Every surgeon who carries out rhinoplasty procedures will learn a great deal from this book. The beginner is guided through the performance of a standard rhinoplasty operation that can be expanded to incorporate the described advanced techniques as experience is gained. Here, the emphasis is on the routine case that is too frequently overlooked in favor of the esoteric. For the already proficient surgeon, on the other hand, the latest breakthroughs in the management of difficult cases, such as saddle nose, skin sleeve problems, and dorsal grafting, are clearly depicted. When appropriate, approaches developed exclusively by the author are presented. The lucid text is complemented by a wealth of color figures.

2;Contents;6 3;Table of DVD Clips;7 4;Chapter 1;10 4.1;Simplifying Rhinoplasty;10 4.1.1;Introduction;10 4.1.2;A Foundation Rhinoplasty Operation;11 4.1.3;A Standard Operative Sequence;12 4.1.4;Level of Difficulty: A Classification;13 4.1.5;Level 1: Form and Function;14 4.1.6;Level 2: Tip Challenges;15 4.1.7;Level 3: Major Changes;16 4.1.8;Teaching Yourself Surgical Cause and Effect;17 4.1.9;Guiding Principles;19 4.1.10;How to UseThis Book;20 5;Chapter 2;21 5.1;A Basic Rhinoplasty Operation;21 5.1.1;Introduction;21 5.1.2;Consultation;22 5.1.3;Operative Planning;24 5.1.4;Operative Sequence;24 5.1.5;Markings;24 5.1.6;Anesthesia;26 5.1.7;Open Approach;28 5.1.8;Septal Exposureand Extramucosal Tunnels;30 5.1.9;Septal Exposure;30 5.1.10;Extramucosal Tunnels;30 5.1.11;Tip Analysis and Symmetrical Rim Strips;32 5.1.12;Dorsal Modification;34 5.1.13;Caudal Septum and Anterior Nasal Spine;36 5.1.14;Septal Harvestand Septoplasty;38 5.1.15;Osteotomies;40 5.1.16;Graft Preparation and Spreader Grafts;42 5.1.17;Tip Surgery;44 5.1.18;Alar Base Modification;50 5.1.19;Closure, Cast, and Post-op Management;52 5.1.20;The Basic Rhinoplasty Operation: A 95% Solution;54 5.1.21;Decision Making Level 1: Planning a Rhinoplasty;56 5.1.22;A Basic RhinoplastyOperation: Operative Sequence;57 5.1.23;What Are the Most Common Variations?;57 5.1.24;Case Study: Aesthetic Septorhinoplasty (Level 1);60 5.1.25;Decision Making Level 2: The Harder Nose;62 5.1.26;Case Study: ThePlunging Tip (Level 2);64 5.1.27;Operative Technique Highlights;64 5.1.28;Decision Making Level 3: The Difficult Nose;66 5.1.29;Case Study: The Ball Tip (Level 3);68 5.1.30;Operative Technique;68 5.1.31;Postoperative Management;70 5.1.32;Ecchymosis and Edema;70 5.1.33;Breathing;71 5.1.34;Initial Appearance;71 5.1.35;Smiling;71 5.1.36;Numbness;71 5.1.37;Complications;72 5.1.38;Incidence;72 5.1.39;Hemorrhage;72 5.1.40;Infection;72 5.1.41;Septal Problems;73 5.1.42;Nasal Obstruction;73 5.1.43;Reading List;74 6;Chapter 3;75 6.1;Radix and Dorsum;75 6.1.1;Overview;76 6.1.2;Level 1;76 6.1.3;Level 2;76 6.1.4;Level 3;76 6.1.5;Anatomy;78 6.1.6;Aesthetics;80 6.1.7;Radix Augmentation;82 6.1.8;Radix Reduction;84 6.1.9;Dorsal Reduction;86 6.1.10;Osteotomies;88 6.1.11;Specialized Osteotomies;90 6.1.12;Spreader Grafts;90 6.1.13;Dorsal Modification;92 6.1.14;DorsalAugmentation;94 6.1.15;Decision Making Level 1;96 6.1.16;decide on the aesthetic indications for spreader grafts and type of osteotomies.Technique;96 6.1.17;Lessons Learned;96 6.1.18;Case Study:Profile Correction;98 6.1.19;Analysis;98 6.1.20;Operative Technique Highlights;98 6.1.21;Decision Making Level 2;100 6.1.22;Case Study:Asymmetric Bony Vault;102 6.1.23;Analysis;102 6.1.24;Operative Technique Highlights;102 6.1.25;Decision Making Level 3;104 6.1.26;Case Study:Radix Reduction;106 6.1.27;Analysis;106 6.1.28;Operative Technique;106 6.1.29;Reading List;108 7;Chapter 4;109 7.1;Tip Techniques;109 7.1.1;Introduction;109 7.1.2;Overview;110 7.1.3;Case Study: Tip Suture;112 7.1.4;Analysis;112 7.1.5;Operative Technique;112 7.1.6;Tip Anatomy;114 7.1.7;Aesthetics: Intrinsic factors;116 7.1.8;Aesthetics: Extrinsic factors;118 7.1.9;Open Approach;120 7.1.10;Open Tip Suture Technique: An Overview;122 7.1.11;Step # 1Symmetrical Rim Strips (Tip Volume Reduction);124 7.1.12;Purpose;124 7.1.13;Technique;124 7.1.14;Symmetrical Rim Strips;125 7.1.15;Step #2 Columellar Strut and Suture (Tip Projection);126 7.1.16;Purpose;126 7.1.17;Technique;126 7.1.18;Step #3 Domal Creation Suture (Tip Definition);128 7.1.19;Purpose;128 7.1.20;Technique;128 7.1.21;Step #4 Interdomal Suture (Tip Width);130 7.1.22;Purpose;130 7.1.23;Technique;130 7.1.24;Interdomal Suture;131 7.1.25;Step #5 Domal Equalization Suture (Tip Symmetry);132 7.1.26;Purpose;132 7.1.27;Technique;132 7.1.28;Domal Equalization Suture;133 7.1.29;Step #6 Lateral Crural Mattress Suture (Crural Convexities);134 7.1.30;Purpose;134 7.1.31;Technique;134 7.1.32;Step #7 Tip Position Suture (Tip Rotationand Projection);136 7.

Daniel, Rollin K.

Publikationen von Daniel, Rollin K.

ISBN	9783642014024
Artikelnummer	9783642014024
Medientyp	E-Book - PDF
Auflage	2. Aufl.
Copyrightjahr	2010
Verlag	Springer-Verlag
Umfang	449 Seiten
Sprache	Englisch
Kopierschutz	Digitales Wasserzeichen