing.

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Bruising After Rhinoplasty

A temporary discoloration and tissue reaction that may appear around the eyes after rhinoplasty.

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Swelling After Rhinoplasty

Post-rhinoplasty edema of the nose and surrounding tissues that gradually decreases over months.

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Timing of Revision Rhinoplasty

The timing at which corrective surgery after primary rhinoplasty can be safely and meaningfully planned.

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Nasal Analysis

Pre-surgical evaluation dividing the face into thirds and fifths; measuring nasal length, tip projection, rotation and nasolabial angle norms before rhinoplasty.

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Nasal Dorsum

The nasal bridge composed of bony and cartilaginous components; hump deformity, reduction, and augmentation options are central rhinoplasty topics.

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Alar Base

Alar base width should normally equal the intercanthal distance; a wide or flaring alar base is narrowed with the Weir excision technique.

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Nasal Tip

Tip-defining points, projection and rotation; dome-binding, interdomal, and columellar sutures plus the shield graft are central to aesthetic rhinoplasty.

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Tension Nose

Tension nose deformity featuring a high dorsum, long nose and acute nasolabial angle; corrected with caudal septal shortening, dorsal reduction and cephalic tip rotation.

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Over-Projected Nose

Deformity where the tip projects excessively forward beyond a Goode ratio of 0.60; large lower lateral cartilages and a long caudal septum are the main causes.

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Under-Projected Nose

Deformity where the nasal tip fails to project adequately with a Goode ratio below 0.55; small lower lateral cartilages and a weak septum are primary causes, frequently seen in Asian rhinoplasty.

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Dorsal Hump

A nasal bridge prominence composed of bony and cartilaginous components; osteotomy is required after component reduction (osteotome/scissors) to prevent an open-roof deformity.

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Rhinoplasty Complications

Early or late problems such as infection, haematoma, asymmetry and breathing difficulty; they should be recognised quickly and assessed by the surgeon.

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Inverted-V Deformity

Middle-vault collapse with visible caudal nasal bone edges after hump reduction; spreader grafts prevent this deformity.

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Alar Collapse

External valve insufficiency causing nasal obstruction on inspiration; internal valve angle <10 degrees; treated with alar batten or spreader graft.

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Alloderm Graft

Acellular dermal matrix used for dorsal camouflage; avoiding a donor site is an advantage, but volume behaviour can vary between patients.

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Dorsal Onlay Graft

Onlay graft augmenting flat or saddle dorsum; donor site is septal, conchal or rib cartilage; secure fixation is essential.

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Post-Rhinoplasty Care Instructions

Care rules for glasses, sun exposure, contact sports, nasal hygiene and sleeping position are applied according to the surgeon's individual protocol.

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Ethnic Rhinoplasty

Rhinoplasty approach tailored to non-Caucasian nasal anatomy, addressing skin thickness and cultural aesthetic norms through augmentation or reduction techniques.

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Cephalic Trim

Limited resection from the cephalic (upper) margin of the lower lateral cartilage; tip refinement achieved while preserving a minimum 6 mm lateral crural strip.

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Alar Base Resection

Removal of 2–4 mm of tissue via Weir or sill excision to narrow the nasal base; planned with canthus-to-alar ratio assessment.

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Dome Binding Suture

Transdomal suture technique that narrows tip width by approximating the two domes; applied with 5-0 PDS.

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Facial Analysis for Rhinoplasty

Systematic assessment using facial thirds, Goode ratio (0.55–0.60), nasofrontal angle (115–130°), and nasolabial angle norms for rhinoplasty planning.

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Lower Lateral Cartilage

Paired cartilaginous structure forming the nasal tip and alar rim (medial, middle, and lateral crura); the primary determinant of tip support and shape.

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Upper Lateral Cartilage

Paired cartilage forming the middle third of the nasal dorsum; critical for functional nasal patency with internal nasal valve angle 10–15° and keystone area.

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Extracorporeal Septoplasty

Advanced technique for severe septal deviation involving complete removal, reshaping, and reimplantation of the septal cartilage.

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Nasal Silicone Implant

Silicone implants used in augmentation rhinoplasty; extrusion risk 3–8%, infection risk higher compared to autologous cartilage.

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Suture Rhinoplasty

Technique that shapes the nasal tip using only interdomal, transdomal, and columellar sutures without grafts, yielding natural results but carrying relapse risk.

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Columellar Show

Normal columellar exposure visible on lateral view is 2–4 mm; alar retraction and columellar hanging are the main causes disrupting this ratio.

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Lateral Crural Strut Graft

Structural cartilage graft placed beneath the lateral crus to correct alar collapse and external nasal valve insufficiency.

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Batten Graft Placement

Flat cartilage graft placed over the pyriform aperture in the alar or lateral crural region to correct internal and external nasal valve collapse.

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Rhinoplasty Patient Selection

AAFPRS patient selection criteria encompassing psychological screening, BDD red flags, age requirements, and skin type assessment.

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Rhinoplasty Outcome Measurement

Systematic assessment using the FACE-Q Rhinoplasty patient-reported outcome scale, photographic analysis, and the 12-month stabilisation rule.

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Graft Resorption

Partial or complete absorption of cartilage grafts used in rhinoplasty over time; survival rates varying by donor site.

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Smoking and Rhinoplasty

Smoking impairs wound healing; 4-week cessation recommendation, increased complication risk, and skin necrosis danger.

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Nasal Skeleton Anatomy

The nasal skeleton consists of the bony vault, upper lateral cartilages, lower lateral cartilages, and septum; the keystone area is the central surgical reference point.

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Tip Suture Techniques

In rhinoplasty, tip sutures — transdomal, interdomal, columellar, and lateral crural mattress — are fundamental techniques that shape skeletal position without grafts.

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Nasal Tip Support Mechanisms

Tardy's 6 major and 6 minor nasal tip support mechanisms determine which structures the surgeon must disrupt and which must be preserved.

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Rhinoplasty Anesthesia Options

Rhinoplasty is performed under general anesthesia or deep sedation; local infiltration with epinephrine 1:100,000 clarifies the surgical field and reduces blood loss.

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Nasal Symmetry Assessment

Nasal symmetry assessment uses photographic reference lines, cephalometric landmarks, and intraoperative techniques; perfect symmetry is biologically unattainable.

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Intercrural Suture

The intercrural (medial crural) suture joins the two medial crura, narrowing the intercrural angle and affecting tip projection and rotation.

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Scroll Area Anatomy

The scroll area is where the upper and lower lateral cartilages overlap; this overlap forms a critical structural bridge supporting the internal nasal valve.

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Alar Base Surgery

Alar base surgery — Weir excision or sill excision depending on flaring or width problems — must always be the last step of the operation.

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