Il Blog

Welcome to this blog.

This space is dedicated to several topics that tell stories of Surgery and open a window when new interesting concepts and techniques will come to enrich the fields not only of Rhinology and Facial Plastics but also of other ENT subspecialties.

I hope that those of you that happen to visit this blog and are interested to participate and leave comments as well as suggestions will do so.

Photographic simulation of pre&postoperative rhinoplasty

Photographic simulation of pre&postoperative rhinoplasty

Technology, like in many other medical fields, has become a useful alley in the field of preoperative Rhinoplasty.

The surgeon has two goals while remodelling the nose:  fulfil the patient wishes, which clearly is the main one, and also respect as much as possible the aesthetic harmony of the face. If both of these goals are accomplished the best result is achieved.

Once identified, the pt’s  aesthetic desires can be artificially represented on a computer screen by software manipulation of preoperative pictures. (altro…)

Fillers

Fillers

Fillers are becoming  more and more a popular product in aesthetic medicine. They “fill” folds and wrinkles that develop with skin ageing and give more volume to certain areas of the face, such as the lips and cheeks.

Nowadays only absorbable fillers should be used and Hyaluronic Acid is the main one on the market. It is quite safe, easily pliable and reversible (with an “antidote”, should side effects occur).

Fillers are often used in combination with Botox to achieve a double effect over the forehead: minimise the muscle movements and fill the wrinkles. (altro…)

Balloon Sinuplasty: Office based surgery for sinusitis

Balloon Sinuplasty: Office based surgery for sinusitis

Balloon Sinuplasty is a relatively new technique developed in the treatment of sinus diseases. This procedure, as opposed to traditional sinus surgery, can be performed in an office setting under local anaesthesia.

A small catheter with a light and a guide wire is advanced into the opening of the diseased sinus. Once in position the balloon at the tip of the catheter is inflated to dilate the sinus entrance restoring the impaired drainage into the nasal cavity. (altro…)

Botox: when the bad becomes good

Botox: when the bad becomes good

Clostridium Botulinum is a bacteria that releases a highly dangerous toxin that can paralyse the body by blocking the connection between the nerve endings and the muscles, causing even death.

However, Science has been able to modify this potentially lethal weapon and convert it into a versatile therapeutical tool.
Isolated and purified in 1928, the botulinum toxin was first used in medicine in 1980 to cure strabismus and blepharospasm (involuntary twitch of the eyelid). The toxin was “weakened” in order to limit rather than block the muscles action.
In 1993, almost by chance, it was also found that the toxin was able to reduce sweating. (altro…)

Napoleon’s Surgeon

Napoleon’s Surgeon

The life of Dominique Larrey is so rich of heroic tales and acts of humanity that it could easily inspire a novel or a movie script.

He was without a doubt the greatest military surgeon of all times and I confess my surgical hero!

Biography

While he was a teenager he became an orphan and was raised by an uncle, who introduced him to the profession of surgery.
(altro…)

History of Rhinoplasty

History of Rhinoplasty

An indian physician, Sushustra, was probably the first to operate on an amputated nose 2.500 years ago.

He used skin from the forehead, fashioned as a flap, with one end attached to the forehead and the other “draped” over the nasal defect.

Variations of this technique are still used in modern Rhinoplasty to reconstruct nasal missing parts that resulted from trauma or tumours.

Many centuries passed by before Rhinoplasty was raised to the status of a standard surgical procedure described in textbooks and articles. A surprising ‘lethargic” phase followed those initial pioneering efforts, forgotten for more than 2000 years!

The italian Gaspare Tagliacozzo, from Bologna, one of the forefathers of plastic and reconstructive surgery, in the 16th century described in his textbook a new technique to reconstruct the nose by using again a flap, but this time taken form the forearm.

(altro…)