Feb. 24, 2010–– Concordia University Chicago’s Kapelle embarks on a 10-day, four-state tour to the south this spring, ending with a home concert March 20 and performing choral works based on the passion story of Christ.

The March 20 concert will take place at 7:30 p.m. at the Werner Auditorium in the Chapel of Our Lord, on Concordia’s campus, 7400 Augusta St., River Forest. Admission is free. Free, handicapped-accessible parking is available in the University’s parking structure on Bonnie Brae. For more information visit www.cuchicago.edu/music or call the Department of Music at 708-209-3060.

The program will feature the works by Johann Sebastian Bach, Paul Bouman, Ernst Pepping, Rihards Dubra, Osvaldo Golijov, Gregorio Allegri, Paul Manz, William Dawson and Larry L. Fleming.

Kapelle’s spring tour dates are:

• March 5, 7:30 p.m., St. John Lutheran Church, 23237 Highway H, Monet, Mo.
• March 6, 7:30 p.m., First Lutheran Church, 1101 N. 4th St., Ponca City, Okla.
• March 7, 6 p.m., Zion Lutheran Church, 6121 East Lovers Lane, Dallas, Texas.
• March 8, 7 p.m., Trinity Lutheran Church, 5201 Spring Cypress Road, Spring, Texas.
• March 9, 7 p.m., Gloria Dei Lutheran Church, 18220 Upper Bay Road, Houston, Texas.
• March 10, 7 p.m., Shepherd of the Hills Lutheran Church, 6914 Wurzbach Road, San Antonio, Texas.
• March 12, 7 p.m., Lord of Life Lutheran Church, 3601 W. 15th St., Plano, Texas.
• March 13, 7 p.m., Bella Vista Lutheran Church, 1990 Forest Hills Blvd., Bella Vista, Ark.
• March 14, 4 p.m., Zion Lutheran Church, 3866 Harvester Road, Saint Charles, Mo.

Kapelle is Concordia University Chicago’s premier choral performance ensemble, performing repertoire ranging from Renaissance to contemporary music. This group spreads the Gospel message through extensive tours to the United States and abroad. Kapelle has traveled to Argentina, Chile, Estonia, Finland, Latvia and Russia since 2003. They will be traveling to France in 2011.

Kapelle actively performs in the Chicagoland area and the Midwest. Kapelle will collaborate with the Oak Park-River Forest Symphony and other Chicago-area choirs this April to perform the Mahler Symphony No. 8 at Chicago’s Orchestra Hall. Past highlights include singing at the Lutheran Education Association national convocation in Minneapolis, Minn. in 2008 and performing the Ellingboe Requiem with the Chicago Arts Orchestra in 2007.

Charles Brown is in his tenth year as director of choral activities at Concordia University Chicago where he conducts Kapelle and Männerchor. His experience with Kapelle has led to extensive touring throughout the United States, with additional concert tours to Finland, Russia, Estonia, Latvia, Lithuania, Chile and Argentina.

Kapelle has performed in six recordings during Charles’s tenure and is currently in the production of a seventh. A vocal soloist in his own right, Brown has been active both in the East and Southwest regions of the country, as well as in the Chicago area singing bass-baritone roles. He is also a member of Chicago’s Grant Park Chorus.

 

Founded in 1864, Concordia University Chicago is a comprehensive liberal arts-based Christian university in the Lutheran tradition. Through its College of Arts and Sciences, College of Business, College of Education, and College of Graduate and Innovative Programs, Concordia offers more than 60 areas of study in small classes taught by professors who are passionate about teaching and student success.

Under the leadership of President John F. Johnson, Concordia equips men and women to serve and lead with integrity, creativity, competence and compassion in a diverse, interconnected and increasingly urbanized church and world. More than 5,000 full-time undergraduate and graduate students are enrolled at Concordia, located 10 miles west of downtown Chicago in River Forest. Learn more at www.cuchicago.edu.
 

Sarah Hickman, Communications Coordinator
708-209-3235 or sarah.hickman@cuchicago.edu       
 

MARINA DEL REY, CA, February 26, 2010 /24-7PressRelease/ — Dr. Dean Toriumi offers great insight into the subject, “Teenagers who undergo rhinoplasty, the process of change and healing is complex. Younger patients have a longer duration of time which contracture from a scar may contribute to deformities, so it is highly advisable to use as structural approach in younger patients,” says Dr. Dean Toriumi.

“There are multiple variations determining long term outcomes in this highly complex surgery,” claims Dr. Toriumi. Dr. Dean Toriumi continues, “The nose tends to change for many, many years, so the younger the patient, the more likely a problem will occur.

“This is why a structural approach is necessary for teenagers. Teens that undergo rhinoplasty are more likely to suffer pinching or collapse over time,” says Dr. Toriumi. “Many individuals who have rhinoplasty as a teen require secondary rhinoplasty over time. They are also more likely to have difficulty breathing, nasal deformities and other problems due to collapse of their nose.”

“The reason for this significant change in teenage patients is because over time, noses that are subjected to rhinoplasty are weaker due to the removal of tissue,” says Dr. Dean Toriumi. “In many cases, these changes occur gradually over time. Many patients, for this reason, do not even realize their nose is changing,” says Dr. Toriumi.

“Changes over time can be favorable or unfavorable due to rhinoplasty surgery. There is initially a period of time where swelling will go down. The time for this to occur always varies from patient to patient depending on the thickness of the skin on the nose, the thicker skin taking longer,” says Dr. Toriumi.

Dr. Dean M. Toriumi continues, “This effect can improve the appearance of the nose, as tip definition increases. But if this effect is excessive or acts on the weakened nasal structure, pinching or a collapse of the nose can occur.” Dr. Dean Toriumi explains, “These effects occur over time and younger patients have a longer period of time where scar contracture can deform the nose.”

“We’ve found that with a structural approach, incorporating cartilage grafting actually strengthens the nose so that the contracture effect is less likely to collapse of pinch the nose,” says Dr. Toriumi.

Dr. Toriumi uses spreader grafts, lateral crural strut grafts, alar batten grafts and alar rim grafts. In combination, these grafts increase the strength of the nasal structure.

“The grafts make the nose look initially a little larger but as time passes the reduction in swelling and in combination of the scar contracture effect, the shape of the nose is improved. Noses structured over time improve instead of looking good at first and going bad later,” says Dr. Toriumi.

“Patients with thin skin are at a higher risk of undergoing unfavorable changes over time,” says Dr. Toriumi. “Even the slightest irregularities show up more over time. Those with medium or thick skin typically do better as irregularities tend to be more hidden. Because of this phenomenon, Dr. Toriumi takes more time, adding extra structure to patients with thin skin.

Additionally, patients with unfavorable anatomy, i.e., short nasal bones or bulbous tip cartilages can also have problems over time, noted Dr. Dean Toriumi. “Those with shorter nasal bones will tend to collapse in the middle portion of the nose,” he states. To prevent these problems, Dr. Toriumi will typically not reduce the cartilages as much as he will support and reshape the cartilages using cartilage grafting and suture.

After placing these cartilage grafts, Toriumi says, the nose can feel stiffer and be more swollen at first. For most patients, however, this is an unacceptable trade-off for a good long-term outcome. Dr. Dean Toriumi says, “In teenagers, this approach is very bothersome as most patient this age do not want to trade off looking good now for looking good later. In this case, we will take the time to narrow and define the cartilage.”

“Teenagers tend to compare their outcomes and seem to think whoever has the initial better result got the better nose job,” says Dr. Toriumi, “when we follow up with patients over the years, many of them have problems just a couple of years later.”

Toriumi says that surgeons who produce the highly refined short-term outcomes for their patients tend to have favorable reputations, but they this approach is short-sighted. “No matter the patient,” says Dr. Toriumi, “he or she deserves treatment that is likely to produce the best long-term outcome, with minimal need for a secondary rhinoplasty.”

Dr. Dean Toriumi has seen this dynamic first-hand and in many cases. A number of patients who chose another rhinoplasty surgeon for their short-term results often return to him later for a secondary rhinoplasty, he states.

The patient shown above underwent rhinoplasty as a teenager. Two and a half years postoperative, she is doing well with no evidence of collapse with excellent nasal breathing.For more information please see http://www.deantoriumi.com/

Dean M. Toriumi, MD
Facial Plastic and Reconstructive Surgeon
900 N. Michigan Ave.
60 East Delaware Street, Suite 1460
Chicago, IL 60611

312-255-8812

Email: contact@deantoriumi.com

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