This document outlines surgical assessments for various rhinoplasty patients. It describes pre-operative conditions such as hump deformities, nasal tip issues, and septal deviations. For each patient, it provides a 3 sentence surgical assessment outlining the planned procedures such as hump removal, osteotomies, grafting, and tip work to correct the deformities and achieve the desired postoperative results. Examples of pre- and post-operative photos are also included to demonstrate treatment outcomes. The assessments are intended to train colleagues in surgical planning and studying postoperative outcomes of different rhinoplasty techniques.
Dr. Jason Roostaeian, UCLA Aesthetic & Reconstructive Plastic Surgeon, goes in depth to explain Rhinoplasty (nose job) surgery. He discusses anatomy, facts, modern techniques, closed vs. open, functional rhinoplasty, costs of a rhinoplasty, and answers top rhinoplasty questions.
Maxillectomy and craniofacial resection Mamoon Ameen
all maxillectomy types in detail and maxillofacial resection ,indications ,contraindications ,preoperative asssessment and detail techniques and rehabilitations
Dr. Jason Roostaeian, UCLA Aesthetic & Reconstructive Plastic Surgeon, goes in depth to explain Rhinoplasty (nose job) surgery. He discusses anatomy, facts, modern techniques, closed vs. open, functional rhinoplasty, costs of a rhinoplasty, and answers top rhinoplasty questions.
Maxillectomy and craniofacial resection Mamoon Ameen
all maxillectomy types in detail and maxillofacial resection ,indications ,contraindications ,preoperative asssessment and detail techniques and rehabilitations
surgical anatomy of nose is a humble attempt to make the anatomy of nose simpler and easy for medical students and fellow physicians. at the end of the presentation the students will be able to identify all the structures.
Anatomy of the maxilla and its surgical implications /cosmetic dentistry coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
18th International Course in Modern Rhinoplasty Techniques & Symposium The Cleft Lip Patient and Revision surgery
26, 27 & 28 October 2011
http://www.rhinoplastycourse.nl/
surgical anatomy of nose is a humble attempt to make the anatomy of nose simpler and easy for medical students and fellow physicians. at the end of the presentation the students will be able to identify all the structures.
Anatomy of the maxilla and its surgical implications /cosmetic dentistry coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
18th International Course in Modern Rhinoplasty Techniques & Symposium The Cleft Lip Patient and Revision surgery
26, 27 & 28 October 2011
http://www.rhinoplastycourse.nl/
the 18th International Course in Modern Rhinoplasty techniques & Symposium The Cleft Lip Patient. 26, 27 & 28 October 2011 AMC Amsterdam
http://www.rhinoplastycourse.nl/
Each year, millions of people find out that they have skin cancer. Skin cancer is almost 100% curable if found early and treated right away. It is possible to prevent some types of skin cancer. Basal cell carcinoma and squamous cell carcinoma are sometimes called non-melanoma skin cancer.
Maintaining and Restoring Your Youthful Experience | Keller Plastic Surgerydrkellersurgery
Maintaining our appearance is important. Having an appealing persona is valuable in a work environment or in our personal lives, no matter what our age. We feel better if we like our look.
As we mature, the structures of our face fall and we lose our facial volume. The end result is a "mad", "tired", or "sad" appearance. We are not projecting the happy persona that we really feel.
Our approach is not to simply "do a facelift", but to work at restoring the natural, beautiful or handsome persona that resides within each of us.
How To Correct and Prevent Sun Damaged SkinKenneth Dickie
Dr. Kenneth Dickie from Royal Centre of Plastic Surgery in Barrie, Ontario explained the basics of sun damage to skin, provided a quiz on "What Age is Your Skin" and discussed how to correct and prevent sun damage.
If you have any questions, please contact Dr. Kenneth Dickie at http://royalcentreofplasticsurgery.com/
Rhinoplasty or nose job is a surgery to make the nose better by changing the shape of nose. This lecture gives a broad idea on principles of rhinoplasty .
A rhinoplasty surgeon has to be quite careful while choosing the right candidate for rhinoplasty.
Head and Neck Trauma by Dr. Kenneth DickieKenneth Dickie
Dr. Kenneth Dickie from Royal Centre of Plastic Surgery in Barrie, Ontario explained the care for Head & Neck Trauma.
f you have any questions, please contact Dr. Kenneth Dickie at http://royalcentreofplasticsurgery.com/
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. Dear colleague,
This presentation outlines the importance of adequate surgical assessment. Pre-operative pictures
together with clinical information will be shown, based on this an assessment of the surgical plan will be
presented. Training of surgical assessment is an important teaching tool and a unique opportunity to gain
knowledge of the surgical anatomy and to study the postoperative outcome of the applied surgical
techniques. Note, there is never just one solution, modifications- or other surgical techniques might
always be an option.
CAUTION: The lecture can contain pictures taken during surgery, which might be shocking. The lecture is
intended for colleagues and is part of the "International Course in Modern Rhinoplasty Techniques".
Dirk Jan Menger, MD
Course Director
The Netherlands
www.rhinoplastycourse.nl
4. Surgical Assessment
• limited hump removal
• osteotomies (lateral/oblique)
• septal correction
• reduction of the caudal septum, upper laterals and nasal spine
• thin spreader grafts
• upward rotation of the tip using the "tongue in groove technique"
www.rhinoplastycourse.nl
8. Preoperative evaluation.
This patient had a slight deviation of the cartilaginous dorsum to the left side, over-projection of the nasal tip
and dorsum, a short and "crowded" upper-lip and malocclusion.
www.rhinoplastycourse.nl
9. Assessment
• external approach rhinoplasty
• limited hump removal
• osteotomies; lateral / oblique
• septal correction, harvesting cartilage
• spreader grafts
• tip:
– medial crural overlay
– lateral crural overlay
– suturing
• augmentation of the naso-frontal angle and reduction of the nasal spine
www.rhinoplastycourse.nl
13. Preoperative condition.
This patient had a collapse of the external nose due to destruction of the cartilaginous nasal septum, as a result
a saddle nose deformity and columellar retraction.
www.rhinoplastycourse.nl
18. Assessment
• external approach rhinoplasty
• mild hump resection
• osteotomies; lateral / oblique and intermediate on the left side
• septoplasty
• spreader/splint graft on the left side
• medial- and lateral crural overlay
• reduction of the nasal spine
www.rhinoplastycourse.nl
20. Preoperative evaluation.
This patient had a hump deformation, over-projection and under-rotation of the nasal tip and too much
columellar show.
www.rhinoplastycourse.nl
24. Preoperative condition.
This patient had a pseudo hump deformation, a saddle nose deformity and columellar retraction which was
caused by destruction of the cartilaginous nasal septum.
www.rhinoplastycourse.nl
28. Preoperative condition.
This patient had a very thin skin in combination with bulbous/broad lower lateral cartilages and bony dorsum.
www.rhinoplastycourse.nl
29. Assessment
• mild hump resection
• osteotomies; lateral / oblique
• cephalic reduction of the LC
• dome creation sutures and limited medial crural overlay
www.rhinoplastycourse.nl
36. Preoperative evaluation.
This patient had very prominent domes of the lower lateral cartilages, over-projection of the nasal tip and some
columellar retraction
www.rhinoplastycourse.nl
39. Preoperative evaluation.
This patient had a broad nasal dorsum after septoplasty, insufficient support of the upper lateral cartilages.
www.rhinoplastycourse.nl
40. Assessment
• external approach rhinoplasty
• reconstruction of the L-strut of the nasal septum
• lateral and oblique osteotomies, infraction of the bony pyramid
• small dorsal onlay graft (auricular or rib)
www.rhinoplastycourse.nl
42. Preoperative evaluation.
This patient had a very broad nasal dorsum and breathing problems due to a severe septal deviation.
www.rhinoplastycourse.nl
43. Assessment
• septoplasty
• osteotomies, medial-, lateral- and oblique
• limited strip of the upper laterals (caudal to cephalic orientation)
www.rhinoplastycourse.nl
48. Preoperative evaluation.
This patient had collapse of the cartilaginous nasal skeleton due to over-resection of the nasal septum.
www.rhinoplastycourse.nl
49. Assessment
• external approach rhinoplasty
• septal reconstrucution of the L-strut
• osteotomies, lateral- and oblique; infraction of the pyramid
• dorsal onlay graft (auricular or rib)
• columellar strut graft
www.rhinoplastycourse.nl
56. Assessment
• external approach rhinoplasty
• mild hump resection
• osteotomies; lateral / oblique and intermediate on the left side (long nasal bone)
• septoplasty
• spreader/splint on the left side
• limited cephalic resection of the lateral crus
• tip sutures; inter- and transdomal
www.rhinoplastycourse.nl
58. Preoperative evaluation.
This patient had a deviation of the nasal dorsum to the left side in combination with over-projection of the
nasal tip.
www.rhinoplastycourse.nl
60. Assessment
• external approach rhinoplasty
• septal correction
– Fixation of the caudal border to the anterior nasal spine
– "splinting" technique
• reduction of the cartilaginous septum
• osteotomies, lateral and oblique
• spreader grafts
• tip: inter- and transdomal sutures, limited cephalic strip of the LC’s
www.rhinoplastycourse.nl
65. Assessment
• external approach rhinoplasty
• mild hump resection
• osteotomies; lateral / oblique and intermediate on the left side (long nasal bone)
• septoplasty
• spreader/splint on the left side
• limited cephalic resection of the lateral crus
• tip sutures; inter- and transdomal
www.rhinoplastycourse.nl
67. Preoperative condition.
This patient had a hump deformation and too much columellar show due to a combination of a long caudal
septum / nasal spine and mild retraction of the ala.
www.rhinoplastycourse.nl
77. Preoperative condition.
This patient had a mild concavity on the left side of the cartilaginous- and bony nasal dorsum.
www.rhinoplastycourse.nl
78. Assessment
• external approach rhinoplasty
• osteotomies; lateral / oblique
• spreader graft on the left side
• tip; inter- and transdomal sutures
www.rhinoplastycourse.nl
83. Preoperative condition.
This patient had complaints of an irregular and over-projected nasal dorsum and tip. There was a concavity in
the mid nasal third on the right side and breathing problems due to a strong deviation of caudal nasal septum.
www.rhinoplastycourse.nl
84. Assessment
• external approach rhinoplasty
• reduction of the cartilaginous- and bony dorsum
• osteotomies: lateral and oblique
• septoplasty, including splinting of the caudal septum
• spreader graft on the right side
• medial- and lateral crural overlay technique
• columellar strut graft
• trans- and interdomal sutures
www.rhinoplastycourse.nl
89. Assessment
• external approach rhinoplasty
• osteotomies; lateral / oblique and intermediate on the right side
• septoplasty
• spreader / splint graft on the right side
www.rhinoplastycourse.nl
96. Preoperative evaluation.
This patient had a deviation of the nasal tip to the left side due to an under-development of the ala on the left
side. In the lateral view a hump deformation, drooping tip with very acute naso-labial angle and a deep naso-
frontal angle.
www.rhinoplastycourse.nl
97. Assessment
• external approach rhinoplasty
• mild hump resection
• osteotomies; lateral / oblique
• septoplasty
• spreader grafts
• augmentation of the naso-frontal angle
• reconstruction of the lateral crus on the left side and Z-plasty of the ala
• lateral crural overlay of the right LC
• tongue in groove technique
• trans- and interdomal suture techniques www.rhinoplastycourse.nl
100. Preoperative condition.
This patient had a thick soft-tissue envelope, a hump deformation and under-projection of the nasal tip.
www.rhinoplastycourse.nl
103. Preoperative evaluation.
This patient had nasal trauma in the past, complete destruction of the nasal septum in childhood. The nasal
skeleton is underdeveloped.
www.rhinoplastycourse.nl
108. Preoperative condition.
This patient had a hump deformation and deviation of the nasal dorsum to the right side, a bulbous- and
drooping nasal tip.
www.rhinoplastycourse.nl
109. Assessment
• external approach rhinoplasty
• mild hump resection
• osteotomies; lateral / oblique
• septoplasty
• columellar strut graft
• cephalic trim of the lower laterals
• trans- and interdomal suturing
www.rhinoplastycourse.nl
115. Preoperative evaluation.
This patient had a saddle nose deformity due to destruction of septal cartilage after septoplasty performed
elswhere. Note the columellar retraction and the relative long upper-lip due to absence of the caudal part of
the septum.
www.rhinoplastycourse.nl
120. Assessment
• external approach rhinoplasty
• septoplasty
• osteotomies; lateral and oblique, out-fracture on the left side
• spreader graft on the left side
• limited cephalic resection of the LC's
• trans- and interdomal suturing
www.rhinoplastycourse.nl
126. Preoperative condition.
This patient had a saddle nose deformity due to displacement of the nasal septum after trauma, insufficient
support of the nasal dorsum.
www.rhinoplastycourse.nl
130. Preoperative evaluation.
This patient had a concavity on the right side of the nasal dorsum and a bony- and cartilaginous hump.
www.rhinoplastycourse.nl
131. Assessment
• external approach rhinoplasty
• hump reduction
• osteotomies: lateral and oblique
• spreader graft on the right side
• augmentation of the naso-frontal angle
• cephalic reduction of the LC's
• columellar strut graft
• trans- and interdomal suturing
www.rhinoplastycourse.nl
137. Preoperative condition.
This patient had under-rotation of the nasal tip, a mild hump and deviation of the dorsum to the left side.
www.rhinoplastycourse.nl
138. Assessment
• external approach rhinoplasty
• limited hump removal
• osteotomies; lateral- and oblique
• septoplasty
• reduction of the anterior nasal spine and caudal septum
• lateral crural steal suture technique
• columellar strut graft
www.rhinoplastycourse.nl
142. Assessment
• external approach
• reduction of the cartilaginous dorsum
• septoplasty and caudal septal extension of the dorsal part
• medial crural overlay
• reduction of the anterior nasal spine
• columellar strut
www.rhinoplastycourse.nl
144. Preoperative condition.
This patient had a hump deformation, over-projection and downward rotation of the nasal tip and a "crowded
upper-lip"
www.rhinoplastycourse.nl
145. Assessment
• external approach rhinoplasty
• hump reduction
• osteotomies; lateral and oblique
• thin spreader grafts
• medial crural overlay
• reduction of the anterior nasal spine and caudal septum
• columellar strut graft
www.rhinoplastycourse.nl
148. Assessment
• external approach rhinoplasty
• osteotomies; lateral and oblique and intermediate on the left side
• septoplasty
• spreader / splint on the left side
• trans- and interdomal tip sutures
www.rhinoplastycourse.nl