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  1. Article ; Online: Reply to: "Invited Discussion on: Video Assisted Septo-Rhinoplasty, the Future of Endonasal Rhinoplasty-a Technical Note".

    Radulesco, Thomas / Ebode, Dario / Michel, Justin

    Aesthetic plastic surgery

    2024  

    Abstract: We respond to Gryskiewic and Alameddine's commentary on our recent study regarding endoscopic use in rhinoplasty. Highlighting the context-dependent nature of technique superiority, we discuss the alternative approach of Video Assisted Rhinoseptoplasty ( ... ...

    Abstract We respond to Gryskiewic and Alameddine's commentary on our recent study regarding endoscopic use in rhinoplasty. Highlighting the context-dependent nature of technique superiority, we discuss the alternative approach of Video Assisted Rhinoseptoplasty (VARS) in mitigating visible scarring concerns. Additionally, we emphasize the benefits of comparing closed procedures with and without endoscopic assistance, underscoring the advantages of optical utilization. Our perspective on nasal tip surgery advocates for enlarged marginal incisions to facilitate direct visual control, complementing our approach. Addressing concerns on the learning curve, we share insights from our training experience, stressing the feasibility of achieving proficiency with practice. Lastly, we acknowledge the need for surgical flexibility, particularly in cases of cartilaginous weakness, where alternative strategies like spreader grafts may be considered. Our response contributes to advancing rhinoplasty techniques, promoting context-driven approaches and adaptability for optimized outcomes.Level of Evidence V 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 www.springer.com/00266 .
    Language English
    Publishing date 2024-03-13
    Publishing country United States
    Document type Letter
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-024-03968-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1296: Show issues Location:
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  2. Article ; Online: Advancing the Era of Liquid Rhinoplasty: A Methodological Approach to Injection Protocols.

    Radulesco, Thomas / Ebode, Dario / Michel, Justin

    Aesthetic plastic surgery

    2024  

    Abstract: Background: Liquid rhinoplasty, a non-surgical procedure using hyaluronic acid (HA) to reshape and refine the nose, has gained in popularity as an alternative to traditional surgical rhinoplasty although its results are not definitive. However, the lack ...

    Abstract Background: Liquid rhinoplasty, a non-surgical procedure using hyaluronic acid (HA) to reshape and refine the nose, has gained in popularity as an alternative to traditional surgical rhinoplasty although its results are not definitive. However, the lack of standardized injection protocols has raised concerns about treatment consistency and patient safety.
    Objectives: In this article, the authors propose a systematic protocol for the most common indications of liquid rhinoplasty.
    Methods: By adopting a standardized methodology, healthcare professionals can enhance patient safety, improve treatment consistency, and optimize patient satisfaction.
    Results: The protocol includes standardized injection sites categorized as dorsal, paramedian, tip and endonasal injections. Specific injection areas are recommended for different nasal shapes such as droopy noses, dorsal humps, nasal saddle deformity, inverted V deformity, tip shape abnormalities, twisted noses, revision cases with dorsal irregularities, and internal nasal valve dysfunction. While variations in filler dosages may be necessary based on individual patient needs, a conservative approach is recommended to maintain natural-looking results and reduce the risk of complications.
    Conclusions: The increase in non-surgical techniques for nasal refinement offers patients more options, and systematized injection protocols based on different nasal types provide a structured framework for liquid rhinoplasty.
    Level of evidence iv: 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 www.springer.com/00266 .
    Language English
    Publishing date 2024-04-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-024-04025-x
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    Zs.A 1296: Show issues Location:
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  3. Article ; Online: The Role of Ear, Nose, and Throat Specialists in the Nose-to-Brain Pathway.

    Radulesco, Thomas / Serrano, Elie / Michel, Justin

    JAMA otolaryngology-- head & neck surgery

    2023  Volume 149, Issue 9, Page(s) 769–770

    MeSH term(s) Humans ; Pharynx ; Ear ; Nose ; Neck ; Brain
    Language English
    Publishing date 2023-07-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701825-8
    ISSN 2168-619X ; 2168-6181
    ISSN (online) 2168-619X
    ISSN 2168-6181
    DOI 10.1001/jamaoto.2023.1550
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  4. Article ; Online: Video-Assisted Septo-rhinoplasty, the Future of Endonasal Rhinoplasty-A Technical Note.

    Radulesco, Thomas / Medawar, Charbel / Michel, Justin

    Aesthetic plastic surgery

    2023  Volume 47, Issue 6, Page(s) 2651–2657

    Abstract: Introduction: Surgeons have sought to improve outcomes in rhinoplasty through innovative techniques. Although many publications illustrate the advantages of endoscopic septoplasty over conventional methods, few have evaluated the benefits of endoscopy ... ...

    Abstract Introduction: Surgeons have sought to improve outcomes in rhinoplasty through innovative techniques. Although many publications illustrate the advantages of endoscopic septoplasty over conventional methods, few have evaluated the benefits of endoscopy for rhinoplasty. In this article, the authors meticulously describe their own technique that offers a sustainable alternative to open approach rhinoplasty, with high reproducibility and enhanced knowledge for young surgeons.
    Methods: The technique involves using video-assisted endoscopy for enhanced visibility and access. Various steps are performed, including hemitransfixion incision, septoplasty if necessary, dorsal reduction, and the development of endoscopic spreader flaps. Nasal tip surgery follows standard endonasal rhinoplasty techniques.
    Results: This technique has been successfully performed for years in primary and secondary rhinoplasties, resulting in improved aesthetic and functional outcomes without external scars. The endoscopic view enhances understanding for surgeons and residents, while preserving internal valve function and minimizing swelling. Patients express high satisfaction with the procedure.
    Conclusions: Video-assisted endoscopic septo-rhinoplasty offers a valuable alternative, providing natural outcomes with improved visualization and reduced complications. It is applicable to various indications and demonstrates its effectiveness compared to traditional approaches. The advanced endoscopic guided septo-rhinoplasty technique combines the benefits of open approach rhinoplasty while avoiding its drawbacks.
    Level of evidence iv: This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
    MeSH term(s) Humans ; Rhinoplasty/methods ; Reproducibility of Results ; Treatment Outcome ; Nose/surgery ; Surgical Flaps/surgery ; Esthetics ; Nasal Septum/surgery ; Retrospective Studies
    Language English
    Publishing date 2023-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-023-03459-z
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    Zs.A 1296: Show issues Location:
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  5. Article ; Online: ChatGPT-4 performance in rhinology: A clinical case series.

    Radulesco, Thomas / Saibene, Alberto Maria / Michel, Justin / Vaira, Luigi Angelo / Lechien, Jérôme R

    International forum of allergy & rhinology

    2024  

    Abstract: Keypoints: Chatbot Generative Pre-trained Transformer (ChatGPT)-4 indicated more than twice additional examinations than practitioners in the management of clinical cases in rhinology. The consistency between ChatGPT-4 and practitioner in the indication ...

    Abstract Keypoints: Chatbot Generative Pre-trained Transformer (ChatGPT)-4 indicated more than twice additional examinations than practitioners in the management of clinical cases in rhinology. The consistency between ChatGPT-4 and practitioner in the indication of additional examinations may significantly vary from one examination to another. The ChatGPT-4 proposed a plausible and correct primary diagnosis in 62.5% cases, while pertinent and necessary additional examinations and therapeutic regimen were indicated in 7.5%-30.0% and 7.5%-32.5% of cases, respectively. The stability of ChatGPT-4 responses is moderate-to-high. The performance of ChatGPT-4 was not influenced by the human-reported level of difficulty of clinical cases.
    Language English
    Publishing date 2024-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2625826-2
    ISSN 2042-6984 ; 2042-6976
    ISSN (online) 2042-6984
    ISSN 2042-6976
    DOI 10.1002/alr.23323
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    Zs.A 6927: Show issues Location:
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  6. Article ; Online: Congenital Cholesteatoma Revealed by Recurrent Neck Cellulitis in Patient With Otomandibular Syndrome.

    Gargula, Stéphane / Ros, Laetitia / Michel, Justin / Radulesco, Thomas

    JAMA otolaryngology-- head & neck surgery

    2022  Volume 148, Issue 4, Page(s) 377–379

    MeSH term(s) Cellulitis/etiology ; Cholesteatoma/congenital ; Cholesteatoma, Middle Ear ; Humans ; Neck
    Language English
    Publishing date 2022-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701825-8
    ISSN 2168-619X ; 2168-6181
    ISSN (online) 2168-619X
    ISSN 2168-6181
    DOI 10.1001/jamaoto.2021.4304
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    Ul II Zs.87: Show issues Location:
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  7. Article ; Online: Surgical management of chronic rhinosinusitis with nasal polyps under local anaesthesia: indications and results.

    Mimari, Clémence / Radulesco, Thomas / Penicaud, Martin / Dessi, Patrick / Michel, Justin

    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

    2023  Volume 43, Issue 1, Page(s) 42–48

    Abstract: Objective: Our objective was to specify the indications and duration of effectiveness of Awake Patient Polyp Surgery (APPS) in Chronic Rhinosinusitis with Nasal Polyps (CRSwNP). Secondary objectives were to evaluate complications and Patient-Reported ... ...

    Abstract Objective: Our objective was to specify the indications and duration of effectiveness of Awake Patient Polyp Surgery (APPS) in Chronic Rhinosinusitis with Nasal Polyps (CRSwNP). Secondary objectives were to evaluate complications and Patient-Reported Experience (PREMs) and Outcome Measures (PROMs).
    Methods: We collected information regarding sex, age, comorbidities and treatments. Duration of effectiveness was the duration of non-recurrence defined by the time between APPS and a new treatment. Nasal Polyp Score (NPS) and Visual Analogic Scales (VAS, from 0/10 to 10/10) for nasal obstruction and olfactory disorders were assessed preoperatively and one month after surgery. PREMs were evaluated using a new tool: the APPS score.
    Results: Seventy-five patients were enrolled (SR = 3.1, mean age = 60.9 ± 12.3 years). 60% of patients had a previous history of sinus surgery, 90% had stage 4 NPS and more than 60% had overuse of systemic corticosteroids. Mean time of non-recurrence was 31.3 ± 2.3 months. We found a significant improvement (all p < 0.001) for NPS (3.8 ± 0.4
    Conclusions: APPS is a safe and efficient procedure in the management of CRSwNP.
    MeSH term(s) Humans ; Middle Aged ; Aged ; Nasal Polyps ; Anesthesia, Local ; Chronic Disease ; Nasal Obstruction ; Olfaction Disorders ; Sinusitis
    Language English
    Publishing date 2023-03-14
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 604898-5
    ISSN 1827-675X ; 0392-100X
    ISSN (online) 1827-675X
    ISSN 0392-100X
    DOI 10.14639/0392-100X-N1984
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  8. Article ; Online: The Impact of the Post-Traumatic Facial Reconstruction on Postoperative Weight Loss.

    Gengler, Isabelle / Min, Susie / Jiang, Megan / Zhang, Grace / Altaye, Mekibib / Radulesco, Thomas / Lechien, Jerome R / Hsieh, Tsung-Yen

    Ear, nose, & throat journal

    2024  , Page(s) 1455613241241114

    Abstract: Objectives: ...

    Abstract Objectives:
    Language English
    Publishing date 2024-03-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/01455613241241114
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  9. Article ; Online: Laryngopharyngeal reflux, chronic rhinosinusitis and Nasopharyngeal pH monitoring.

    Lechien, Jerome R / Radulesco, Thomas / Calvo-Henriquez, Christian / Hamdan, Abdul-Latif

    Auris, nasus, larynx

    2022  Volume 49, Issue 4, Page(s) 733–734

    MeSH term(s) Chronic Disease ; Humans ; Hydrogen-Ion Concentration ; Laryngopharyngeal Reflux ; Nasopharynx ; Sinusitis
    Language English
    Publishing date 2022-04-09
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 604552-2
    ISSN 1879-1476 ; 0385-8146
    ISSN (online) 1879-1476
    ISSN 0385-8146
    DOI 10.1016/j.anl.2022.03.021
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    Zs.A 1675: Show issues Location:
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  10. Article ; Online: Computational Fluid Dynamics Modeling of Nasal Obstruction and Associations with Patient-Reported Outcomes.

    Radulesco, Thomas / Meister, Lionel / Perrier, Pierre / Bouchet, Gilles / Michel, Justin

    Plastic and reconstructive surgery

    2022  Volume 150, Issue 5, Page(s) 1112e–1113e

    MeSH term(s) Humans ; Nasal Obstruction/etiology ; Nasal Obstruction/surgery ; Hydrodynamics ; Patient Reported Outcome Measures ; Imaging, Three-Dimensional ; Computer Simulation ; Nasal Cavity
    Language English
    Publishing date 2022-09-07
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000009587
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