Additional Information
Book Details
Abstract
Dr. Bahman Guyuron’s Rhinoplasty shows you how to get the best results from the latest rhinoplasty techniques. The operative animations, high-quality videos and artwork, 3D demonstrations, and step-by-step instructions in this medical reference book provide all the guidance you need to succeed. You’ll choose and apply the best approaches for particular patient populations such as cocaine users, patients with thick skin, ethnic patients, and revision rhinoplasty patients.
- Get balanced coverage of all aspects of rhinoplasty, including patient assessment, basic techniques, technical nuances, and more.
- Access the full contents online at www.expertconsult.com, and view operative videos, animations, and 3D demonstrations of the surgical techniques for each patient.
- Optimize outcomes with an emphasis on Dr. Guyuron’s personal authoritative techniques, including strategies to correct cases with sub-optimal results.
- Get step-by-step procedural guidance with lavish full-color images, in-text call-outs linking to online material, and case-illustrated chapters.
- Stay up-to-date with the latest advancements in rhinoplasty, problem areas, complications, and headaches.
- Over 60 minutes of video showing procedural steps.
Learn personal techniques and tips for all aspects of rhinoplasty from the master
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Rhinoplasty | i | ||
| Copyright page | iv | ||
| Table of Contents | v | ||
| Video Contents | vii | ||
| Chapter 4: Basic Rhinoplasty | vii | ||
| Chapter 6: Tip Sutures | xi | ||
| Chapter 7: Achieving Optimal Tip Projection | xii | ||
| Chapter 9: Correction of the Overprojected nose | xii | ||
| Chapter 13: Controlling the Nostril Size | xii | ||
| Preface | xiii | ||
| Acknowledgements | xv | ||
| Dedication | xvii | ||
| Chapter 1 Surgical Anatomy and Physiology of the Nose | 1 | ||
| Chapter Contents | 1 | ||
| Pearls | 1 | ||
| Rhinoplasty Terminology | 3 | ||
| Soft Tissues of the Nose | 7 | ||
| Skin | 7 | ||
| Soft Tissue Layers Beneath the Skin | 8 | ||
| Nasal Muscles | 8 | ||
| Procerus. | 9 | ||
| Nasalis. | 10 | ||
| Depressor Alae or Myrtiforme. | 10 | ||
| Levator Labii Superior Alaeque Nasi. | 10 | ||
| Depressor Septi Nasi Muscle. | 10 | ||
| Blood Supply | 10 | ||
| Sensory Nerve Supply | 12 | ||
| External Nasal Frame | 12 | ||
| Bony Vault | 13 | ||
| Cartilaginous Nasal Frame | 13 | ||
| Upper Lateral Cartilages | 13 | ||
| Lower Lateral Cartilages | 14 | ||
| Medial Crus. | 14 | ||
| Middle Crus. | 16 | ||
| Dome. | 16 | ||
| Lateral Crus. | 17 | ||
| Internal Anatomy of the Nose | 18 | ||
| Nasal Septum | 19 | ||
| Lateral Walls of the Nasal Cavity | 20 | ||
| Nasal Physiology | 22 | ||
| References | 24 | ||
| Chapter 2 Patient Assessment for Rhinoplasty | 27 | ||
| Chapter Contents | 27 | ||
| Pearls | 27 | ||
| General Health | 29 | ||
| Consideration of Patient Concerns | 30 | ||
| History of Nasal Trauma | 30 | ||
| Airway Symptoms | 30 | ||
| Sinus Infections, Sinus and Migraine Headaches | 32 | ||
| Observations of the Face | 34 | ||
| The Skin Quality | 34 | ||
| Assessment of Facial Structures Other Than the Nose | 34 | ||
| Examination of the Nose | 38 | ||
| Frontal View | 43 | ||
| Profile View | 46 | ||
| Planning Rhinoplasty | 49 | ||
| Patient Selection and Potential Traps | 51 | ||
| Psychological Elements | 52 | ||
| Functional Traps | 54 | ||
| Form/Anatomy Traps | 57 | ||
| References | 59 | ||
| Chapter 3 Dynamics of Rhinoplasty | 61 | ||
| Chapter Contents | 61 | ||
| Online Contents | 61 | ||
| Pearls | 62 | ||
| The Radix | 64 | ||
| The Dorsum | 65 | ||
| Removal of the Cephalic Margin of the Lower Lateral Cartilages | 70 | ||
| Reduction of Tip Projection | 71 | ||
| Narrowing of the Tip | 80 | ||
| Widening of the Tip | 82 | ||
| Increasing the Tip Projection | 82 | ||
| Cephalic Rotation of the Tip | 92 | ||
| Augmentation and Reduction of Nasal Spine | 95 | ||
| Footplates of the Medial Crura | 95 | ||
| Narrowing the Alar Base | 99 | ||
| Placement of Alar Rim Graft | 100 | ||
| Summary | 100 | ||
| References | 102 | ||
| Chapter 4 Primary Rhinoplasty | 103 | ||
| Chapter Contents | 103 | ||
| Online Contents | 104 | ||
| Pearls | 104 | ||
| Operative Technique | 107 | ||
| Vasoconstriction | 107 | ||
| Incision | 108 | ||
| Assessment of the Bleeding | 109 | ||
| Deepening the Radix | 109 | ||
| Removal of the Dorsal Hump | 110 | ||
| Removal of the Cephalic Margin of the Lower Lateral Cartilages | 112 | ||
| Exposure of the Anterocaudal Septal Angle | 112 | ||
| Septoplasty | 112 | ||
| Turbinectomy | 115 | ||
| Osteotomy | 115 | ||
| Trimming the Upper Lateral Cartilages | 118 | ||
| Planning the Cartilage Grafts | 118 | ||
| Spreader Grafts | 120 | ||
| Reattachment of the Upper Lateral Cartilage | 121 | ||
| Septal Rotation Suture | 121 | ||
| Columella Strut | 121 | ||
| Tip Rotation | 124 | ||
| Approximation of the Footplates | 125 | ||
| Tip Contouring | 126 | ||
| Subdomal Graft | 126 | ||
| Tip Graft | 126 | ||
| Supratip Sutures | 127 | ||
| Repair of the Columellar Incision | 127 | ||
| Alar Rim Graft | 129 | ||
| Alar Base Adjustment | 129 | ||
| Application of Nasal Splint | 130 | ||
| Postoperative Care | 130 | ||
| References | 130 | ||
| Chapter 5 Variations in Nasal Osteotomy: | 133 | ||
| Chapter Contents | 133 | ||
| Online Contents | 133 | ||
| Pearls | 133 | ||
| Functional Consequences of Osteotomy | 134 | ||
| Aesthetic Concerns | 136 | ||
| Reference | 139 | ||
| Chapter 6 Tip Sutures | 141 | ||
| Chapter Contents | 141 | ||
| Online Contents | 141 | ||
| Pearls | 141 | ||
| Tip Sutures | 143 | ||
| Interdomal Suture | 143 | ||
| Purpose. | 143 | ||
| Chapter 7 Achieving Optimal Tip Projection | 163 | ||
| Chapter Contents | 163 | ||
| Online Contents | 163 | ||
| Pearls | 163 | ||
| Transdomal Suture | 166 | ||
| Onlay Tip Graft | 167 | ||
| Subdomal Graft | 171 | ||
| Columella Strut | 171 | ||
| Medial Crura Anchor Suture | 172 | ||
| Approximation of Footplates | 172 | ||
| Maxillary and Nasal Spine Augmentation | 172 | ||
| Fred Technique | 175 | ||
| References | 178 | ||
| References | e7 | ||
| Chapter 8 Elongation of the Short Nose | 179 | ||
| Chapter Contents | 179 | ||
| Online Contents | 179 | ||
| Pearls | 179 | ||
| Etiology and Pathology | 180 | ||
| Patient Assessment | 180 | ||
| Surgical Techniques | 181 | ||
| Tongue-and-Groove Technique | 183 | ||
| Potential Shortcomings and Pitfalls | 186 | ||
| References | 189 | ||
| Chapter 9 Correction of the Overprojected Nose | 191 | ||
| Chapter Contents | 191 | ||
| Online Contents | 191 | ||
| Pearls | 191 | ||
| Overprojected Cephalad Nose | 193 | ||
| Management of Overprojected Cephalic Nose | 194 | ||
| Dorsal Overprojection | 194 | ||
| Overprojected Caudal Nose | 194 | ||
| References | 204 | ||
| Chapter 10 Rhinoplasty on Patients with Cleft Lip Nose Deformity | 205 | ||
| Chapter Contents | 205 | ||
| Online Contents | 205 | ||
| Pearls | 205 | ||
| Patient Assessment | 207 | ||
| Surgical Correction | 209 | ||
| References | 222 | ||
| Chapter 11 Correction of Alar Rim Deformities | 223 | ||
| Chapter Contents | 223 | ||
| Online Contents | 223 | ||
| Pearls | 223 | ||
| Correction of Hanging Ala | 226 | ||
| Correction of Thick Ala | 227 | ||
| Correction of Alar Concavity | 229 | ||
| Correction of Alar Convexity | 229 | ||
| Correction of Alar Retraction | 230 | ||
| Correction of Excess Columellar Show | 233 | ||
| References | 235 | ||
| Chapter 12 Alar Base Surgery | 237 | ||
| Chapter Contents | 237 | ||
| Online Contents | 237 | ||
| Pearls | 237 | ||
| Anatomy and Pathology | 238 | ||
| Operative Techniques | 243 | ||
| Horizontal Deformities | 243 | ||
| Wide Nostril Sill | 243 | ||
| Excess Nostril Sill and Wide Alar Base | 243 | ||
| Excess Lateral Alar Base | 246 | ||
| Thick Alar Base | 246 | ||
| Combination of Wide Nostril and Thick Alar Base | 246 | ||
| Secondarily Widened Alar Base | 250 | ||
| Narrow Nostrils | 250 | ||
| Vertical Alar Malposition | 252 | ||
| Cephalically Malpositioned Alar Base | 252 | ||
| Alar Base Dynamics | 252 | ||
| References | 254 | ||
| Chapter 13 Controlling the Nostril Size | 255 | ||
| Chapter Contents | 255 | ||
| Online Contents | 255 | ||
| Pearls | 255 | ||
| Interdomal Sutures | 258 | ||
| Placement of a Columella Strut | 258 | ||
| Placement of Alar Rim Graft | 258 | ||
| Soft Triangle | 260 | ||
| References | 264 | ||
| Chapter 14 Rhinoplasty and Time Element | 265 | ||
| Chapter Contents | 265 | ||
| Online Contents | 265 | ||
| Pearls | 265 | ||
| Soft Tissue Thickness | 266 | ||
| Nose Frame Quality | 267 | ||
| Environmental Factors | 276 | ||
| Chapter 15 Correcting the Nasal Deformity Resulting from Cocaine Insufflation | 277 | ||
| Chapter Contents | 277 | ||
| Online Contents | 277 | ||
| Pearls | 277 | ||
| Patient Assessment | 278 | ||
| Surgical Technique | 279 | ||
| References | 286 | ||
| Chapter 16 Rhinoplasty in Patients with Thick Skin | 287 | ||
| Online Contents | 287 | ||
| Pearls | 287 | ||
| References | 299 | ||
| Chapter 17 Correcting Deviated Noses, Septoplasty and Turbinectomy | 301 | ||
| Chapter Contents | 301 | ||
| Online Contents | 301 | ||
| Pearls | 302 | ||
| Pathology | 304 | ||
| Patient Assessment | 309 | ||
| Radiology | 312 | ||
| Surgical Treatment of the Deviated Nose | 313 | ||
| Correction of Deviated Nasal Bones | 313 | ||
| Septal Tilt | 315 | ||
| Correction of Anteroposterior C-shaped Deviation | 320 | ||
| C-shaped Cephalocaudal Deviation | 324 | ||
| S-shaped Anteroposterior Deviation | 328 | ||
| S-shaped Cephalocaudal Deviation | 328 | ||
| Localized Deviation and Spurs | 328 | ||
| Use of Stents | 335 | ||
| Correction of Deviated Caudal Dorsum | 335 | ||
| Correction of Deviated Nasal Base | 335 | ||
| The Role of Turbinates | 343 | ||
| Turbinectomy | 343 | ||
| Postoperative Care | 346 | ||
| Secondary Procedures | 346 | ||
| References | 346 | ||
| Chapter 18 Rhinoplasty and Ethnicity | 349 | ||
| Chapter Contents | 349 | ||
| Online Contents | 349 | ||
| Pearls | 349 | ||
| African-American Nose | 351 | ||
| Analysis | 351 | ||
| Surgical Correction | 351 | ||
| Asian Nose | 354 | ||
| Analysis | 354 | ||
| Surgical Correction | 360 | ||
| Middle Eastern Nose | 362 | ||
| Analysis | 362 | ||
| Surgical Correction | 366 | ||
| References | 369 | ||
| Chapter 19 Secondary Rhinoplasty | 371 | ||
| Chapter Contents | 371 | ||
| Online Contents | 372 | ||
| Pearls | 372 | ||
| Patient Evaluation | 374 | ||
| Physical Assessment of the Nose | 376 | ||
| The Radix | 379 | ||
| The Bony Dorsum | 380 | ||
| The Midvault | 381 | ||
| The Supratip Region | 382 | ||
| Tip Flaws | 383 | ||
| The Nasal Base | 383 | ||
| Timing and Indication for Surgery | 384 | ||
| Surgical Correction of Secondary Nose Imperfections | 386 | ||
| Choice of Approach | 387 | ||
| Surgical Technique | 387 | ||
| Balancing the Radix | 388 | ||
| Elimination of Residual Dorsal Hump | 389 | ||
| Correction of Dorsal Deficiency | 392 | ||
| Harvesting a Conchal Cartilage Graft | 404 | ||
| Harvesting a Costal Cartilage Graft | 404 | ||
| Correction of an Inverted V Deformity | 411 | ||
| Splay Graft | 411 | ||
| Adjustment of the Caudal Dorsum | 413 | ||
| Placement of a Columella Strut | 416 | ||
| Tip Graft | 416 | ||
| Footplates | 419 | ||
| Correction of Retracted Alar Rim | 422 | ||
| Alar Base Abnormalities | 422 | ||
| Adjustment of the Nostril Shape | 422 | ||
| Postoperative Care | 423 | ||
| Secondary Turbinectomy, Septoplasty, and Dealing with a Septal Perforation | 423 | ||
| References | 426 | ||
| Chapter 20 Prevention and Management of Rhinoplasty Complications | 427 | ||
| Chapter Contents | 427 | ||
| Pearls | 427 | ||
| Intraoperative Complications | 430 | ||
| Excessive Intraoperative Bleeding | 430 | ||
| Loss of Dorsal Support | 433 | ||
| Unstable Nasal Bones | 433 | ||
| Septal Perforation | 434 | ||
| Short-Term Postoperative Complications | 434 | ||
| Infection | 434 | ||
| Epistaxis | 435 | ||
| Hematoma | 435 | ||
| Dehiscence | 436 | ||
| Asymmetry | 436 | ||
| Long-Term Postoperative Complications | 436 | ||
| Flaws and Revisions | 436 | ||
| Infection | 437 | ||
| Epistaxis | 437 | ||
| Perforation | 437 | ||
| Valve Dysfunction | 438 | ||
| Airway Reduction | 438 | ||
| Implant Extrusion | 438 | ||
| Graft-Related Complications | 439 | ||
| Epiphora | 439 | ||
| Rhinorrhea | 439 | ||
| Wire Exposure | 439 | ||
| References | 439 | ||
| Chapter 21 Rhinogenic Migraine Headaches | 441 | ||
| Chapter Contents | 441 | ||
| Pearls | 441 | ||
| Symptoms of Rhinogenic Migraine Headaches | 442 | ||
| Internal Nose Examination | 443 | ||
| Radiological Findings | 443 | ||
| Surgical Candidates | 443 | ||
| Surgical Treatment | 443 | ||
| Postoperative Care | 446 | ||
| References | 447 | ||
| Index | 449 | ||
| A | 449 | ||
| B | 449 | ||
| C | 449 | ||
| D | 450 | ||
| E | 451 | ||
| F | 451 | ||
| G | 451 | ||
| H | 451 | ||
| I | 451 | ||
| K | 451 | ||
| L | 451 | ||
| M | 452 | ||
| N | 452 | ||
| O | 452 | ||
| P | 452 | ||
| Q | 453 | ||
| R | 453 | ||
| S | 453 | ||
| T | 454 | ||
| U | 455 | ||
| V | 455 | ||
| W | 455 |