BOOK
Functional Rhinoplasty, An Issue of Facial Plastic Surgery Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Benjamin C. Marcus, is devoted to Functional Rhinoplasty. Articles in this outstanding issue include: Essential Anatomy and Evaluation for Functional Rhinoplasty; Septoplasty: Basic and Advanced Techniques; The Role of the Inferior Turbinate in Rhinoplasty; The External Nasal Valve; The Internal Valve: Dynamic and Static Repairs; The Art of Osteotomies; Repair of Nasal Septum Perforations; Management of Pediatric Rhinoplasty; Cleft Septorhinoplasty: Form and Function; The Saddle Deformity: Camouflage and Reconstruction; Revision Functional Surgery: Salvaging Function; and Advances in Technology for Functional Rhinoplasty.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Functional Rhinoplasty | i | ||
Copyright\r | ii | ||
Contributors | iii | ||
CONSULTING EDITOR | iii | ||
EDITOR | iii | ||
AUTHORS | iii | ||
Contents | v | ||
Preface: Crafting a Functional Nose | v | ||
Essential Anatomy and Evaluation for Functional Rhinoplasty | v | ||
Septoplasty: Basic and Advanced Techniques | v | ||
The Inferior Turbinate in Rhinoplasty | v | ||
The External Nasal Valve | v | ||
Functional Rhinoplasty | vi | ||
Osteotomies Demystified | vi | ||
Management of Pediatric Nasal Surgery (Rhinoplasty) | vi | ||
Cleft Septorhinoplasty: Form and Function | vi | ||
The Saddle Deformity: Camouflage and Reconstruction | vi | ||
Revision Functional Surgery: Salvaging Function | vii | ||
Advances in Technology for Functional Rhinoplasty: The Next Frontier | vii | ||
FACIAL PLASTIC SURGERY CLINICS\rOF NORTH AMERICA\r | viii | ||
FORTHCOMING ISSUES | viii | ||
August 2017 | viii | ||
November 2017 | viii | ||
February 2018 | viii | ||
RECENT ISSUES | viii | ||
February 2017 | viii | ||
November 2016 | viii | ||
August 2016 | viii | ||
Preface:\rCrafting a Functional Nose | ix | ||
Essential Anatomy and Evaluation for Functional Rhinoplasty | 141 | ||
Key points | 141 | ||
INTRODUCTION | 141 | ||
FUNCTIONAL ANATOMY | 142 | ||
Bony Pyramid | 142 | ||
Cartilaginous Pyramid | 142 | ||
Lower Lateral Cartilages | 143 | ||
Lobule | 143 | ||
The Nasal Valves | 143 | ||
External Nasal Valve | 144 | ||
Internal Nasal Valve | 144 | ||
Inferior Turbinates | 145 | ||
Skin and Soft Tissue Envelope | 146 | ||
Muscles | 147 | ||
Blood Supply | 147 | ||
Nerves | 148 | ||
PATIENT EVALUATION | 149 | ||
Subjective Evaluation | 149 | ||
Nasal-facial analysis | 149 | ||
Quality of life measures | 152 | ||
Nasal Obstruction Symptom Evaluation | 152 | ||
Visual analog scale | 154 | ||
Palpation | 154 | ||
Cottle and modified Cottle maneuvers | 155 | ||
Intranasal examination: anterior rhinoscopy and endoscopy | 156 | ||
Photoanalysis | 156 | ||
OBJECTIVE MEASUREMENTS OF NASAL OBSTRUCTION | 156 | ||
Rhinomanometry | 156 | ||
Acoustic Rhinometry | 157 | ||
Imaging Studies | 157 | ||
Rhinoresiliography | 158 | ||
SUMMARY | 158 | ||
REFERENCES | 158 | ||
Septoplasty\rBasic and Advanced Techniques\r | 161 | ||
Key points | 161 | ||
INTRODUCTION | 161 | ||
SEPTAL ANATOMY | 161 | ||
Important Surrounding Structures | 162 | ||
PREOPERATIVE CONSIDERATIONS | 162 | ||
Surgical Indications | 162 | ||
Preoperative Workup | 162 | ||
Preoperative Physical Examination | 163 | ||
SURGICAL TECHNIQUE | 163 | ||
Standard Endonasal Septoplasty Procedure Outlined | 163 | ||
ANTERIOR SEPTAL DEVIATION | 164 | ||
Challenges of Anterocaudal Deviation | 164 | ||
Management Strategies in Anterocadual Deviation | 165 | ||
EXTRACORPOREAL RESECTION | 165 | ||
ANTERIOR SEPTAL RECONSTRUCTION | 165 | ||
Anterior Septal Reconstruction Technique | 166 | ||
PATIENT OUTCOMES IN ANTERIOR SEPTAL RECONSTRUCTION | 167 | ||
SUMMARY | 168 | ||
ACKNOWLEDGMENTS | 168 | ||
REFERENCES | 168 | ||
The Inferior Turbinate in Rhinoplasty | 171 | ||
Key points | 171 | ||
INTRODUCTION | 171 | ||
ANATOMY AND PHYSIOLOGY OF THE INFERIOR TURBINATE | 172 | ||
CAUSES OF INFERIOR TURBINATE HYPERTROPHY | 173 | ||
DIAGNOSIS OF INFERIOR TURBINATE HYPERTROPHY | 173 | ||
TREATMENT FOR INFERIOR TURBINATE HYPERTROPHY | 173 | ||
Nonsurgical Treatment | 173 | ||
Surgical Treatment | 174 | ||
Treating the bone: inferior turbinate lateralization | 174 | ||
Treating the bone: submucosal resection of conchal bone | 174 | ||
Inferior turbinate reduction with concurrent septoplasty | 174 | ||
Inferior turbinectomy | 175 | ||
Electrosurgery for inferior turbinate enlargement | 175 | ||
PROPOSED ALGORITHM FOR TREATMENT OF INFERIOR TURBINATE HYPERTROPHY IN RHINOPLASTY | 175 | ||
FUTURE DIRECTIONS | 175 | ||
REFERENCES | 175 | ||
The External Nasal Valve | 179 | ||
Key points | 179 | ||
ANATOMY | 179 | ||
PHYSIOLOGY | 183 | ||
ANALYSIS | 183 | ||
MEASUREMENT | 186 | ||
NONSURGICAL TREATMENT | 186 | ||
SURGICAL TECHNIQUES | 187 | ||
Caudal Septal Deformities | 187 | ||
Tip Ptosis | 188 | ||
Deprojection | 188 | ||
Batten Grafts | 188 | ||
Lateral Crus Modification | 189 | ||
Alar Rim Grafts | 191 | ||
Columellar Modification | 191 | ||
Suspension Sutures | 191 | ||
OUTCOMES | 191 | ||
SUMMARY | 193 | ||
REFERENCES | 193 | ||
Functional Rhinoplasty | 195 | ||
Key points | 195 | ||
INTRODUCTION | 195 | ||
ASSOCIATION BETWEEN NASAL ANATOMY AND FUNCTION | 196 | ||
THE NASAL SEPTUM | 196 | ||
THE INFERIOR TURBINATES | 196 | ||
INTERNAL NASAL VALVE | 197 | ||
EXTERNAL NASAL VALVE | 198 | ||
SUMMARY | 198 | ||
REFERENCES | 199 | ||
Osteotomies Demystified | 201 | ||
Key points | 201 | ||
EVALUATION OF THE BONY NASAL VAULT | 201 | ||
PERIOPERATIVE CONSIDERATIONS | 202 | ||
Anesthesia | 202 | ||
Adjunct Medications | 202 | ||
OPERATIVE TECHNIQUES | 203 | ||
Medial Osteotomy | 203 | ||
Dorsal hump | 203 | ||
Traditional medial osteotomy | 204 | ||
Lateral Osteotomy | 204 | ||
Endonasal approach | 204 | ||
Percutaneous approach | 205 | ||
Lateral osteotomy trajectories | 206 | ||
Comparative data | 206 | ||
Instrumentation | 206 | ||
Transverse Osteotomy | 206 | ||
Intermediate Osteotomy | 207 | ||
Postoperative Care | 208 | ||
SUMMARY | 208 | ||
REFERENCES | 208 | ||
Management of Pediatric Nasal Surgery (Rhinoplasty) | 211 | ||
Key points | 211 | ||
INTRODUCTION | 211 | ||
HISTORICAL PERSPECTIVE | 211 | ||
ANIMAL STUDIES | 212 | ||
NASAL ANATOMY AND GROWTH | 212 | ||
Embryology | 212 | ||
Anatomy | 212 | ||
Septum | 212 | ||
Perpendicular plate and vomer | 212 | ||
Lateral cartilages | 212 | ||
Nasal bones | 212 | ||
Growth | 212 | ||
Abnormal Growth | 213 | ||
Cartilage Regeneration | 213 | ||
NASAL DEFORMITIES | 213 | ||
PATIENT EVALUATION | 213 | ||
NASAL SURGERY | 214 | ||
TURBINATES | 214 | ||
SEPTOPLASTY | 214 | ||
RHINOPLASTY | 215 | ||
NASAL TRAUMA | 215 | ||
Pediatric Nasal Fracture Pattern: Nasal Bones | 215 | ||
Pediatric Nasal Fracture Pattern: Septal Fractures | 216 | ||
NASAL SEPTAL HEMATOMA/ABSCESS | 217 | ||
CLEFT LIP NASAL DEFORMITY | 217 | ||
NEONATAL NASAL AIRWAY OBSTRUCTION | 218 | ||
LONG-TERM OUTCOMES | 219 | ||
SUMMARY | 219 | ||
REFERENCES | 219 | ||
Cleft Septorhinoplasty | 223 | ||
Key points | 223 | ||
INTRODUCTION | 223 | ||
EMBRYOLOGY | 224 | ||
ANATOMIC DEFORMITY | 224 | ||
Unilateral Cleft Lip Nasal Deformity and Dysfunction | 224 | ||
Bilateral Cleft Lip Nasal Deformity | 226 | ||
PRESURGICAL MANAGEMENT | 227 | ||
Nasoalveolar Molding | 227 | ||
Evidence-Based Approach to Presurgical Infant Orthopedics | 228 | ||
PRIMARY CLEFT RHINOPLASTY | 229 | ||
SECONDARY CLEFT SEPTORHINOPLASTY | 230 | ||
Intermediate Rhinoplasty | 230 | ||
Definitive Rhinoplasty | 230 | ||
Surgical Approach | 230 | ||
Alveolar Bone Grafting | 231 | ||
Reconstruction of the Nasal Septum and Dorsum | 231 | ||
Treatment of the Nasal Tip | 234 | ||
Alar Rim | 235 | ||
Alar Base | 235 | ||
SUMMARY | 235 | ||
REFERENCES | 236 | ||
The Saddle Deformity | 239 | ||
Key points | 239 | ||
INTRODUCTION | 239 | ||
ETIOLOGY AND DIAGNOSTIC CONSIDERATIONS | 239 | ||
PHYSICAL EXAMINATION AND CLASSIFICATION | 240 | ||
PATIENT COUNSELING | 241 | ||
SURGICAL MANAGEMENT | 241 | ||
Allograft Dorsal Correction | 244 | ||
Homograft Dorsal Correction | 244 | ||
Autologous Dorsal Correction | 244 | ||
SURGICAL ADJUNCTS AND PEARLS | 248 | ||
REVISION CASES | 249 | ||
CONCLUDING THOUGHTS | 249 | ||
REFERENCES | 250 | ||
Revision Functional Surgery | 251 | ||
Key points | 251 | ||
INTRODUCTION | 251 | ||
PREOPERATIVE ASSESSMENT | 252 | ||
MIDDLE VAULT | 253 | ||
NASAL TIP/LATERAL WALL | 256 | ||
SUMMARY | 261 | ||
REFERENCES | 262 | ||
Advances in Technology for Functional Rhinoplasty | 263 | ||
Key points | 263 | ||
INTRODUCTION | 263 | ||
FINITE ELEMENT MODELING | 264 | ||
Nasal Septum and Dorsum | 264 | ||
Cephalic Trim | 264 | ||
Nasal Tip Support | 264 | ||
COMPUTATIONAL FLUID DYNAMICS | 265 | ||
Computational Fluid Dynamics Workflow | 265 | ||
Computational Fluid Dynamics and Nasal Airway Obstruction | 266 | ||
Computational Fluid Dynamics and Virtual Nasal Surgery | 267 | ||
LIMITATIONS OF COMPUTATIONAL MODELING | 267 | ||
SUMMARY | 268 | ||
REFERENCES | 269 | ||
Index | 271 |