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Rhinoplasty: Current Concepts, An Issue of Clinics in Plastic Surgery - E-Book

Rhinoplasty: Current Concepts, An Issue of Clinics in Plastic Surgery - E-Book

Ronald P. Gruber | David Stepnick

(2010)

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Book Details

Abstract

Rhinoplasty is a commmon procedure that may be performed by a plastic surgeon or an otolaryngologist specializing in facial plastic surgery. This is the first issue of Clinics in Plastic Surgery to bring together authors who are both plastic surgeons and facial plastic surgeons to share their expertise in performing reconstructive and cosmetic rhinoplasty procedures.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents vi
Clinics in Plastic Surgery xi
Preface xii
Chapter 1. Nasal and Facial Analysis 181
HISTORY 181
ANATOMY 182
ANALYSIS 183
SUMMARY 188
REFERENCES 188
Chapter 2. Surgical Anatomy of the Nose 191
SOFT-TISSUE COVERING OF THE NOSE 191
EXTERNAL BLOOD SUPPLY 193
EXTERNAL SENSORY NERVE SUPPLY 194
CAUDAL THIRD OF THE NOSE 194
THE NOSTRIL 201
THE CARTILAGINOUS VAULT 202
THE BONY VAULT 203
INTERNAL ANATOMY OF THE NOSE 204
SUMMARY 210
REFERENCES 210
Chapter 3. Principles of Photography in Rhinoplasty for the Digital Photographer 213
EQUIPMENT/CAMERA 213
COMPUTER IMAGING IN RHINOPLASTY 221
SUMMARY 221
REFERENCES 221
Chapter 4. Diagnosis and Correction of Alar Rim Deformities in Rhinoplasty 223
CLASSIFICATIONS OF ALAR RIM DEFORMITIES 223
TREATMENT OF ALAR RIM DEFORMITIES 224
SUMMARY 229
REFERENCES 229
Chapter 5. Suture Techniques in Rhinoplasty 231
TIPPLASTY 231
THE UNIVERSAL HORIZONTAL MATTRESS SUTURE 236
REFERENCES 243
Chapter 6. Alar Base Disharmonies 245
ANATOMY AND NASAL ANALYSIS 245
VERTICAL PLANE ALAR BASE DEFORMITIES 247
HORIZONTAL PLANE ALAR BASE DEFORMITIES 247
SUMMARY 251
ACKNOWLEDGMENTS 251
REFERENCES 251
Chapter 7. Alar Cartilage Grafts 253
ANALYSIS OF THE NASAL TIP 253
PHOTOGRAPHIC DOCUMENTATION 253
COMPUTER IMAGING 254
SOURCES OF GRAFT MATERIAL 254
APPROACHES TO THE NASAL TIP 257
COLUMELLA STRUT 257
LATERAL CRURAL STRUT GRAFT 258
ALAR BATTEN GRAFT 258
ALAR REPLACEMENT (INLAY) GRAFT 258
TIP GRAFTS 259
UMBRELLA GRAFT 261
DOME SPREADER GRAFT 262
ADJUNCTIVE MEASURES 262
SUMMARY 263
REFERENCES 263
Chapter 8. Rhinoplasty5 Pearls: Value of the Endonasal Approach and Vertical Dome Division 265
REFERENCES 282
Chapter 9. Humpectomy and Spreader Flaps 285
INDICATIONS 285
METHOD 285
EXAMPLES 290
DISCUSSION 290
REFERENCES 290
Chapter 10. Rhinoplasty: Dorsal Grafts and the Designer Dorsum 293
OVERVIEW 293
DESIGNER DORSAL GRAFTS 294
CASE STUDIES 297
REFERENCES 299
Chapter 11. Osteotomies 301
ANATOMY 301
EVALUATION OF BONY VAULT 303
TYPES OF OSTEOTOMIES 304
SEQUENCE OF OSTEOTOMIES 308
COMPLICATIONS 309
SUMMARY 311
REFERENCES 311
Chapter 12. Surgical Treatment of the Crooked Nose 313
ETIOLOGY 314
EVALUATION OF THE PATIENT 315
TREATMENT 317
CORRECTING THE DEVIATED SEPTUM: GENERAL PRINCIPLES 318
SURGICAL DETAILS 319
SUMMARY 324
REFERENCES 324
Chapter 13. Lengthening the Short Nose 327
ANALYSIS 327
SURGICAL APPROACH 327
REFERENCES 333
Chapter 14. Asian Rhinoplasty 335
PREOPERATIVE EVALUATION 335
SURGICAL PLANNING 336
COSTAL CARTILAGE HARVEST 339
RIB CARVING 339
BONY VAULT MANAGEMENT 340
NASAL BASE 342
SPREADER GRAFT PLACEMENT 344
DORSAL GRAFT 344
TIP WORK 346
ALAR BATTEN AND ALAR RIM GRAFTS 348
CLOSURE 349
BASE REDUCTIONS 349
SUMMARY 352
REFERENCES 352
Chapter 15. Ethnic Rhinoplasty 353
NASAL AESTHETICS IN THE ETHNIC PATIENT 354
THE AFRICAN AMERICAN, INDIAN, AND ARABIC NOSES 355
THE HISPANIC NOSE 357
FACIAL ANALYSIS 358
OPERATIVE TECHNIQUES 358
CASE REPORTS 364
POSTOPERATIVE COMPLICATIONS 366
SUMMARY 368
REFERENCES 368
Chapter 16. Secondary Rhinoplasty and the Use of Autogenous Rib Cartilage Grafts 371
CLINICAL ANALYSIS AND OPERATIVE PLANNING 371
ASSESSMENT OF GRAFTING REQUIREMENTS 372
HARVESTING RIB CARTILAGE 373
OPERATIVE SEQUENCE FOR SECONDARY RHINOPLASTY 375
DISCUSSION 380
REFERENCES 381
Chapter 17. Secondary Rhinoplasty in Unilateral Cleft Nasal Deformity 383
UNILATERAL CLEFT NASAL DEFORMITY 383
DISCUSSION 386
Chapter 18. Problems in Rhinoplasty 389
INTRAOPERATIVE COMPLICATIONS 389
IMMEDIATE POSTOPERATIVE COMPLICATIONS 390
INTERMEDIATE COMPLICATIONS 394
LONG-TERM COMPLICATIONS 396
SUMMARY 398
REFERENCES 398
Index 401