Abel-Jan Tasman

• PD Dr. med.
• Vice Chairman and Head Rhinology and Facial Plastic Surgery at Kantonsspital St. Gallen

Background: Rhinoplasty osteotomes can be sharpened in various ways: professional sharpening or hand sharpening using whetstones or rotary powered devices. Objective: To compare the effectiveness of sharpening osteotomes using various sharpening methods with that of professional sharpening as measured by a custom edge tester. Materials and Methods:...

Smarter medicine in Otorhinolaryngology - Top 5 List Abstract. Many diseases or symptoms with a high prevalence in the population, such as vertigo / dizziness, tinnitus, or sinusitis, but also nasal bone fractures and otitis externa, lead to a high number of visits to the physicians due to their frequency alone. Often, conventional X-rays (sinusiti...

Entsteht vermutlich durch Adhärenz von Haut und Hautanhangsgebilden an der Nasenkapsel im Spatium praenasale oder im Fonticulus frontalis; u. U. Knochenkanal und Kontakt zur Dura oder endokranielle Ausdehnung.

In diesem Kapitel werden zunächst die allgemeinen Grundlagen der chirurgischen Therapie einschließlich Vor- und Nachsorge sowie Verbrauchsmaterialien und Anästhesie erörtert. Die speziellen chirurgischen Verfahren mit Indikation, Vorgehen, Komplikationen werden organspezifisch besprochen.

Die bei der Umformung der Gesichtswülste entstandenen beiden Riechgruben werden zu den primären Nasenhöhlen umgestaltet; die Riechgruben wachsen zunächst nach dorsokaudal und sind durch die Membrana buccopharyngea (Oronasalmembran) von der Mundhöhle getrennt.

Zyste aus Epithelresten des Ductus nasopalatinus im Canalis incisivus.

Background: Little is known about the incidence of narrowing and an operated appearance of the dorsum after hump resections if the dorsum is not reconstructed with spreader grafts or spreader flaps. Methods: Patients who had undergone a composite hump resection (n = 22) or a component hump resection (n = 25) were interviewed and photographed wit...

Purpose of review: To present criteria of minimally invasive surgery, which include minimal and hidden incision lines, reduced injury to tissue and application of endoscopic techniques, when feasible; to analyze techniques in rhinoplasty for their minimally invasive character - in light of recent publications; and to discuss the techniques that be...

Importance: Standard lighting with two flashlight diffusors for pre- and postoperative photography deviates from typical natural lighting and may mask relevant irregularities and deviations of the nose due a decreased contrast. Objective: This study aimed at testing the hypothesis that lighting from above improves the depiction of irregularities an...

In Reply Many thanks for the letter and comments relating to the recently published Surgical Pearl.¹ We are very grateful to you for drawing our attention to the work of Maliniac,² of which the authors were unaware. I remember during my higher surgical training once being told that if I thought I had had an original idea, I should check the german...

Nasal fractures are the most common facial fracture¹ and are well known to any nasal surgeon. Although most fractures are easily treated, more severe injuries with bilaterally unstable nasal bones can be challenging to treat and achieve a good long-term outcome.²,3 Management of unstable or floating nasal bones during rhinoplasty can also be an iss...

The reconstruction of the nasal dorsum after a hump resection is challenging if narrowing of the nose is to be avoided, the nasal skin is very thin, and the nasal bones are short. This report describes the replacement of the bony and cartilaginous nasal dorsum after resection with an anatomically shaped dorsal replacement graft of diced cartilage i...

Both intended and unintended surgical modifications of nasal width and shape of the nasal tip continue to be of interest to the rhinoplasty surgeon. As validated instruments for quantifying width and boxiness are lacking, the objective of this study was to introduce a width index and a boxiness index for the nasal dorsum and the nasal tip. A width...

This article incorporates the opinions and preferred surgical options in managing patients of 3 prominent facial plastic surgeons who have large otoplasty practices. Six different questions covering the management of prominent ears are answered by the 3 practitioners. Nonsurgical options for the treatment of prominent ears are discussed. The role o...

The second European Rhinology Research Forum organized by the European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA) was held on 9-10th November 2017, combined with a specific symposium on air pollution and mobile Health technology (mHealth) with the GARD (Global Alliance against Chronic Respiratory Diseases) initiative...

During the 2017 IFOS international congress in Paris, a roundtable discussion on the topic of functional and aesthetic rhinoplasty was organised. Five experts, from the five continents and renown in the field of rhinoplasty, were brought together to discuss the issue from an international perspective and to put forward a consensus or on the contrar...

Postoperative periorbital edema and ecchymosis are most bothersome to rhinoplasty patients. The degree of swelling and bruising is influenced by several factors, and numerous prophylactic and therapeutic measures have been described in the literature. This article reviews the current literature and concludes with the author's suggestions on how to...

Nasal obstruction as a symptom is supposedly simple to grasp, with the nasal airway being easy to inspect and objective measures for both its resistance and diameter at hand. Because the nasal cavity is also amenable to enlargement through straightforward surgical procedures, a permanently blocked nose ought to be easy to fix. Yet, how often are ph...

The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with both most surgeons and patients preferring autologous tissue. This article reviews the current use of diced cartilage for nasal augmentation, emphasizing the diced cartilage in fibrin glue (DCG) graft. It offers the first collation of unfavorable...

Het hebben van opvallende afwijkingen in het gezicht leidt vaak tot negatieve reacties bij anderen. Patiënten met schisis zijn een bekend voorbeeld hiervan. Deze reacties zijn meetbaar met behulp van een eyetracker. In deze bijdrage wordt uitgelegd hoe de visuele reacties bij het zien van een gezicht gemeten kunnen worden door middel van de eyetrac...

All patients with a cleft lip deformity have an associated nasal deformity that varies in degree of severity. A three-dimensional understanding of the anatomy of the cleft nose aids surgeons in selecting the proper technique for repair. Analysis and performance of orthognathic surgery should be done before nasal surgery to optimize the overall resu...

Nasal deformities are known to attract attention, are felt to be stigmatizing, and are known to affect negatively the perception of personalities. These effects have not been studied on profile views. The objective of this study was the quantification of visual attention directed toward nasal deformities and its impact on the perception of personal...

Objective: To introduce a new method of measuring sound localization ability based on eye-tracking and to test this method by analysing the influence of mild induced conductive hearing loss on sound localization. Design: Sound signals were presented from different angles, and the participant's responses were measured using an eye-tracking device...

Aim: Quantification of visual attention directed towards cleft stigmata and its impact on the perception of selected personality traits. Methods: Forty observers were divided into two groups and their visual scan paths were recorded. Both groups observed a series of photographs displaying full frontal views of the faces of 18 adult patients with cl...

Fractures of the midface and internal orbit occur isolated or in combination with other injuries. Frequently, the patients are first seen in emergency rooms responsible for the coordination of initial diagnostic procedures, followed by the transfer to specialties for further treatment. It is, therefore, important for all physicians treating facial...

Current clinical assessment and imaging techniques were described in part 1, and this article presents a systematic review of the surgical treatment principles in the management of midface and internal orbit fractures from initial care to definitive treatment, including illustrative case examples. New developments enabled limited surgical approache...

Airway management in craniofacial trauma patients is a challenge for an anesthetist. Treating these patients requires a close interdisciplinary communication and cooperation. Maintaining the airway and oxygenation of the patient is the initial challenge in craniofacial trauma patients. The management of the difficult airway is facilitated and patie...

Background: Endoscopic dacryocystorhinostomy (DCR) is the standard treatment of nasolacrimal duct obstruction. Only in rare cases, blockage may be caused by malignant tumors and even more exceptionally by lymphatic neoplasms so that biopsies are not routinely taken for diagnostic purposes. Methods: A computerized retrieval system was used for th...

Transsphenoidal endoscopic surgery has gained popularity in the last 2 decades and is becoming a standard technique for resection of pituitary adenomas. In contrast to their ENT colleagues, neurosurgical residents have practically no endoscopic experience when they reach the training stage for transsphenoidal procedures. We have developed an afford...

Introduction: Transsphenoidal endoscopic surgery is becoming the standard technique for resection of pituitary adenomas. In contrast to their ENT colleagues, neurosurgical residents have practically no endoscopic experience when they reach the stadium of transsphenoidal procedures. Cadaveric workshops and endoscopic software simulators are expensiv...

Quantification of visual attention directed towards cleft stigmata and its impact on the perception of selected personality traits. Forty observers were divided into two groups and their visual scan paths were recorded. Both groups observed a series of photographs displaying full frontal views of the faces of 18 adult patients with clefts, nine wit...

In Reply We are thankful to Chua and colleagues for commenting on the methodology of our study “Effect of Protruding Ears on Visual Fixation Time and Perception of Personality,” in which we investigated the attention-drawing effect of protruding ears using an eye-tracking device and the effect of protruding ears on selected personality traits. The...

Background: A grafting technique that uses diced cartilage without fascia, which improves formability while maintaining long-term stability, would be a welcome addition to the rhinoplasty armamentarium.

Epidermoid cysts, dermoids, gliomas, and meningo-/encephaloceles are the most important differential diagnoses in congenital nasofrontal masses. Since they arise from an abnormal fusion during fetal development, intracranial extension of the lesion has to be ruled out radiologically before therapy. Dermoids are the most common entity. We report abo...

Protruding ears are often thought to be a stigma, supposedly drawing attention and negatively influencing the perception of personality. These purported negative effects that may indicate corrective aesthetic otoplasty in patients too young to provide informed consent have not been quantified. To quantify attention directed toward protruding ears a...

Introduction. Woakes’ syndrome, commonly defined as severe recurrent nasal polyps with consecutive destruction of the nasal pyramid, is rare with only a few reports in the literature documenting surgical treatment of the external nose. Case Presentation. We describe the case of an adult patient with Samter’s triad who had been surgically treated fr...

We evaluated the implementation of the endoscopic (E) technique by an interdisciplinary ENT/neurosurgeon team as compared to the established classical microscopic technique (M) performed by one experienced neurosurgeon for pituitary adenomas in a single center. A retrospective analysis of patients operated for newly diagnosed pituitary adenomas was...

Background The ideal method for augmentation of the nasal dorsum has yet to be found due to specific characteristics of alloplastic materials and autologous tissue. This review article describes a variation of the use of autologous diced cartilage. Current opinion and practice In the western world the use of autologous tissue has increasingly becom...

Introduction: Transsphenoidal endoscopic surgery is becoming the standard technique for resection of pituitary adenomas. In contrast to their ENT colleagues, neurosurgical residents have practically no endoscopic experience when they reach the stadium of transsphenoidal procedures. Cadaveric workshops and endoscopic software simulators are expensiv...

We evaluated the implementation of the endoscopic (E) technique by an interdisciplinary ENT/neurosurgeon team as compared to the established classical microscopic technique (M) performed by one experienced neurosurgeon for pituitary adenomas in a single center. A retrospective analysis of patients operated for newly diagnosed pituitary adenomas was...

In reply I am pleased to respond as the surgeon who developed the original technique on which Dr Baker’s report¹ was based. We refined our technique and presented it well before the publication by Bullocks et al² and also demonstrated it in an online video (http://archfaci.jamanetwork.com/multimediaPlayer.aspx?mediaid=5132635). My original article³...

The authors tested a short, practically designed questionnaire to assess changes in subjective perception of nasal appearance in patients before and after aesthetic rhinoplasty. A prospective cohort study was conducted in a group of 121 patients who desired aesthetic rhinoplasty and were operated on by one surgeon. The questionnaire contained five...

The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with alloplastic materials and autologous tissues each having distinct advantages. This review focuses on the use of autologous tissues, diced cartilage in particular. In the western world, the preferred tissue has been autologous cartilage with diced...

A grafting technique that uses diced cartilage without fascia, which improves formability while maintaining long-term stability, would be a welcome addition to the rhinoplasty armamentarium. A diced cartilage glue graft was recently introduced as the Tasman technique. The technique has been used by one of us (A.-J.T.) in 28 patients who were monito...

Rotating the nasal tip is an integral and challenging aspect of rhinoplasty. This article describes ways of measuring tip rotation, coming to an agreement with the patient regarding desired tip rotation and psychological implications of tip rotation. Based on the tripod theory of the nasal tip, various techniques for changing tip rotation and proje...

The science and art of facial analysis have made giant strides in the past 50 years. In addition to excellent technical knowledge about the anatomy of the region and the numerous surgical options available, the rhinoplasty surgeon must demonstrate meticulous care in the planning and execution of this difficult and demanding operation to minimize th...

The aim of reconstructive nasal surgery is not only to rebuild all or part of the nose but also to blend and tailor the new and old tissues in such a way as to create the best possible result. Although a variety of reconstructive options exist, local or regional skin flaps are one of the most powerful reconstructive tools for the reconstruction of...

Background Over the last two decades, the use of the external approach for primary and secondary rhinoplasties has become increasingly popular. This article illustrates the versatility of endonasal techniques for the correction of nasal tip deformities on the basis of four cases. Patients and Methods The approach to the nasal tip and the chosen tec...

Over the last two decades, the use of the external approach for primary and secondary rhinoplasties has become increasingly popular. This article illustrates the versatility of endonasal techniques for the correction of nasal tip deformities on the basis of four cases. The approach to the nasal tip and the chosen technique as used in 100 consecutiv...

Literature on the psychological aspects of rhinoplasty is sparse compared with publications on methods and instrumentation. Understanding the psychological aspects of rhinoplasty and, more importantly, recognizing the patient who may have an unfavorable postoperative course regardless of the objective outcome is of fundamental importance to the sur...

A plethora of publications addresses surgical techniques in rhinoplasty, whereas substantially less has been published on psychological aspects and the planning of the procedure. This review covers the psychology of the rhinoplasty patient, risk factors for postoperative dissatisfaction, the surgeon-patient relationship, planning of the procedure u...

A plethora of publications addresses surgical techniques in rhinoplasty, whereas substantially less has been published on psychological aspects and the planning of the procedure. This review covers the psychology of the rhinoplasty patient, risk factors for postoperative dissatisfaction, the surgeon-patient relationship, planning of the procedure u...

The surgical treatment of frontal sinus fractures is foreshadowed by fears of late complications. Complications such as meningitis and mucoceles should be prevented by cranialization or obliteration of the frontal sinus. These procedures are still standard treatment despite of recent developments over the last two decades in endoscopic sinus surger...

CURRENT CONTROVERSIES IN THE TREATMENT OF FRONTAL SINUS FRACTURESThe surgical treatment of frontal sinus fractures is foreshadowed by fears of late complications. Complications such as meningitis and mucoceles should be prevented by cranialization or obliteration of the frontal sinus. These procedures are still standard treatment despite of recent...

Die „Outcome Bewegung“ hat zwar das Bewusstsein dafür geschärft, dass die Ergebnsiqualität unserer Operationen kritisch hinterfragt werden sollte. Der anfänglichen Euphorie zum Trotz, wurde die Effektivität von vielen plastischen Operationen nachgewiesen, in der Mehrzahl haben entsprechende Projekte jedoch nicht zu fassbaren Ergebnissen oder Verbes...

The last decade has seen a marked increase in the use of the external approach for primary and secondary rhinoplasties. As a consequence, endonasal techniques are taught less and the external approach is increasingly being used for minor corrections. We review the infracartilaginous approach as an elegant variant of the endonasal approach and, for...

There can be many differences between the clinical presentation and disease development of endocrine orbitopathy. Uncommon clinical expressions of the disease may lead to misinterpretations causing difficulties in treatment. Misdiagnosed forms of the disease can end with irreversible vision loss. A 79-year old female with severe bilateral thyroid e...

Background: There can be many differences between the clinical presentation and disease development of endocrine orbitopathy. Uncommon clinical expressions of the disease may lead to misinterpretations causing difficulties in treatment. Misdiagnosed forms of the disease can end with irreversible vision loss. Patients: A 79-year old female with s...

Background Mizolastine is a new, nonsedating antihistamine with additional anti-inflammatory properties, providing relief in allergic rhinitis and urticaria. The aim of this study was to determine the efficacy and safety of 10 mg o.d. mizolastine given to patients with perennial allergic rhinoconjunctivitis. Methods This double-blind, placebo-contr...

Die Rhinoplastik gilt als eine der technisch anspruchsvollsten Operationen der Kopf-Halschirurgie, und reproduzierbar gute Ergebnisse setzen eine sorgfältige Indikation, eine sichere Operationstechnik und viel Erfahrung voraus. Kontroversen zu Indikation und Technik halten auch mehr als ein Jahrhundert nach der ersten Rhinoplastik an. Diese Arbeit...

Endoscopic forehead lifting is a widely accepted treatment for brow ptosis. The procedure safely and effectively corrects horizontal forehead rhytids, brow ptosis, upper eyelid dermatochalasis and periorbital crow's feet. The result is a refreshed and more open facial expression. A thorough understanding of basic facial anatomy is the key to succes...

Das subkutane, endoskopische Stirn- und Schläfenlift behandelt Folgen der Alterungsprozesse der Stirnhaut, der Augenbrauen und der Oberlider. Horizontale Stirnfalten, ,,Zornesfalten“ der Glabella, eine Brauenptose sowie eine Dermatochalasis der Oberlider können einen müden und negativen Gesichtsausdruck verursachen, der die Symmetrie und die Balanc...

Rhinoplasty is considered to be one of the most challenging procedures in otolaryngology head and neck surgery. Meticulous planning and excellent surgical skills are pre-requisites for reproducible good outcomes. More than 100 years after the first rhinoplasty, many controversies regarding indication and techniques remain unresolved. The aim of thi...

To evaluate the equivalency of the prototype of a new infrared ear thermometer (IRT 4000) in comparison to the temperature measurements of a pulmonary artery catheter (PAC) and a continual contact probe on the tympanic membrane. After approval by the local Ethics Committee, 26 (six female and 20 male) patients undergoing elective cardiac surgery we...

Exact estimation of a tumor's size and the definition of adequate resection margins in carcinomas of the tongue are often difficult because of the tumor's extension and deep infiltration. We have developed a method that allows intraoperative visualisation and marking of tumor margins. Intra-operative endosonography was performed on nine patients wi...

Background Exact estimation of a tumor’s size and the definition of adequate resection margins in carcinomas of the tongue are often difficult because of the tumor’s extension and deep infiltration. Methods We have developed a method that allows intraoperative visualisation and marking of tumor margins. Intra-operative endosonography was performed...

Einleitung: Im Diskurs uber offene und geschlossene Zugange fur die Rhinoplastik wird vielfach ubersehen, dass die diversen geschlossenen Techniken unterschiedlich invasiv sind. Fur die geschlossene Korrektur von komplexen Flugelknorpelproblemen wird meist die Luxationstechnik nach infra- und interkartilaginarer Inzision empfohlen. Patienten und Me...

To investigate the effect of scuba diving on the hearing threshold of sport divers who have no history of excessive noise exposure or of diving-related inner ear damage. Cross-sectional controlled comparison study. General sports diving community. Sixty sport divers with an average of 650 dives each and at least 4 years of diving experience (mean,...

Nasal obstruction may be caused by individual anatomy, a dysregulation of the nasal mucosa or, frequently, a combination of both. Persistent allergic inflammation deserves special attention, as initial therapy should not be surgical. The plethora of surgical techniques for the reduction of inferior turbinate volume is a good indicator of unresolved...

Die „verstopfte Nase“ ist häufig durch eine Dysregulation des Schwellungszustandes der Nasenschleimhaut bedingt. Skelettäre Einengungen des Naselumens sowie Dysregulationen durch allergische Entzündungen der Nasenschleimhaut sollten bei der Indikation einer chirurgischen Muschelreduktion besonders beachtet werden. Die Vielzahl der chirurgischen Tec...

Isolated inner ear injuries occurring during shallow scuba dives are an uncommon manifestation of decompression sickness in recreational divers. We describe a patient who presented with the typical symptoms of inner ear involvement after 2 independent dives within the decompression limits. The diver reported symptoms of unilateral (right-sided) hea...

Exact estimation of a tumor's size and definition of adequate resection margins in carcinomas of the tongue are often difficult because of the tumor's extension and deep infiltration. We developed a method that allows intraoperative visualization and marking of tumor margins: intraoperative endosonography was performed in five patients with carcino...

The amorphous or wide nasal tip is the most commonly encountered nasal tip deformity, but little has been done to measure the effect of standard rhinoplasty techniques on nasal tip width. In the clinical routine, nasal tip width and soft-tissue cover thickness are estimated by inspection and palpation rather than by measurement. In this study, a B-...