Imperial College London
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Professor Hesham Saleh

Faculty of Medicine, Department of Surgery & Cancer

Professor of Practice (Rhinology)
 
 
 
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Contact

 

+44 (0)20 3311 1025h.saleh Website

 
 
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Location

 

Charing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Navaratnam:2022:10.1007/s40136-022-00408-3,
author = {Navaratnam, AV and Stoenchev, KV and Acharya, V and Saleh, HA},
doi = {10.1007/s40136-022-00408-3},
journal = {Current Otorhinolaryngology Reports},
pages = {253--261},
title = {The Ageing Nose: Challenges and Solutions},
url = {http://dx.doi.org/10.1007/s40136-022-00408-3},
volume = {10},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Purpose of Review: Rhinoplasty has traditionally been considered an elective procedure for younger patients. However, increasingly older patients are undergoing nasal surgery for both functional and aesthetic indications. We provide an overview of the common problems with rhinoplasty in the elderly and the surgical techniques that can be reliably utilised to address them to produce predictable and longstanding results. Recent Findings: Outcomes from studies of older rhinoplasty patients emphasise the need for a tailored approach that preserves natural structures. However, if reinforced structural support is required, especially in functional cases, grafting techniques such as septal extension grafts, spreader grafts and alar strut grafts are required. Furthermore, special consideration must be made for the nasal skin in older patients, and utilisation of dorsal onlay grafts is often necessary. Summary: Surgery for the ageing nose is a complex challenge for the rhinoplasty surgeon. Preoperative assessment is critical and must include detailed facial analysis that considers the amplification of facial asymmetry due to the ageing process and an appreciation that expectations in this population may differ from younger patients. A comprehensive understanding of the age-related anatomical changes in the nasal structure and the wide repertoire of operative techniques are required to restore form and function.
AU  - Navaratnam,AV
AU  - Stoenchev,KV
AU  - Acharya,V
AU  - Saleh,HA
DO  - 10.1007/s40136-022-00408-3
EP  - 261
PY  - 2022///
SP  - 253
TI  - The Ageing Nose: Challenges and Solutions
T2  - Current Otorhinolaryngology Reports
UR  - http://dx.doi.org/10.1007/s40136-022-00408-3
VL  - 10
ER  -
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