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J Cosmet Med 2021; 5(1): 53-56
Published online June 30, 2021
Application of three-dimensional printing technology and Plan-Do-Check-Act (PDCA) cycle in deviated nose correction
Tae-Hoon Lee 
, MD, PhD , Soonjoon Kim , MD
Department of Otolaryngology-Head and Neck Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Rep. of Korea
Correspondence to :
Tae-Hoon Lee
E-mail: thlee@uuh.ulsan.kr
© Korean Society of Korean Cosmetic Surgery
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Deviated nose correction, a challenging procedure, requires a strategic approach to achieve better results. The Plan-Do-Check-Act (PDCA) cycle can be adapted as a strategy. Three-dimensional (3D) scans and computer simulations enhance planning. Anterior septal reconstruction and support with titanium miniplates are helpful in correcting nasal and septal deviation correction. During surgery, checking with a customized 3D printing rhinoplasty guide is essential for realizing the simulated nose shape. A detailed assessment of nose shape and subjective evaluation of patient satisfaction are necessary during the follow-up period for continuous improvement.
Keywords: computer simulation, nasal septum, rhinoplasty, three-dimensional printing
Fig. 1.Preoperative and simulated three-dimensional photographs: (left) preoperative, (right) simulation.
- Rohrich RJ, Gunter JP, Deuber MA, Adams WP Jr. The deviated nose: optimizing results using a simplified classification and algorithmic approach. Plast Reconstr Surg 2002;110:1509-23.
- Abu El-Wafa AM, Emara SS. Deviated nose: a systematic approach for correction. Plast Reconstr Surg Glob Open 2020;8:e3078.
- Dewey J. The later works, 1925-1953. Carbondale, IL: Southern Illinois University Press; 1988.
- Hsieh TY, Dedhia R, Cervenka B, Tollefson TT. 3D printing: current use in facial plastic and reconstructive surgery. Curr Opin Otolaryngol Head Neck Surg 2017;25:291-9.
- Surowitz J, Lee MK, Most SP. Anterior septal reconstruction for treatment of severe caudal septal deviation: clinical severity and outcomes. Otolaryngol Head Neck Surg 2015;153:27-33.
- Choi JW, Kim MJ, Kang MK, Kim SC, Jeong WS, Kim DH, et al. Clinical application of a patient-specific, three-dimensional printing guide based on computer simulation for rhinoplasty. Plast Reconstr Surg 2020;145:365-74.
- Moubayed SP, Ioannidis JPA, Saltychev M, Most SP. The 10-item standardized cosmesis and health nasal outcomes survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg 2018;20:37-42.
- Mittermiller PA, Sheckter CC, Most SP. Efficacy and safety of titanium miniplates for patients undergoing septorhinoplasty. JAMA Facial Plast Surg 2018;20:82-4.
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How We Do It
J Cosmet Med 2021; 5(1): 53-56
Published online June 30, 2021 https://doi.org/10.25056/JCM.2021.5.1.53
Copyright © Korean Society of Korean Cosmetic Surgery.
Application of three-dimensional printing technology and Plan-Do-Check-Act (PDCA) cycle in deviated nose correction
Tae-Hoon Lee , MD, PhD , Soonjoon Kim , MD
Department of Otolaryngology-Head and Neck Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Rep. of Korea
Correspondence to:Tae-Hoon Lee
E-mail: thlee@uuh.ulsan.kr
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Deviated nose correction, a challenging procedure, requires a strategic approach to achieve better results. The Plan-Do-Check-Act (PDCA) cycle can be adapted as a strategy. Three-dimensional (3D) scans and computer simulations enhance planning. Anterior septal reconstruction and support with titanium miniplates are helpful in correcting nasal and septal deviation correction. During surgery, checking with a customized 3D printing rhinoplasty guide is essential for realizing the simulated nose shape. A detailed assessment of nose shape and subjective evaluation of patient satisfaction are necessary during the follow-up period for continuous improvement.
Keywords: computer simulation, nasal septum, rhinoplasty, three-dimensional printing
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References
- Rohrich RJ, Gunter JP, Deuber MA, Adams WP Jr. The deviated nose: optimizing results using a simplified classification and algorithmic approach. Plast Reconstr Surg 2002;110:1509-23.
- Abu El-Wafa AM, Emara SS. Deviated nose: a systematic approach for correction. Plast Reconstr Surg Glob Open 2020;8:e3078.
- Dewey J. The later works, 1925-1953. Carbondale, IL: Southern Illinois University Press; 1988.
- Hsieh TY, Dedhia R, Cervenka B, Tollefson TT. 3D printing: current use in facial plastic and reconstructive surgery. Curr Opin Otolaryngol Head Neck Surg 2017;25:291-9.
- Surowitz J, Lee MK, Most SP. Anterior septal reconstruction for treatment of severe caudal septal deviation: clinical severity and outcomes. Otolaryngol Head Neck Surg 2015;153:27-33.
- Choi JW, Kim MJ, Kang MK, Kim SC, Jeong WS, Kim DH, et al. Clinical application of a patient-specific, three-dimensional printing guide based on computer simulation for rhinoplasty. Plast Reconstr Surg 2020;145:365-74.
- Moubayed SP, Ioannidis JPA, Saltychev M, Most SP. The 10-item standardized cosmesis and health nasal outcomes survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg 2018;20:37-42.
- Mittermiller PA, Sheckter CC, Most SP. Efficacy and safety of titanium miniplates for patients undergoing septorhinoplasty. JAMA Facial Plast Surg 2018;20:82-4.
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