rinoplastia - rinomodelación || nasal chin-deformity

NASAL CHIN NASAL CHIN DEFORMITYDEFORMITY

Dr. Samuel Benarroch Mahfoda Dr. Samuel Benarroch Mahfoda MD, DDS ,MSMD, DDS ,MS

Oral & Maxillofacial SurgeryOral & Maxillofacial Surgery

Assistant ProfessorAssistant ProfessorOral & Maxillofacial Surgery Residency ProgramOral & Maxillofacial Surgery Residency Program

Woodhull Medical Center. New YorkWoodhull Medical Center. New YorkHospital Magallanes de Catia. CaracasHospital Magallanes de Catia. Caracas

www.clinicabenarroch.com

http://www.clinicabenarroch.com/

NOSE & CHINNOSE & CHIN

The facial profile is a balance between the chin and noseThe facial profile is a balance between the chin and nose



PURPOSEPURPOSE

Determine the frequency Determine the frequency of appearance of Nasal of appearance of Nasal

Chin Deformity and type Chin Deformity and type of nasal and chin of nasal and chin

anomaly most commonly anomaly most commonly related to each otherrelated to each other



DESIGNDESIGN

MulticenterMulticenter

Retrospective studyRetrospective study

Conducted from 1994 to Conducted from 1994 to 20052005



PATIENT DISTRIBUTIONPATIENT DISTRIBUTION SEXSEX

SEX NUMBER %

MALE 51 14.70

FEMALE 293 85.30

TOTAL 344 100



PATIENT DISTRIBUTIONPATIENT DISTRIBUTION

AGEAGE

AGE NUMBER %

15 – 20 138 40.23

21 – 30 163 47.29

31 – 40 28 8.05

41 – 50 8 2.47

> 50 7 2.05

TOTAL 344 100



POPULATIONPOPULATION

HYBRIDIZED HYBRIDIZED RACESRACES

RACESRACES NUMBERNUMBER%%

CAUCASOICAUCASOIDD 319319 92.9492.94

NEGROIDNEGROID 1919 5.525.52MONGOLIMONGOLI

DD 22 0.700.70OTHEROTHER

TOTALTOTAL

44

3443440.830.83

100100



Facial HarmonyFacial Harmony



PATIENT DISTRIBUTIONPATIENT DISTRIBUTION

SURGICAL PROCEDURESURGICAL PROCEDUREGROUPSGROUPS

GROUPSGROUPSPROCEDURE

NUMBER %I RHINOPLASTY 138 40.01II GENIOPLASTY 113 32.94III RHINOGENIOPLASTY 93 27.05

TOTAL 344100



SURGICAL SURGICAL TECHNIQUESTECHNIQUES

BASIC CLOSED RHINOPLASTYBASIC CLOSED RHINOPLASTY

HORIZONTAL OSTEOTOMYHORIZONTAL OSTEOTOMY

OF THE CHINOF THE CHIN



BASIC CLOSED BASIC CLOSED RHINOPLASTYRHINOPLASTY



HORIZONTAL OSTEOTOMY HORIZONTAL OSTEOTOMY OF THE CHINOF THE CHIN



CASESCASES



KA, F, 23 yr. Sep, KA, F, 23 yr. Sep, 20032003

PROBLEM LISTPROBLEM LIST Nasal deformityNasal deformity Full inframalar Full inframalar

contourcontour Drooping lower lipDrooping lower lip Chin deficiencyChin deficiency Neck lipomatosisNeck lipomatosis

SURGICAL PLANSURGICAL PLAN Nasal and chin Nasal and chin

surgerysurgery Lip plastyLip plasty Buccal fatpad Buccal fatpad

removalremoval Neck liposuctionNeck liposuction


DISCUSIONDISCUSION

GROUP IIIGROUP III

GROUPSGROUPSPROCEDURE

NUMBER %I RHINOPLASTY 138 40.01II GENIOPLASTY 113 32.94III RHINOGENIOPLASTY 93 27.05

TOTAL 344100


SURGICAL PROCEDURESSURGICAL PROCEDURES

RHINOPLASTY GROUP IIIRHINOPLASTY GROUP III

PROCEDUREPROCEDURE NUMBERNUMBER %%

BASIC BASIC RHINOPLASTYRHINOPLASTY 8383 89.689.6

NASAL WITDHNASAL WITDH

AISOLATEDAISOLATED77 7.37.3

NASAL TIPNASAL TIP

AISOLATEDAISOLATED33 3.13.1

TOTALTOTAL 9393 100100


GROUP IIIGROUP III BASIC RHINOPLASTY BASIC RHINOPLASTY

N 83N 83

PROCEDURESPROCEDURES NUMBERNUMBER % %

Cephalic trimCephalic trim 59 71.159 71.1

Alar suturingAlar suturing 39 46..939 46..9

Tip graftingTip grafting 40 48.240 48.2

Hump reductionHump reduction 79 95.179 95.1

OsteotomiesOsteotomies 75 90.475 90.4

Base surgeryBase surgery 54 65.754 65.7


HORIZONTAL OSTEOTOMY OF THE CHINHORIZONTAL OSTEOTOMY OF THE CHIN GROUP III GROUP III

DISPLACEMEDISPLACEMENTNT NUMBERNUMBER %%

ANTERIORANTERIOR 8787 93.693.6

TRANSVERSATRANSVERSALL

44 4.44.4

VERTICALVERTICAL 11 1.11.1

POSTERIORPOSTERIOR 11 0.90.9

TOTALTOTAL 9393 100100


RESULTSRESULTS

85.6 % FEMALES 85.6 % FEMALES 92.9 % CAUCASIAN 92.9 % CAUCASIAN 88.5% 15 TO 30 YEARS 88.5% 15 TO 30 YEARS 27.1% NASAL CHIN DEFORMITY 27.1% NASAL CHIN DEFORMITY DEFORMITIES MOST DEFORMITIES MOST

FREQUENTLY ASSOCIATED FREQUENTLY ASSOCIATED NASAL HUMP 95.1 %NASAL HUMP 95.1 % ANTERIOR DEFICIENCY OF THE ANTERIOR DEFICIENCY OF THE

CHIN 93.6 %CHIN 93.6 %www.clinicabenarroch.com

CONCLUSIONSCONCLUSIONS Nasal and chin deformity had been studied Nasal and chin deformity had been studied

separately.separately. Facial harmony will not appear as “beautiful” Facial harmony will not appear as “beautiful”

unless the combination of different facial unless the combination of different facial procedures performing on the hard tissues and procedures performing on the hard tissues and soft tissues soft tissues

Esthetical guidance for the new face is necessaryEsthetical guidance for the new face is necessary The Nasal- Chin Deformity have a statistically The Nasal- Chin Deformity have a statistically

significant relation. significant relation. Clinical consideration and surgical correction of Clinical consideration and surgical correction of

this disharmony provide consistent, long-term this disharmony provide consistent, long-term esthetic improvementesthetic improvement


THANK YOU

Dr. Samuel Benarroch Mahfoda Dr. Samuel Benarroch Mahfoda MD, MD, DDS ,MSDDS ,MS

Oral & Maxillofacial SurgeryOral & Maxillofacial Surgery

Assistant ProfessorAssistant ProfessorOral & Maxillofacial Surgery Residency ProgramOral & Maxillofacial Surgery Residency Program

Woodhull Medical Center. New YorkWoodhull Medical Center. New YorkHospital Magallanes de Catia. CaracasHospital Magallanes de Catia. Caracas

NASAL CHIN DEFORMITY


rinoplastia - rinomodelación || nasal chin-deformity

Health & Medicine

nasal chin deformity

caracas nasal chin deformity

chin anomaly

type of nasal

nasal chindeformity

conclusions nasal

groups procedure number

races number