There are few surgical procedures in which the perception of success rests so substantially on the aesthetic judgment of the patient. In cosmetic rhinoplasty, tolerances of 1 mm may make the difference between a satisfactory and a disappointing outcome. Rhinoplasty, therefore, requires a collaborative exploration of what the patient would consider an appropriate result and [...]

An estimated one third more women undergo rhinoplasty than men, although men require the procedure to repair a nasal fracture more often than women. The principal reasons given for rhinoplasty include repair of congenital or posttraumatic defects, the need for improvement in nasal respiration, and the desire for an improved external appearance. Reference: Kocer U: [...]

Rhinoplasty is the second most frequently performed surgical operation in facial plastic and reconstructive surgery, exceeded only by blepharoplasty. Practitioners who identified themselves as facial plastic surgeons performed more than 177,000 rhinoplasties in 2002, an increase of 46% over 1997. Reference: Kim DW, Toriumi DM: What’s new in otolaryngology-head and neck surgery. J Am Coll [...]

Rhinoplasty is the challenging surgical operation used to change the functional performance and aesthetic appearance of the nose through revision of bone, cartilage, and soft tissue. When functional improvement of the nose is desired, rhinoplasty is often performed in concert with septoplasty. Reference: Bagal AA: Revision rhinoplasty. Facial Plast Surg 18:233-244, 2002. Beaty MM: The [...]

First, consider the financial issues and make a budget. The rules concerning reimbursement for telemedicine are changing rapidly and will vary depending on your circumstances. Second, do a needs assessment, in which you will select the right technology and decide who will manage and run the system. Third, decide about daily operational issues, and write [...]

Contact your hospital Audiovisual or Information Systems department to find out what kind of communications capability they have. Once you get the system up and running, put together a plan to implement it. Reference: Reid J: A Telemedicine Primer: Understanding the Issues. Billings, MT, Innovative Medical Communications, 1996.

Three basic reasons. First, practitioners are reluctant to learn and use a new technology unless there is a clear value to its adoption. Second, practitioners need access to hardware and software to conduct telemedicine consultations. Finally, there are significant legal, regulatory, ethical, and socioeconomic barriers to full implementation of telemedicine in medicine. KEY POINTS: TELEMEDICINE [...]