Functional reconstructive nasal surgery: 23 tables
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Stuttgart [u.a.]
Thieme
2003
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV, 386 S. Ill. |
| ISBN: | 3131294116 1588900819 |
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| 245 | 1 | 0 | |a Functional reconstructive nasal surgery |b 23 tables |c Egbert H. Huizing; John A. M. de Groot |
| 264 | 1 | |a Stuttgart [u.a.] |b Thieme |c 2003 | |
| 300 | |a XIV, 386 S. |b Ill. | ||
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Datensatz im Suchindex
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|---|---|
| adam_text | VIII Contents
1 Basics Surgical Anatomy 1
Face 1
Orientation 1
Proportions 1
Points 2
Lines 4
Angles 4
Dimensions 5
External Nose (External Pyramid) 7
Bony Pyramid 7
Cartilaginous Pyramid 8
Lobule 10
Lobular Cartilages 11
Soft Tissue Areas 12
Skin and Connective, Muscular, and
Fatty Tissues Overlying the External Nose 12
Musculature 13
Internal Nose 14
Anatomical Physiological Subdivision of the
Nasal Organ 14
Nostril (Naris, External Ostium) 15
Vestibule 15
Valve Area (Internal Ostium) 15
Septum 16
Turbinates and Turbinate Like Structures 18
Mucoperichondrium, Mucoperiosteum 20
Mucous Layer 21
Cilia 21
Vomeronasal Organ (Organ of Jacobson) 22
Vasculature of the Nose 22
Vasculature of the External Nasal Pyramid 22
Vasculature of the Septum 23
Vasculature of the Lateral Wall
and Turbinates 23
Resistance and Capacitance Vessels 24
Nerve Supply of the Nose 24
Sensory Innervation 24
Motor Nerve System 26
Sympathetic Innervation 26
Parasympathetic Innervation 26
Olfactory Organ 26
Histological Features of the
Main Nasal Structures and Their Implications
for Nasal Surgery 27
Septum 28
Chondrospinal Junction 28
Chondropremaxillary Complex 28
Chondroperpendicular and Chondrovomeral
Junction 28
Mucoperichondrium 30
1
Incisive Nerve 31
Vomeronasal Organ 31
Septal Pathology 32
Turbinates 34
Inferior Turbinate 34
Middle Turbinate (Concha Bullosa) 34
Septal Turbinate 34
Bony Pyramid 36
Junction between the Triangular Cartilage
and Nasal Bones 36
Cartilaginous Pyramid 36
Septolateral Cartilage: Cartilaginous Septum
and Triangular Cartilages 36
Valve Area 37
Lobule 37
Interdomal Area 37
Intercrural Area 38
Septocrural Area 38
Alae 39
Nasal Development and Growth 40
The Phases 40
Developmental or Morphogenetic Phase 40
Growth Phase 40
Developmental Phase 40
Growth Phase 41
Face and Nose 41
Septum 41
Premaxilla 43
Cartilaginous Vault 44
Bony Vault 44
Disturbance of Development and Growth
Consequences for Nasal Pathology and
Surgery 44
Disturbance of Nasal Development 44
Disturbance of Nasal Growth 44
Surgical Physiology 46
Olfaction 46
Respiration 47
Parameters of Breathing 47
The Normal Respiratory Cycle 47
Nasal Resistance and Its Effects 47
Resistors and Geometry of the Nose 48
Route and Velocity of the Inspiratory
and Expiratory Airstream 49
Physiology of the Valve Area 50
Nasal Cycle 52
Nasal Muscle Function 52
Air Conditioning (Climatization) 53
The Mucosa As the Essential Organ of the Nose . 53
Temperature Regulation 53
Humidification 53
Defense 53
Filtering of the Air 53
Humoral Defense 54
Cellular Defense 55
Nasal Reflexes 55
2 Pathology and Diagnosis Nasal Syndromes 57
1. Deviated Nose Syndromes 57
Deviated Pyramid 57
C Shaped Pyramid 57
Reversed C Shaped Pyramid 57
Deviated Cartilaginous Pyramid 57
2. Hump Nose 58
3. Prominent Narrow Pyramid Syndrome
(Tension Nose) 59
4. Low Wide Pyramid Syndrome
(Saddle Nose) 60
5. Lobular Inspiratory Insufficiency Syndrome
( Alar Collapse ) 62
6. Middle Meatus Obstructive Syndrome 62
Septum 63
Middle Turbinate 63
Uncinate Process 64
Ethmoidal Bulla 64
Infundibulum 64
Nasal Mucosa 64
7. Open Roof Syndrome 64
8. Wide Nasal Cavity Syndrome
( Empty Nose Syndrome) 64
9. Dry Nose Syndrome 65
10. Cleft Lip and Palate Nose 66
Incidence 66
Etiology 66
Pathology 66
Bony and Cartilaginous Pyramid 66
Lobule 67
Septum 67
Turbinates 67
11. Congenital Nasal Hypoplasia (Nasomaxillary
Dysplasia, Binder Syndrome) 68
12. Facial Syndromes 69
Facial Asymmetries 69
Maxillary and Mandibular Retrusion 70
13. Nasal Neuralgia 70
Pterygopalatine Neuralgia 70
(Vidian Neuralgia or Sluder Syndrome) 70
Anterior (Posterior) Ethmoidal Neuralgia ... 71
Nasal Symptoms The Most Common
Deformitites, Abnormalities, and
Anatomical Variations 71
Pathology and Variations of Nasal Dimensions .. 71
Humps 74
Saddling and Sagging 74
Bony and Cartilaginous Pyramid 77
Contents IX
Speech 56
Facial Beauty and Facial Expression 56
Beauty 56
Aversion to Ones Own Nose 56
57
Lobule 79
Tip 80
Alae 83
Columella 84
Nostrils (Nares) 87
Vestibule 88
Valve Area 89
Septum 90
Classification of Septal Pathology 90
Turbinates 94
Diagnosis and Documentation 96
Making the Diagnosis 96
Visual Analogue Scoring of Complaints
and Rating Scales of Quality of Life 96
Examination of the External Nose 96
Inspection and Palpation 96
Examination of the Internal Nose 98
Inspection and Palpation 98
Analysis of Nose, Face, and Dentition 100
Proportions 100
Angles 100
Dentition 100
Imaging 100
Radiographs 101
CT Scans 101
MRI 101
Breathing Tests 101
Observational Tests 101
Quantitative Breathing Tests 103
Rhinomanometry 103
Acoustic Rhinometry 105
Measuring Nasal Peak Flow 106
Olfactometry 107
Measuring Air conditioning Capacity 107
Humidifying Capacity 107
Warming up Capacity 107
Measuring Nasal Defense 107
Cilia and Ciliary Activity 107
Allergy and Hyper reactivity Testing 108
Techniques Used In Nasal Provocation 108
Photographic Diagnosis and Documentation 108
Technique of Standard Nasal Photography 108
Computerized Photography 108
Patient Positioning and Preparation 109
Lighting and Background 109
Requirements 109
Standard Positions 109
X Contents
3 Surgery—General Concepts of Functional Reconstructive Nasal
Surgery 112
Surgery For Function and Form 112
Concepts 112
Basic Principles 112
Endonasal vs External Approach 113
Historical Development 113
Advantages and Disadvantages
of Each Approach 113
Which Approach to Use when? 113
Sequence of the Surgical Steps 114
Endonasal Approach 114
External Approach 114
Preoperative and Postoperative Care 114
Preoperative Care 114
Discussing the Benefits and Risks of Surgery .. 114
Planning Surgery 115
Preparing for Surgery 115
Postoperative Care 115
4 Incisions and Approaches General 124
Terminology 124
Incisions, Approaches, and Techniques 124
Misnomers 124
External vs Internal Incisions 124
Basic Principles 124
Main Incisions 125
Caudal Septal Incision (Hemitransfixion) 125
Intercartilaginous Incision 126
Vestibular Incision 127
Infracartilaginous Incision 128
As used in the External Approach 128
As used in the Luxation Technique 129
Limited Infracartilaginous Incisions 129
Transcolumellar Inverted V Incision 130
Special Incisions External 131
Labiogingival Incision 131
Sublabial Incision 131
Paranasal Incision 131
Lateral Columellar Incision 131
5 Septal Surgery Septal Surgery An Essential Element of
Functional Reconstructive Nasal Surgery 140
Sequence of Surgical Steps in Functional
Reconstructive Nasal Surgery 140
1. Endonasal Approach 140
2. External Approach 140
112
Immediate Postoperative Care 115
Later Postoperative Care 116
Follow Up 117
Anesthesia and the Bloodless Surgical Field ... 118
Local or General Anesthesia? 118
Local Anesthesia 118
Premedication 118
Principles and Technique of Local Anesthesia
and Vasoconstriction 118
General Anesthesia 121
Principles 121
Additional Vasoconstriction
and Local Anesthesia 121
The Bloodless Surgical Field 121
Antibiotics and Corticosteroids in Nasal
Surgery 122
Antibiotics 122
Corticosteroids 123
124
Rim Incision 132
Alarfacial Incision (Long Arm U Incision;
Alotomy) 132
V Incision of the Columellar Base 134
Dorsal Incisions—Horizontal Dorsal and Dorsal
Reversed V Incision 134
Special Incisions—Endonasal 135
Transfixion 135
Transcartilaginous Incision 135
Incisions in the Turbinate Mucosa 136
Incisions in the Septal Mucosa 136
Horizontal Basal Incision 136
Vertical and L Shaped Incision 136
Stab Incisions 137
Vestibular Stab Incision 137
Paranasal Stab Incision 137
Nasion (Glabellar) Stab Incision 137
Alarfacial Stab Incision 137
Incisions to Avoid 138
140
Basics of Septal Surgery The Six Phases of
Septal Surgery 141
Phase 1: Approach 141
Caudal Septal Incision (Hemitransfixion) 141
Exposure of the Caudal Septal End 141
Phase 2: Mobilization 143
The Four Septal Tunnels 144
The Different Methods 144
How to Create the Different Tunnels 146
Connecting an Inferior with a Superior Tunnel . 148
Chondrotomies 148
Dissecting the Cartilaginous Septum from its
Base ( Swinging Door Technique) 151
Phase 3: Resection 151
Vertical Strips 151
Horizontal strips 152
Bony and Cartilaginous Crest 152
Bony and Cartilaginous Deviation 152
Bony Spur 152
Phase 4: Repositioning 152
Phase 5: Reconstruction 153
Reconstruction of the Posterior Septum 153
Reconstruction of the Anterior Septum 154
Phase 6: Fixation 154
Internal Dressings 154
Sutures and Splints 155
Special Problems of Septal Surgery 157
1. Dislocated (Fractured) Caudal End 157
2. Missing Caudal End 158
3. Basal Crest 160
4. High Deviation 160
5. Vomeral Spur 161
6. Vertical Fracture 162
7. Horizontal Fracture 164
8. Anterior Convexity 166
9. Missing Septum: (Sub)total Septal Recon¬
struction 167
Approach 167
Methods 167
Materials 167
Surgical Techniques 169
6 Pyramid Surgery Osteotomies—Mobilizing and Repositioning
the Bony Pyramid 192
Mobilizing the Bony Pyramid 192
Repositioning and Fixation of the Bony Pyramid . 192
Types of Osteotomy 192
Repositioning the Bony Pyramid 194
Bilateral Infracture 194
Bilateral Outfracture 194
Rotation by Unilateral Infracture and
Outfracture on the Opposite Side 194
Rotation by Unilateral Wedge Resection 195
Push Down with Bilateral Infracture 195
Let Down Following Bilateral Wedge
Resection 196
Push Up 196
Instruments Used for Osteotomies 196
Saw 196
Osteotome 197
Contents XI
Septal Surgery in Children 171
Indications 171
Impaired Nasal Breathing 171
Disturbance of Nasal Growth 171
Acute Nasal Trauma 171
Septal Hematoma and Abscess 171
Age Factor 171
Most Common Deformities 172
Vertical Fracture 172
Horizontal Fracture 172
Defective Anterior Septum 172
Surgical Techniques 173
Long Term Effects 173
Septal Hematoma and Abscess 175
Septal Hematoma 175
Symptoms 175
Diagnosis 175
Prevention 175
Treatment 175
Septal Abscess 177
Symptoms 177
Diagnosis 177
Prevention 177
Treatment 177
Septal Perforation 180
Classification 180
Prevention 181
Guidelines 181
Treatment Options 182
Surgical Closure 183
Dissecting the Perforation 183
Direct Closure 184
Rotation Flap Technique 184
Bridge Flap (Advancement) Technique 185
Buccogingival Flap Technique 187
Prosthesis (Septal Button, Obturator) 188
192
Chisel Osteotome 197
Chisel 197
Mallet The Technique of Tapping 199
Techniques of Osteotomy 200
Paramedian ( Medial ) Osteotomy 200
Lateral Osteotomy 200
Transverse Osteotomy 205
Wedge Resection 206
Principles 206
Surgical Technique 207
Adjusting the Lobule to the New Pyramid by
Bilateral Resection of Soft Tissue Wedges at
the Alar Base 210
Shortening Nasal Length to Adjust the Lobule
to the New Pyramid 211
Complications 211
XII Contents
Hump Removal 212
Types of Hump 212
Surgical Techniques 213
1. Correcting a Bony Hump with Rasp
and File 213
2. Resecting a Bony and/or Cartilaginous
Hump 214
Resecting a Bony Hump (or the Bony Part
of a Combined Bony and Cartilaginous
Hump) 215
Resecting a Cartilaginous Hump (or the
Cartilaginous Part of a Combined Bony
and Cartilaginous Hump) 216
3. Let Down (Push Down) 217
Complications 219
Saddle Nose Correction 219
Types of Saddling and Sagging 220
1. Bony and Cartilaginous Saddle Nose 220
2. Low Wide Pyramid Syndrome 220
3. Bony Saddle 220
4. Cartilaginous Saddling and Sagging 221
7 Lobular Surgery Approaches to the Lobule 239
The Four Main Approaches: Advantages,
Disadvantages, and Indications 239
1. Retrograde (or Inversion) Technique 239
2. Luxation (or Delivery) Technique 239
3. External (or Open) Approach 239
4. Cartilage Splitting (or Transcartilaginous)
Technique 240
Techniques 240
1. Retrograde (or Inversion) Technique 240
2. Luxation (or Delivery) Technique 241
3. External Approach 243
4. Cartilage Splitting (or Transcartilaginous)
Technique 245
Tip Surgery 246
Characteristics of the Tip 246
Definition 246
Projection 246
Position 246
Mechanics of the Tip 246
Deformities. Abnormalities, and Variations of
the Tip and Their Surgical Correction 248
Surgical Techniques 249
Narrowing the Tip and Supratip Area 249
Increasing Tip Projection 252
Reducing Tip Projection 254
Upward Positioning (Rotation) of the Tip 256
Downward Positioning of the Tip 258
Shortening Nasal Length and Lifting the Tip by
Resecting a Double Triangle of Skin from the
Nasal Dorsum (Tip Lift ) 258
Surgical Techniques 222
1. Repositioning and/or Reconstructing the
Septum 222
2. Narrowing and Push Up of the
Bony Pyramid 222
3. Augmentation by Dorsal Transplant
(Implant) 223
4. Increasing Lobular Projection and
Narrowing Lobular Width 227
5. Lengthening the Columella and Correcting
Columellar Retraction 227
Complications 228
Valve Surgery 228
Pathology of the Valve Area 228
Surgical Techniques 228
1. Septal Surgery 229
2. Inferior Turbinate Surgery 229
2. Triangular Cartilage Surgery 229
Widening the Valve Area 230
Narrowing the Valve Area 236
Prosthesis 237
Complications 238
239
Alar Surgery 259
Deformities, Abnormalities, and Variations of
the Ala and Their Surgical Correction 259
Surgical Techniques 259
1. Reinforcing the Ala 259
2. Resecting a Protruding End of the Lateral
Crus 262
3. Reducing Alar Convexity 263
4. Reducing Alar Concavity 264
5. Shortening the Ala by Wedge Resection at
its Base 264
6. Displacing the Alar Base 265
7. Thinning the Ala 265
8. Narrowing the Lobular Base 266
9. Reconstructing the Ala 266
Columellar Surgery 268
Deformities, Abnormalities, and Variations of
the Columella and Their Surgical Correction 268
Surgical Techniques 269
Narrowing the Columella 269
Reinforcing the Columella 270
Correcting a Retracted Columella 271
Correcting a Hanging Columella 272
Lengthening the Columella 272
Shortening the Columella 273
Vestibular Surgery 273
Correcting an Oblique Columella 273
Deformities 274
Surgical Techniques 274
Widening the Vestibule 274
Prosthesis 275
8 Surgery of the Nasal Cavity Turbinate Surgery 276
General 276
Types of Turbinate Pathology 276
Function Preserving Treatment 276
Inferior Turbinate 276
Pathology 276
Treatment 277
Surgical Techniques 277
Middle Turbinate 282
Pathology 282
Surgical Techniques 284
Preservation or Resection of the Middle
Turbinate in Infundibulotomy and
Ethmoidectomy? 285
Surgery of the Wide Nasal Cavity 285
Pathology 285
Atrophic Rhinitis 285
Ozena 286
Postoperative Widening of the Nasal Cavity ... 286
9 Special Subjects Acute Nasal Trauma 296
Nasal Trauma in the Newborn 296
Nasal Deformity Due to Birth Trauma 296
Deformities Occurring in Utero 297
Acute Nasal Trauma in Childhood 297
Pathology 298
Diagnosis 298
Treatment 299
Acute Nasal Trauma in Adults 299
Pathology 299
Diagnosis 300
Treatment 300
Nasal Surgery in Children 302
General 302
Clinical and Experimental Evidence 302
When Should Surgery Be Performed? 303
Fresh Injuries 303
Long Standing Deformities 303
Conclusions 303
Nasal Surgery in the Unilateral
Cleft lip Nose 304
Pathology 304
Treatment 304
Rehabilitation Schedule 304
Surgical Techniques 304
Septal Surgery 304
Pyramid Surgery 304
Lobular Surgery 305
Contents XIII
276
Conservative Treatment 287
Surgical Treatment 287
Historical Development 287
Surgical Technique 287
Technique of Narrowing the Nasal Cavity 288
Endonasal Surgery of the Infundibulum,
Ethmoid Bone, and Maxillary Sinus 290
Pathology of the Infundibulum and
Middle Meatus 290
Surgical Techniques 290
Infundibulotomy and Middle Meatal
Antrostomy 290
Endonasal Anterior and (Sub)total
Ethmoidectomy 292
Inferior Meatal Antrostomy 293
Complications 293
High Risk Areas 293
Major Complications 295
Minor Complications 295
296
The Nose and Sleep Related Breathing
Disorders 308
Types of Obstructive Sleep Related Breathing
Disorders 308
Pathology and Causative Factors 308
The Role of the Nose in Sleep Related
Breathing Disorders 308
Treatment 308
Modalities 308
Nasal Surgery 309
Internal and External Nasal Dilatators 309
Approaches to the Nasal Cavity, Sinuses,
and Skull Base 309
Transseptal Transsphenoidal Approach to the
Hypophysis 309
Surgical Technique 309
Nasal Continuous Positive Pressure Ventilation
(nCPAP) 309
Lateral Rhinotomy 312
Sublabial Rhinotomy 312
Transplants and Implants 316
Terminology 316
Requirements for the Ideal Transplant and
Implant 316
Materials 316
Nonbiological Implants 316
Biological Transplants 316
Choosing between Biological and
Nonbiological Material 316
Biological Materials Transplants 317
Cartilage 317
XIV Contents
Bone 320
Connective Tissue and Collagen 321
Fat 321
Skin and Mucosa 321
Nonbiological Materials Implants 321
Advantages and Disadvantages 321
Materials—A Short Overview 322
Retrusion of the Mandible and Mentoplasty... 323
General 323
Diagnosis 323
Treatment Modalities 323
Materials 323
Surgical Technique 323
Preparation 323
Approach 324
Complications 324
The Tissue Bank 325
Requirements 325
Personal Experiences 325
The Utrecht ORL Tissue Bank 326
Donor Selection 326
Harvesting the Tissues 326
Processing and Preservation 326
10 Appendix Materials 343
Sutures 343
Internal Dressings 344
Tapes 344
External Splints (Stents) 345
Septal Splints 347
Intranasal Sheets 347
Septal Prosthesis (Septal Button) 347
Commercially Available Biological Materials 347
Instruments 348
Instruments for Cleansing the Vestibules and
Trimming the Vibrissae ( Trim Set ) 348
Instruments and Medications for Anesthesia
and Vasoconstriction 348
Specula 348
Knives 350
Retractors 351
Hooks 352
Index
Complications Prevention and Treatment 327
Complications or Mistakes? 327
General Recommendations on Prevention 327
Preoperatively 327
During Surgery 327
Postoperatively 327
Prevention and Treatment of Specific
Complications 327
Skin Problems 327
Hematomas 328
Infections 329
Intranasal Synechiae 330
Complications of Septal Surgery 330
Complications of Incisions 331
Complications of Osteotomies 331
Complications of Lobular Surgery 334
Complications of Transplants and Implants ... 336
Patient Complaints and Medicolegal
Problems 342
Dissatisfied Patient 342
Claims and Lawsuits 342
Prevention 342
Action 342
Questions Asked by Courts 342
343
Elevators 353
Forceps 354
Scissors 356
Chisels, Osteotomes, Saws, and Mallets 358
Rasps and Files 359
Various 360
List of Basic Instruments 362
Physical Laws Governing Airstreams 363
Starling Valve 364
Rohrer s Equation 364
Schemes of Vascularization and Nerve Supply . 365
Historical Development of Functional
Reconstructive Nasal Surgery 366
What s Past is Prologue 366
References 369
375
|
| any_adam_object | 1 |
| author | Huizing, Egbert H. Groot, John A. M. de 1947- |
| author_GND | (DE-588)124309216 (DE-588)121130614 |
| author_facet | Huizing, Egbert H. Groot, John A. M. de 1947- |
| author_role | aut aut |
| author_sort | Huizing, Egbert H. |
| author_variant | e h h eh ehh j a m d g jamd jamdg |
| building | Verbundindex |
| bvnumber | BV016428154 |
| classification_rvk | YI 6977 |
| ctrlnum | (OCoLC)248853188 (DE-599)BVBBV016428154 |
| discipline | Medizin |
| format | Book |
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| genre | 1\p (DE-588)4143303-8 Atlas gnd-content |
| genre_facet | Atlas |
| id | DE-604.BV016428154 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T19:10:21Z |
| institution | BVB |
| isbn | 3131294116 1588900819 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-010158220 |
| oclc_num | 248853188 |
| open_access_boolean | |
| owner | DE-29 DE-355 DE-BY-UBR |
| owner_facet | DE-29 DE-355 DE-BY-UBR |
| physical | XIV, 386 S. Ill. |
| publishDate | 2003 |
| publishDateSearch | 2003 |
| publishDateSort | 2003 |
| publisher | Thieme |
| record_format | marc |
| spelling | Huizing, Egbert H. Verfasser (DE-588)124309216 aut Functional reconstructive nasal surgery 23 tables Egbert H. Huizing; John A. M. de Groot Stuttgart [u.a.] Thieme 2003 XIV, 386 S. Ill. txt rdacontent n rdamedia nc rdacarrier Operationstechnik (DE-588)4215428-5 gnd rswk-swf Nasenchirurgie (DE-588)4714940-1 gnd rswk-swf 1\p (DE-588)4143303-8 Atlas gnd-content Nasenchirurgie (DE-588)4714940-1 s Operationstechnik (DE-588)4215428-5 s DE-604 Groot, John A. M. de 1947- Verfasser (DE-588)121130614 aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010158220&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Huizing, Egbert H. Groot, John A. M. de 1947- Functional reconstructive nasal surgery 23 tables Operationstechnik (DE-588)4215428-5 gnd Nasenchirurgie (DE-588)4714940-1 gnd |
| subject_GND | (DE-588)4215428-5 (DE-588)4714940-1 (DE-588)4143303-8 |
| title | Functional reconstructive nasal surgery 23 tables |
| title_auth | Functional reconstructive nasal surgery 23 tables |
| title_exact_search | Functional reconstructive nasal surgery 23 tables |
| title_full | Functional reconstructive nasal surgery 23 tables Egbert H. Huizing; John A. M. de Groot |
| title_fullStr | Functional reconstructive nasal surgery 23 tables Egbert H. Huizing; John A. M. de Groot |
| title_full_unstemmed | Functional reconstructive nasal surgery 23 tables Egbert H. Huizing; John A. M. de Groot |
| title_short | Functional reconstructive nasal surgery |
| title_sort | functional reconstructive nasal surgery 23 tables |
| title_sub | 23 tables |
| topic | Operationstechnik (DE-588)4215428-5 gnd Nasenchirurgie (DE-588)4714940-1 gnd |
| topic_facet | Operationstechnik Nasenchirurgie Atlas |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010158220&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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