Publikacje

New insights into tip supporting structures. Consequences for nasal surgery

M Popko 1, E H Huizing 2, D J Menger 3, S A M W Verlinde-Schellekens 4, S Mackaaij 4, R L A W Bleys 4 PMID: 33152748 DOI: 10.4193/Rhin19.349

Background: Knowledge of tip supporting structures is crucial for successful rhinoplastic surgery. The aim of this study was to provide detailed anatomical and histological descriptions of the tip supporting structures.

Methods: Serial coronal sections of the entire external noses from seven cadavers were studied after staining by Mallory-Cason and Verhoeff-Van Gieson procedures.

Results and conclusions: We found no histological evidence of ligaments between the cartilaginous- and bony parts of the nasal skeleton, and between the skin and the nasal skeleton. Instead, we found a perichondrial-periosteal lining within the soft tissue envelope. The main tip supporting and shaping structures are: septal and lobular cartilages, premaxillae, and the soft tissue envelope including the periosteal-perichondrial envelope/membrane. These findings may have clinical relevance in functional and aesthetic rhinoplasties.

Lista publikacji
  1. The SWI/SNF complex in eosinophilic and non eosinophilic chronic rhinosinusitis Katarzyna Kowalik 1, Martyna Waniewska-Leczycka 1Elzbieta Sarnowska 2Natalia Rusetska 2Marcin Ligaj 3Alicja Chrzan 3Mariola Popko. Acta Otorhinolaryngol Ital. 2021 Apr;41(2):159-167. doi: 10.14639/0392-100X-N0760.PMID: 34028461 

  2. Comparison of Intranasal Steroid Application Using Nasal Saline Irrigation and a Mucosal Atomization Device to Treat Chronic Rhinosinusitis. Waniewska-Leczycka M, Cieslik T, Kowalik K, Sierdzinski J, Zagor MP.J Aerosol Med Pulm Drug Deliv. 2021 Apr 13. doi: 10.1089/jamp.2020.1644. Online ahead of print. PMID: 33848434

  3. Role of chromatin remodeling complex SWI/SNF and VDR in chronic rhinosinusitis. Kowalik K, Waniewska-Łęczycka M, Sarnowska E, Rusetska N, Sierdziński J, Zagor M. Adv Clin Exp Med. 2020 Mar;29(3):313-323. doi: 10.17219/acem/117683.

  1. Combined minimally invasive surgical management of a nasal dermoid sinus cyst affecting the frontal sinus: literature review and new classification. Waniewska-Leczycka M, Cieslik T, Popko M.Wideochir Inne Tech Maloinwazyjne. 2020 Dec;15(4):632-644. doi: 10.5114/wiitm.2020.93327. Epub 2020 Feb 26.PMID: 33294080 

  2. New insights into tip supporting structures. Consequences for nasal surgery. Popko M, Huizing EH, Menger DJ, Verlinde-Schellekens SAMW, Mackaaij S, Bleys RLAW.Rhinology. 2020 Oct 1;58(5):506-515. doi: 10.4193/Rhin19.349.PMID: 33152748

  1. Vitamin D, its receptors, the SWI/SNF complex, and glucocorticoids in pathogenesis and treatment of chronic rhinosinusitis. M.Zagor, K.Kowalik, M. Waniewska-Łęczycka, J. Sierdzinski, N.Rusetska, E.Sarnowska. Int Forum Allergy Rhinol. Vol.9, NoS2 2019, S123-S124

  2. Glycosaminoglycans and exoglycosidases in chronic rhinosinusitis – initial results. Martyna Waniewska-Łęczycka, Sylwia Chojnowska, Katarzyna Kowalik, Janusz Sierdziński, Mariola Zagor Popko. Otorynolaryngologia. 2019, 18(1):25-30.

  3. M. Tomaszewska, E. Sarnowska, N. Rusetska, K. Stańska, J. Sierdzinski, J.A. Siedlecki, V. Badmaev, S. J. Stohs, M. Popko. Role of Vitamin D and its Receptors in the Pathophysiology of Chronic Rhinosinusitis. J Am Coll Nutr. 2018 Nov 2:1-11.

  4. Popko M, Verlinde-Schellekens SAMW, Huizing EH, Bleys RLAW. Functional anatomy of the nasal bones and adjacent structures. Consequences for nasal surgery. Rhinology. 2018 Mar 1;56(1):89-95. doi: 10.4193/Rhin17.189.

  5. Stańska K, Zagor M, E. Sarnowska, N. Rusetska, M. Tomaszewska, J. A. Siedlecki, A. Krzeski..Quantitative assessment of SWI/SNF remodeling in chronic sinusitis – preliminary results. Otorynolaryngologia 2017, 16(1): 13-18

  6. Tomaszewska M, Zagor M, Rusetska N, Krzeski A. Rola witaminy D3 w patogenezie przewlekłego zapalenia zatok przynosowych. Otorynolaryngologia 2016, 15(1): 33-38. 

  7. Dzaman K, Zagor M, Molinska-Glura M, Krzeski A. High motility group box 1 (HMGB1) protein and its receptor for advanced glycation end products (RAGE) expression in chronic rhinosinusitis without nasal polyps. Folia Histochem Cytobiol. 2015;53(1):70-8. 

  8. Dzaman K, Szczepanski MJ, Molinska-Glura M, Krzeski A, Zagor M. Expression of the receptor for advanced glycation end products, a target for high mobility group box 1 protein, and its role in chronic recalcitrant rhinosinusitis with nasal polyps. Arch Immunol Ther Exp. 2015 Jun;63(3):223-30.  

  9. Zagor M, Piskadło-Zborowska K, Sarnowska E, Dżaman K, Tomaszewska M. Rola witaminy D w chorobach zapalnych i nowotworowych. Mag. ORL, 2015, 56, XIV, 139–144. 


  10. Dzaman K, Tomaszewska M, Sobieraj A, Kukwa A, Zagor M. Usznopochodny płynotok nosowy. Mag. ORL, 2015, 54, XIV, 71–75. 

  11. Szczepański MJ, Luczak M, Olszewska E, Molinska-Glura M, Zagor M, Krzeski A, Skarzynski H, Misiak J, Dzaman K, Bilusiak M, Kopec T, Leszczynska M, Witmanowski H, Whiteside TL. Molecular signaling of the HMGB1/RAGE axis contributes to cholesteatoma pathogenesis. J Mol Med (Berl). 2015 Mar;93(3):305-14. doi: 10.1007/s00109-014-1217-3. 

  12. Dzaman K, Tomaszewska M, Krzeski A, Zagor M. Non-classical presentation of congenital cholesteatoma as cerebrospinal fluid rhinorrhea – Case report and systematic review of the literature. Neurol Neurochir Pol. 2015;49(3):183-8.



  13. Zagor M, Minarowska A, Knaś M, Krajewska K, Niemcunowicz-Janica A, Marciniak J, Bierć M, Zaniewska A, Minarowski L, Jackowska A, Jackowski T, Zwierz K, Szajda S.

N-acetyl-β-hexosaminidase in chronic tonsillitis and tonsillar hypertrophy. Otolaryngol Pol. 2013 Jul-Aug;67(4):204-8.

  1. Fokkens WJ, Lund VJ, Mullol J i in.: EUROPEJSKIE WYTYCZNE NA TEMAT ZAPALENIA ZATOK PRZYNOSOWYCH I POLIPÓW NOSA 2012. Mag. ORL, 2013, 46, XIII, 43–66. (Zagor M. translation)

  2. Szczepanski MJ, Deleo AB, Luczak M, Molinska-Glura M, Misiak J, Szarzynska B, Dworacki G, Zagor M, Rozwadowska N, Kurpisz M, Krzeski A, Kruk-Zagajewska A, Kopec T, Banaszewski J, Whiteside TL. PRAME expression in head and neck cancer correlates with markers of poor prognosis and might help in selecting candidates for retinoid chemoprevention in pre-malignant lesions. Oral Oncol. 2013 Feb;49(2):144-51. 

  3. Wrobel M., Popko M, Szyfter W. Pre-surgical evaluation of retroauricular tissue thickness in Baha surgery. Otol Neurotol. 2012 Apr;33(3):421-4.

  4. Wierzbicka M, Popko M, Piskadło K, Czepczyński R, Stankowska A, Piętka T, Dziuk M, Szyfter W. Comparison of positron emission tomography/computed tomography imaging and ultrasound in surveillance of head and neck cancer – The 3-year experience of the ENT Department in Poznan. Reports of Practical Oncology & Radiotherapy 2011; 16(5):184-188.

  5. Szyfter W, Popko M, Leszczynska M, Gawecki W. Juvenile angiofibroma in an adult – a case report. Videosurgery and other miniinvasive techniques 2010; 5 (3): 107-109.

  6. Paprzycki W, Wierzbicka M, Pastusiak T, Popko M, Szyfter W. Diagnostyka zwężeń krtaniowo-tchawiczych z wykorzystaniem metod endoskopowych i tomografii komputerowej zrekonstrukcją 3D. Kardiochirurgia i Torakochirurgia Polska 2010; (1):39-43.

  7. Popko M, Broglie MA, Holzmann D. Isolated fungus ball mimicking mucocele or frontal sinus tumor – a diagnostic pitfall. J Laryngol Otol 2010 Oct;124(10):1111-5.

  8. Szyfter W, Wierzbicka M, Popko M, Pastusiak T, Balcerowiak A. Management of laryngo-tracheal stenosis. Polish Journal of Cardiothoracic Surgery 2009;6(2):157-165.

  9. Wierzbicka M, Szyfter W, Popko M. Classification of laryngotracheal stenosis. Polish Journal of Cardiothoracic Surgery 2009;6(2):149-156.

  10. Szyfter W, Popko M, Borucki L. Outcomes of endoscopic surgery, endoscopic-assisted surgery and open surgery in the treatment of juvenile nasopharyngeal angiofibroma. Videosurgery and other miniinvasive techniques 2009; 4 (4): 138-146.

  11. Wierzbicka M, Popko M, Czepczynski R, Szyfter W. Utility of PET/CT imaging in diagnosis of head and neck tumours.  Otolaryngol Pol  2009 Jul-Aug;63(4):368-72.

  12. Szyfter W, Wierzbicka M, Popko M, Gawęcki W, Leszczyńska M. Przyczyny zwężeń krtaniowo-tchawiczych na podstawie przeglądu literatury i doświadczeń własnych. Otolaryngologia Polska 2009; 63 (4): 338-342.

  13. Leszczyńska M, Borucki L, Popko M. Head and neck amyloidosis. Otolaryngol Pol. 2008;62(5):643-8. 

  14. Kosztyła-Hojna B, Popko M. Intranasal meningocele presenting as a nasal polyp-case report. Pol Merk Lek 2008 Jan;24(139):27-9. 

  15. Popko M, Bleys RLAW, De Groot JW, Huizing EH. Histological structure of the nasal cartilages and their perichondrial envelope. I The septal and lobular cartilage. Rhinology 2007,45(2): 148-152.  

  16. Bleys RLAW, Popko M, De Groot JW, Huizing EH. Histological structure of the nasal cartilages and their perichondrial envelope. II The perichondrial envelope of the septal and lobular cartilage. Rhinology 2007,45(2): 153-157. 

  17. Kosztyla-Hojna B., Rutkowski J., Popko M. Vocal function of larynx in bronchial asthma patients treated with fluticasone propionate (PF) or ciclesonide (CIC). Int Rev Allergol Clin Immunol 2007; 13(2-3):61-68. 

  18. Chodynicki S, Popko M. Moda, nawyki a choroby narządu słuchu. Medycyna po Dyplomie 2007, Vol.16/nr 9(138):46-47.

  19. Kosztyla-Hojna B, Popko M. Rzadki przypadek zespołu Holmesa-Adiego u sześćdziesięcioletniej chorej leczonej laryngologicznie z powodu przewlekłego kaszlu.  Pol Merk Lek 2007, XXIII, 137: 5-8. 

  20. Popko E., Popko M., Famulski W. Esthesioneuroblastoma jamy nosowej i zatok sitowych. Otolaryngologia Polska 2002, LVI, 2: 235-237

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