Advances in rhinoplasty
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| Format: | Buch |
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| Sprache: | English |
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Philadelphia [u.a.]
Saunders
2000
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| Schriftenreihe: | Facial plastic surgery clinics of North America
8,4 |
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| 245 | 1 | 0 | |a Advances in rhinoplasty |c G. Richard Holt, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2000 | |
| 300 | |a X S., S. 385 - 576 |b Ill. | ||
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| 490 | 1 | |a Facial plastic surgery clinics of North America |v 8,4 | |
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Datensatz im Suchindex
| _version_ | 1819707379158089728 |
|---|---|
| adam_text | ADVANCES IN RHINOPLASTY
CONTENTS
Preface xiii
G. Richard Holt
Teaching Rhinoplasty to Residents 385
David C. Pearson and Peter A. Adamson
Training the next generation of rhinoplastic surgeons requires time and
dedication. A residency program designed to provide an active, hands on
experience with enthusiastic attending surgeons is mandatory. This article
examines some of the specific elements required to provide the optimal
learning experience for surgical residents studying rhinoplasties.
The Minimal Rhinoplasty 391
Ritchie A. L. Younger
The minimal rhinoplasty involves conservative volume additions or subtrac¬
tions to effect a change in nasal appearance or function. Because rhinoplasty
surgery is a flowing concert of surgical steps, the initial move irrevocably
modifies the remaining movements. A series of flow algorithms are one
surgeons intraoperative ongoing thought process in an attempt to organize
and simplify this surgical symphony to achieve the perfect minimal rhino¬
plasty result.
Skeletal Modifications in Rhinoplasty 413
Dean M. Toriumi and David A. Hecht
Modifying the nasal skeleton during rhinoplasty to achieve predictable long
term results remains one of the greatest challenges to the facial plastic
surgeon. The bony nasal vault possesses unique anatomic features and
aesthetic parameters that must be appreciated to optimize a favorable out¬
come. Special instrumentation and techniques are necessary to perform
precise and effective manipulations to the bony vault while producing
minimal surrounding soft tissue trauma. This article reviews the fundamen
FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA
tal techniques of osteotomies and recent advances that provide improved
precision and refinement to bony skeletal changes.
Changing the Nostril Shape 433
Anthony E. Brissett and David A. Sherris
The nasal base and nostril shape are important characteristics to consider
during the planning and execution of aesthetic and reconstructive rhinoplas
ties. It is important to recognize that significant individual and racial/ethnic
variations within the structural components of the nasal tip exist. When
deciding on the appropriate surgical procedure to use for tip refinement and
nostril shape augmentation, the structures that are responsible for creating a
misshapen nasal tip and nostril must be considered. A systematic approach
to the various subunits is described. Altering or augmenting one or all of
these subunits will result in changes to the nasal tip and to the shape and
orientation of the nostril.
Nasal Valve and Nasal Alar Dysfunction 447
Robert W. Dolan
Diagnosis and treatment of nasal valve and nasal alar dysfunction presents
a challenge for even the most experienced clinician. This article describes
the history, anatomy, diagnosis, and treatment of a variety of abnormalities
involving the nasal valve and nasal ala. A classification of the abnormalities
is emphasized with surgical treatment options specifically tailored to
each category.
Rhinoplasty and Sinonasal Disorders 465
Paul H. Toffel
For decades, experienced pre endoscopic rhinologic surgeons have com¬
bined management of functional nasal disorders with cosmetic rhinoplasty
in patients with indications and motivation. Now that endoscopic technique
has become firmly established as part of the functional rhinologic armamen¬
tarium, it is logical that endoscopic nasal and sinus surgery could be com¬
bined with rhinoplasty in those patients who have functional and cosmetic
indications. In a series of 2415 endoscopically managed functional nasal
and sinus surgical patients over the past 13 years, the author performed
rhinoplasty in 301 cases, or 12.5%, of the overall series. He found no diffi¬
culty in combining the modalities of functional endoscopic and traditional
rhinoplastic surgery in selected patients. This article describes the author s
experience with simultaneous and endoscopic sinonasal surgery and rhino¬
plasty.
Managing the Tension Nose 479
Minas Constantinides and Jennifer Levine
The tension nose is characterized by a high dorsal septum and an overpro
jected tip held up by it. Rhinoplasty results can be unpredictable in these
patients because the principles of Anderson s tripod concept do not al¬
ways apply. After taking down the high dorsum, tip support must be re¬
established in a predictable, reproducible fashion. Middle third support
likewise requires re establishing a stable cartilage framework. Open septo
rhinoplasty provides advantages over closed approaches in successfully
negotiating through these challenging cases.
The Mobile Tripod Technique: The Key to Nasal
Tip Refinement 487
Alvin I. Glasgold, Mark J. Glasgold, and David B. Rosenberg
The mobile tripod technique is a universal approach to nasal tip surgery.
It provides excellent control for all types of tip modification, including
narrowing, rotation, projection, and deprojection. This gives the rhinoplasty
surgeon a secure method of dealing with any problems encountered in
primary or revision rhinoplasty, including Caucasian, non Caucasian, and
ethnic noses.
Post Traumatic Rhinoplasty 503
Neal D. Goldman and Ramsey Alsarraf
Post traumatic rhinoplasty consists of those surgical procedures that attempt
to restore, reconstruct, and correct the nasal soft tissue, bony, and cartilagi¬
nous nasal elements following nasal injuries. Discussion includes treatment
of simple abrasions, complex avulsions, acute and delayed nasal fractures,
and major post traumatic structural and soft tissue deformities of the nose.
Challenges of Secondary Rhinoplasty 515
Vito C. Quatela and Ivan Wayne
Rhinoplasty is considered by many surgeons to be the most challenging
procedure in facial plastic surgery. The rhinoplastic surgeon can experience
the personal feelings of pride, satisfaction, humility, and frustration depend¬
ing on the outcome of his or her interventions.
Cleft Rhinoplasty 539
Alyson Buckner and Craig A. Vander Kolk
Rhinoplasty in the setting of the cleft lip continues to provide a challenge to
the reconstructive surgeon. This article reviews the nasal anatomy associated
with primary unilateral and bilateral cleft deformities and the nasal anatomy
associated with the secondary deformity. The multitude of surgical tech¬
niques developed for repair and reconstruction of cleft lip nose is also
presented and assimilated into a cogent paradigm for analysis and individu¬
alized surgical therapy for these problems.
The Dissatisfied Patient 549
John M. Morehead
Even after the best planned and executed rhinoplasties, some patients will
be dissatisfied. Successful management of patient unhappiness is not only
a vital part of surgical practice hygiene, it is also an opportunity to attend
the patient, an aspect of medical practice that seems to be endangered.
Ethical Considerations in Rhinoplasty 553
G. Richard Holt
Rhinoplasty is a complex and complicated surgical procedure. Equally chal¬
lenging is the assessment and proper selection of candidates for the proce
dure. The surgeon has a great responsibility to be diligent and insightful
in the evaluation so that the patient s expectations may be fully discussed
and a fair and honest discussion of the goals and risks be undertaken.
Many ethical issues are associated with rhinoplasty, from marketing and
advertising to inappropriate coding for insurance purposes. The ethical
surgeon must be well grounded in his or her ethical convictions and appreci¬
ate what can occur when the moral compass goes awry.
Index 559
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| indexdate | 2024-12-23T15:32:25Z |
| institution | BVB |
| language | English |
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| physical | X S., S. 385 - 576 Ill. |
| publishDate | 2000 |
| publishDateSearch | 2000 |
| publishDateSort | 2000 |
| publisher | Saunders |
| record_format | marc |
| series | Facial plastic surgery clinics of North America |
| series2 | Facial plastic surgery clinics of North America |
| spellingShingle | Advances in rhinoplasty Facial plastic surgery clinics of North America Rhinoplastie Nasenplastik (DE-588)4115340-6 gnd |
| subject_GND | (DE-588)4115340-6 (DE-588)4143413-4 |
| title | Advances in rhinoplasty |
| title_auth | Advances in rhinoplasty |
| title_exact_search | Advances in rhinoplasty |
| title_full | Advances in rhinoplasty G. Richard Holt, guest ed. |
| title_fullStr | Advances in rhinoplasty G. Richard Holt, guest ed. |
| title_full_unstemmed | Advances in rhinoplasty G. Richard Holt, guest ed. |
| title_short | Advances in rhinoplasty |
| title_sort | advances in rhinoplasty |
| topic | Rhinoplastie Nasenplastik (DE-588)4115340-6 gnd |
| topic_facet | Rhinoplastie Nasenplastik Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009320676&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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