Search

Background: Algorithms define a sequence to approaching a subject. This study represents a scoping review seeking to define the role of surgical algorithms in rhinoplasty., Methods: A scoping review was conducted. Pubmed/MEDLINE, Web of Science, and Google Scholar, as well as a citation searching was performed to find eligible studies for review. Eligibility criteria included studies published in English, human subjects ≥ 15 years old, and all included surgical algorithms were for primary cosmetic rhinoplasty., Results: In total, 514 studies included the key search terms. Thirty-nine studies were evaluated for data extraction. The majority of the algorithms were from USA-based publications (22/39). Flow-chart type algorithm was used in 23 and text-based algorithms in 15 of the 39 studies. Algorithms related to tip shape and/or position were most frequent (19/39), followed by those for crooked nose and dorsal height. Only 7 of the algorithms described outcomes for utilizing the algorithm., Conclusions: Very few surgical algorithms have been published for cosmetic rhinoplasty. A minority of these studies have published outcomes. This study provides a description and summary of these algorithms and also shows that future studies could be done to further develop surgical algorithms for rhinoplasty and evaluate outcomes., Level of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com., (© 2021. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)

Mobile technology has been advancing in countless directions, and in particular medicine has been an attractive place for mobile technology innovators. The recording of surgical procedures, however, has not been one of those directions, possibly because there is a lack of software specifically designed for recording open surgical procedures. Using an iPhone SE as the device to record video along with an app devised by one of the authors, five cases of various neck surgeries (two submandibular gland resections, two neck dissections, one neck dissection and supraglottic laryngectomy) were recorded. The authors were able to completely record four out of the five cases. One case was not recorded due to storage insufficiency on the device. The recorded images were evaluated by a jury comprised of three people, and according to their findings the image quality was of an acceptable level. The authors conclude that, with a specifically devised app and a smartphone with sufficient storage capacity, surgical video recordings are possible. Specific precautions will need to be taken to ensure the privacy of these medical records. Once that is done, it is possible to use a smartphone to provide a convenient and affordable way of recording surgical procedures.

Mobile technology has been a significant development. With the advent of smartphones and many applications, it is possible to integrate endoscopic instruments. This is a study where the authors were able to use a smartphone as the capturing device for endoscopic examinations and were able to get satisfactory results on all but two of the 52 patients, doing four endoscopic examinations commonly being performed in otolaryngology clinics: rigid nasal endoscopy, rigid laryngoscopy, otoscopy and flexible fiberoptic naso-laryngoscopy. This article reveals their experience.

Objective: The objective of this study was to radiologically determine frontal sinus drainage pathway variations with respect to superior attachment of uncinate process (SAUP) and their effect on prevalence of frontal rhinosinusitis., Design: This was a retrospective cohort study., Methods: Computed tomography scans of the 919 frontal sinus sides of 460 patients (252 female, 208 male; mean age, 35.1 ± 10.5 years) who were candidates for endoscopic sinus surgery were evaluated retrospectively between August 2012 and January 2013 by 3 radiologists to determine the SAUP types and the presence of frontal rhinosinusitis., Results: The frontal sinus outflow tract was localized medial to the SAUP in 651 frontal sinus sides and lateral to the SAUP in 268 sides. We determined 3 types (types 7, 8, and 9) of SAUP in addition to 6 types defined in literature. The most common type of SAUP was type 3 (n = 332, 36.1%) followed by type 2 (n = 256, 27.8%) and type 7 (n = 160, 17.4%). Of the evaluated sides, 316 (34.3%) had frontal rhinosinusitis. Frontal rhinosinusitis was more common in the sides where the frontal sinus outflow tract was localized medial to the SAUP than those localized lateral (37.2% vs 27.6%, P = 0.006)., Conclusions: Endoscopic approach to frontal recess usually requires uncinectomy, and it is necessary to know SAUP to prevent postoperative retained superior portion of the uncinate process. The location of frontal sinus outflow tract on the SAUP affects the prevalence of frontal rhinosinusitis as well. Frontal rhinosinusitis is significantly more common when the frontal sinus outflow tract was localized medial rather than lateral to the SAUP., Level of Evidence: 2b.