Essentials of septorhinoplasty: philosophy - approaches - techniques
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| Hauptverfasser: | , , , |
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| Format: | Buch |
| Sprache: | English |
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Stuttgart ; New York ; Delhi ; Rio de Janeiro
Thieme
[2017]
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| Ausgabe: | Second edition |
| Schlagworte: | |
| Online-Zugang: | Inhaltstext Inhaltsverzeichnis |
| Beschreibung: | xv, 262 Seiten 632 Illustrationen 31 cm x 23 cm |
| ISBN: | 9783131319128 3131319127 |
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MARC
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| 020 | |a 3131319127 |9 3-13-131912-7 | ||
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| 245 | 1 | 0 | |a Essentials of septorhinoplasty |b philosophy - approaches - techniques |c Hans Behrbohm, MD, PhD, M. Eugene Tardy, jr., MD, FACS ; with contributions from: Wibke Behrbohm, Randolph B. Capone [und 17 weiteren] |
| 250 | |a Second edition | ||
| 264 | 1 | |a Stuttgart ; New York ; Delhi ; Rio de Janeiro |b Thieme |c [2017] | |
| 300 | |a xv, 262 Seiten |b 632 Illustrationen |c 31 cm x 23 cm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
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| 700 | 1 | |a Behrbohm, Wibke |4 aut | |
| 700 | 1 | |a Capone, Randolph B. |0 (DE-588)102352743X |4 aut | |
| 776 | 0 | 8 | |i Erscheint auch als |n Online-Ausgabe |z 978-3-13-162812-1 |
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| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-029722748 | |
Datensatz im Suchindex
| _version_ | 1809773425931059200 |
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| adam_text |
Contents
Preface. xi
Contributors. xiv
1
1.1
1.2
1.2.1
1.2.2
1.2.3
1.3
1.4
1.5
1.5.1
1.5.2
1.6
1.6.1
1.6.2
1.6.3
1.6.4
1.6.5
1.6.6
1.7
1.7.1
2
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
3
3.1
3.2
3.2.1
3.2.2
3.2.3
3.2.4
3.3
The Dual Character of Nasal Surgery. 2
Hans Behrbohm
Introduction.
Historical Review.
Origins of Plastic Nasal Surgery.
The Development of Plastic Surgery in Berlin
and at the Charite Hospital from the 18th to 20th
Centuries.
History of Surgery of the “Internal Nose".
Phylogenesis.
The Nose as a Respiratory Organ.
The Nose as a Sensory Organ.
The Olfactory Sense.
The Vomeronasal Organ.
Prerequisites for the Concept of
Functional-Aesthetic Nasal Surgery.
Septal Surgery with Functional and
Aesthetic Goals.
Principles of Submucous Septoplasty.
The Pediatric Nasal Septum.
The Nasal Valve.
Physiological Limits of Nasal Breathing.
Atraumatic, Structure-Conserving Techniques of
Septorhinoplasty.
Functional Aspects of Septorhinoplasty.
Olfactory Disturbances.
2 1.7.2 Recurrent and Chronic Sinusitis. 14
3 Wibke Behrbohm
1.7.3 Adjunctive Intranasal Measures. 18
1.7.4 Tympanic Ventilation Problems. 21
1.7.5 Rhinogenic Headache. 22
1.7.6 Nasal Surgery and Sleep-Disordered Breathing— 23
3 Wolfgang Pirsig
^ 1.7.7 Rhinophonia. 25
7 Wolfram Seldner
8 1.8 Aesthetic Aspects of Septorhinoplasty. 26
8 1.9 Selecting an Approach for Septorhinoplasty. 27
8 1.9.1 Open versus Closed-An Old Controversy. 27
9 1.9.2 Endonasal Approaches. 27
1.9.3 Endoscopic Approach. 34
g 1.9.4 Open Approach. 34
1.10 Special Techniques. 44
g ]. Elchhorn-Sens
10 1.10.1 Treatment of the Concavity of the Lower
10 Lateral Cartilages. 44
10 1.10.2 Conservative Cephalic Trim. 44
11 1.10.3 Sliding Technique. 44
1.10.4 Lateral Crural Steal Technique. 44
11 1.10.5 Tongue-in-Groove Technique. 47
1.10.6 Push-Down Technique. 47
1.10.7 Dome Division. 49
13 1.10.8 Bending Technique. 49
Contemporary Rhinoplasty: Personal Principles and Philosophy. 56
M. Eugene Tardy, Jr.
Introduction and Personal Philosophy. 56 2.8.1
Indications. 57 2·8·2
2 8 3
Contraindications. 58 '
2.8.4
Alternative Techniques. 58 2 g 5
Preoperative Considerations. 58 2g
Special Surgical Requirements. . 59 2.10
Preoperative Analysis. 59 2 n
Surgical Techniques. . 60 2.12
Surgery of the Nasal Tip. 61
Profile Alignment. 75
Bony Pyramid Narrowing and Alignment. 77
Alar Base Reduction. 78
Dressings and Bandages. 78
Key Technical Points. 78
Postoperative Care. 79
Complications. 79
Summary. 79
Facial Proportions and Aesthetic Ideals in Rhinoplasty. 82
Randolph B. Capone and Ira D. Papel
Introduction. 82 3.3.1
Facial Proportions. 82 3·3·2
Standard of Reference. 83 3.4
Golden Ratio. 83 3.4.1
Facial Angles. 84 3.4.2
The Face. 85 3.4.3
Analysis of Patients with Nasal Deformity — 88 3.5
General Considerations. 88
Nasal Deformity. 89
Ethnic Variations. 89
The Caucasian Nose. 89
The African Nose. 89
The Asian Nose. 89
Summary. 90
V
Contents
4 Physiology and Pathophysiology of Nasal Breathing. 92
Gunter Mlynski
4.1 Introduction. 92
4.2 Preconditions for the Respiratory Function of
the Nose. 92
4.3 The Correlation between Shape and Function
of the Nose. 92
4.3.1 Inspiration. 92
4.3.2 Expiration. 94
4.3.3 General Remarks. 95
4.4 The Problem of Septal Deviation with
Compensatory Turbinate Hyperplasia
in Terms of Flow Dynamics. 95
4.5 Inspiratory Nasal Wing Collapse. 95
4.6 Rhinological Functional Diagnostics. 96
4.6.1 Rhinomanometry. 96
4.6.2 Rhinoresistometry. 97
4.6.3 Acoustic Rhinometry. 97
4.6.4 Long-Term Rhinoflowmetry. 98
4.6.5 Combination of Rhinoresistometry,
Acoustic Rhinometry, and Long-Term
Rhinoflowmetry. 98
4.7 Concluding Remarks. 99
5 Preoperative Management. 104
Hans Behrbohm
5.1 Evaluation of the Face and External Nose. 104
5.1.1 The First Impression. 104
5.1.2 The Preoperative Consultation. 104
5.1.3 Conducting the Consultation. 104
5.2 Analysis, Clinical Geometry. 105
5.2.1 Proportions and Symmetry. 105
5.2.2 The Face from the Front. 105
5.2.3 Skin and Connective-Tissue Type. 105
5.2.4 Profile Analysis. 106
5.2.5 Dentition and Profile. 107
5.2.6 The Nasal Base. 107
5.3 Palpation. 107
5.3.1 Manual Examination Techniques. 107
5.4 Nasal Endoscopy. 109
5.4.1 Principles of Nasal Endoscopy. 110
5.4.2 Technique. Ill
5.5 Tips on Photographing Parts of the Body. 112
Dieter jaeger and Hans Behrbohm
5.5.1 Standard Photographic Views. 112
5.5.2 The Lighting Setup. 112
5.5.3 Personal Recommendations. 113
5.6 Informed Consent. 113
5.6.1 Medical Ethics and Aesthetic Indication. 114
6 Principles of Modern Septoplasty
Thomas Hildebrandt
5.6.2 Aesthetic Surgery and Happiness. 114
5.6.3 Personal Recommendations. 114
5.7 Psychological issues in Rhinoplasty. 114
5.7.1 Potential Problem Patients . 114
5.8 Preoperative Workup. 116
5.8.1 Rhinological History. 116
5.8.2 Aesthetic History. 116
5.8.3 Evaluation of the External Nose. 116
5.8.4 Endoscopic Examination. 116
5.8.5 Diagnostic Imaging. 116
5.8.6 Laboratory Tests. 116
5.8.7 Function Testing. 116
5.8.8 Photographic Documentation. 116
5.8.9 Informed Consent. 116
5.8.10 Planning the Operation. 116
5.9 Immediate Preoperative Preparations. 116
5.9.1 Positioning. 116
5.9.2 Local Anesthesia. 116
5.9.3 Marking the Operative Site. 117
5.10 Anesthesia for Rhinoplasty. 117
Mario Hensel
5.10.1 Genera] Anesthesia. 117
5.10.2 Intravenous Sedation (Twilight Anesthesia). 119
5.10.3 Local Anesthesia. 119
122
6.1 Introduction. 122
6.2 Indications. 122
6.3 Contraindications. 122
6.4 Preoperative Considerations. 123
6.4.1 Septum and Turbinates.123
6.4.2 Structural Implications.123
6.5 Preoperative Analysis.124
6.6 Surgical Technique.125
7 Structural Grafting via the External Rhinoplasty Approach. 130
Dean M. Toriumi andZrria L. White
7.1 Introduction. 130
7.2 Indications. 130
7.3 Contraindications. 130
7.4 Alternative Techniques. 130
7.5 Preoperative Considerations. 130
7.6 Special Surgical Requirements. 131
7.7 Preoperative Analysis. 131
7.8 Surgical Technique. 132
7.8.1 Incisions: Nuances and Technique. 132
7.9 Key Technical Points. 141
7.10 Postoperative Care. 142
7.11 Complications. 142
vi
Contents
8 Endonasal Tip Rhinoplasty Approaches and Techniques. 144
Scott Shadfar and Stephen IV. Perkins
8.1 Introduction. 144
8.2 Indications. 144
8.3 Contraindications. 144
8.4 Preoperative Considerations. 144
8.5 Preoperative Analysis. 145
8.6 Surgical Technique. 145
8.7 Case Studies. 148
8.7.1 Boxy Tip. 148
8.7.2 Bulbous Tip. 149
9 Alar Reduction and Sculpture.
]. Regan Thomas and M. Eugene Tardy, ]r.
8.7.3 Bifid Tip. 149
8.7.4 Trapezoid Tip. 152
8.7.5 Asymmetrical Tip. 152
8.8 Postoperative Care. 152
8.9 Complications. 152
8.9.1 Bossae Formation. 152
8.9.2 Alar Retraction. 153
8.9.3 Tip Asymmetry. 153
8.9.4 Improper Projection. 154
8.10 Summary. 154
156
9.1
9.2
9.3
9.4
9.5
9.6
9.7
9.8
10
10.1
10.2
10.3
10.4
10.4.1
10.5
10.5.1
10.5.2
10.6
10.6.1
n
11.1
11.1.1
11.1.2
11.2
11.2.1
11.2.2
11.3
11.3.1
11.3.2
11.4
11.4.1
11.4.2
11.4.3
11.4.4
11.4.5
Introduction. 156
Indications. 156
Contraindications. 157
Alternative Techniques. 157
Preoperative Considerations. 157
9.8.1
9.8.2
9.8.3
9.8.4
9.8.5
9.8.6
The Deviated Nose.
Stephen S. Park and William Dougherty
Introduction.
Age.
Preoperative Analysis and Diagnosis
Hans Behrbohm
Photographic Documentation and Computer
Simulation. 198
. 157 9.9
. 157 9.10
. 159 9.11
. 166 10.6.2
. 166 10.6.3
. 166 10.7
. 166 10.8
. 167 10.9
. 167 10.10
. 167 10.10.1
. 168 10.10.2
. 171 10.10.3
10.10.4
. 172
rojected Nose.
. 194 11.4.6
. 194 11.4.7
. 194 11.5
. 195 11.5.1
. 195
. 196 11.5.2
. . 198 11.6
. 198 11.6.1
. 198 11.6.2
.198 11.6.3
. 198 11.7
. 198 11.7.1
. 198 11.7.2
. 198 11.7.3
Internal Nostril Floor Reduction. 159
Wedge Excision Nostril Floor and Sill. 159
Alar Wedge Excision. 159
Alar Flap. 159
Sliding Alar Flap. 159
Key Technical Points. 162
Postoperative Care . 162
Complications . 163
Conclusions. 163
166
173
177
180
180
180
181
181
181
187
187
194
Laboratory Tests. 199
Postoperative Measures. 199
Preoperative Analysis.199
Principles of Surgery for the Overprojected Nose
and Tension Nose. 199
Principal Causes of Overprojection. 199
Operative Strategy. 201
Central Role of the Septum. 204
Intranasal Septal Resection. 205
Principles of Profile Correction and Hump Removal . 206
Complications. 207
Infection. 207
Bleeding. 207
Dislocations. 207
Middle Third Deviations.
Tip Deviations.
Principles of Postoperative Care.
Complications.
Conclusion.
Representative Cases.
Case 1: Mild Dorsal Deviation.
Case 2: Severe Dorsal Deviation .
Case 3: Fractured Dorsum and Twisted Tip
Case 4: Functional Obstruction from
Deviated Dorsum.
vii
Contents
12 The Saddle Nose—Causes and Pathogenesis, Approaches and Operative Techniques,
Principles of Tissue Replacement in the Nose.
Hans Behrbohm
12.1 Introduction. 210
12.2 Indications. 210
12.2.1 Functional Indications. 210
12.2.2 Aesthetic Indications . 210
12.3 Contraindications.211
12.4 Preoperative Preparations and Prerequisites. 211
12.4.1 History. 211
12.4.2 Inspection. 211
12.4.3 Nasal Endoscopy . 213
12.4.4 Palpation . 213
12.4.5 Laboratory Tests. 213
12.5 Preoperative Analysis. 213
12.5.1 Type 1 Pathogenic Mechanism of Saddle Nose.213
12.5.2 Type II Pathogenic Mechanism of Saddle Nose_213
12.5.3 Type III Pathogenic Mechanism of Saddle Nose_ 214
12.6 Surgical Strategy . 214
12.6.1 Reconstruction for Minor Saddling of the
Cartilaginous Dorsum with a Circumscribed
Defect in the Cartilaginous Septum and
Normal Tip Support . 214
13 Rhinoplasty after Cleft Lip Repair.
Wolfgang Gubisch
13.1 Correction of Unilateral Cleft Lip
Nasal Deformity. 226
13.2 Surgical Anatomy. 226
13.3 Indication. 226
13.4 Surgical Principles. 226
13.5 Operative Technique. 226
13.6 Septal Correction, Part 1. 226
13.6.1 Correction of the ANS. 227
13.6.2 Correction of the Bony Pyramid. 227
12.6.2 Reconstruction for Deep Saddling of the
Cartilaginous Dorsum with Extensive Cartilage
Losses or Septal Perforations and Adequate
Tip Support. 215
12.6.3 Harvesting the Donor Cartilage. 215
12.6.4 Reconstruction of the Nasal Dorsum with Severe
Loss of Tip Support. 215
12.7 Guidelines for Tissue Replacement in
the Nose. 215
12.7.1 Graft Requirements. 215
12.7.2 Synthetic Implants. 216
12.7.3 Autologous Grafts . 221
12.7.4 Allografts. 222
12.7.5 Fibrin Glue. 222
12.8 Principles of Implantology in the Nose.222
12.8.1 Harvesting Graft Material. 222
12.8.2 Preparing the Recipient Bed. 223
12.9 Postoperative Care . 223
12.10 Complications. 223
226
13.7 Septal Correction, Part 2. 227
13.7.1 Tip Correction. 227
13.7.2 Correction of the Alar Base. 228
13.8 Case Examples. 228
13.8.1 Case 1. 228
13.8.2 Case 2. 230
Hans Behrbohm
13.9 Psychology, Motivation, Personal Background . 230
13.10 Discussion. 231
14 Nasal Trauma
Oliver Kaschke
14.1 Introduction.234
14.2 Trauma-Relevant Anatomy of thè Nose.234
14.3 Classification of Nasal Trauma.235
14.3.1 Isolated Central Nasal Fractures . 235
14.3.2 Naso-orbito-ethmoid Fractures. 236
14.4 Diagnostics.237
14.4.1 Inspection and Palpation. 238
14.4.2 Intranasal Diagnostics . 238
14.4.3 Imaging Diagnostics. 239
14.5 Management of Nasal Traumas. 240
234
14.5.1 Chronological Procedure. 240
14.5.2 Anesthesia. 241
14.5.3 Management of Isolated Central Nose Fractures. 241
14.5.4 Closed Repositioning Techniques. 242
14.5.5 Open Repositioning Techniques. 242
14.5.6 Management of Nasal Traumas in Children. 243
14.5.7 Management of Naso-orbito-ethmoid Fractures . 244
14.5.8 Management of Soft-Tissue Injuries to the Nose. 245
14.6 Long-Term Complications following
Nasal Traumas. 245
15 Postoperative Care and Management
Oliver Kaschke
15.1 Introduction. 248
15.2 Intraoperative Management. 248
248
15.2.1 Internal Dressing. 248
15.2.2 External Dressing. 249
viii
Contents
15.3 Postoperative Management. 250
15.3.1 First Postoperative Day. 250
15.3.2 Early Postoperative Period. 250
15.3.3 Typical Reactions and Clinical Signs in the
Early Postoperative Period. 251
.3.4 Measures during the First Postoperative Week — 252
.3.5 Measures after the First Postoperative Week. 252
.3.6 Pharmacological Therapy. 253
.3.7 Late Postoperative Period. 253
.3.8 Treatment Strategy during the Late
Postoperative Period. 254
15.
15.
15.
15
15, |
| any_adam_object | 1 |
| author | Behrbohm, Hans 1955- Tardy, M. Eugene 1934- Behrbohm, Wibke Capone, Randolph B. |
| author_GND | (DE-588)109744748 (DE-588)172412765 (DE-588)102352743X |
| author_facet | Behrbohm, Hans 1955- Tardy, M. Eugene 1934- Behrbohm, Wibke Capone, Randolph B. |
| author_role | aut aut aut aut |
| author_sort | Behrbohm, Hans 1955- |
| author_variant | h b hb m e t me met w b wb r b c rb rbc |
| building | Verbundindex |
| bvnumber | BV044319241 |
| classification_rvk | YI 6977 |
| ctrlnum | (OCoLC)959575638 (DE-599)HBZHT019153662 |
| discipline | Medizin |
| edition | Second edition |
| format | Book |
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| genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content |
| genre_facet | Aufsatzsammlung |
| id | DE-604.BV044319241 |
| illustrated | Illustrated |
| indexdate | 2024-09-10T02:13:54Z |
| institution | BVB |
| isbn | 9783131319128 3131319127 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-029722748 |
| oclc_num | 959575638 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-19 DE-BY-UBM |
| owner_facet | DE-355 DE-BY-UBR DE-19 DE-BY-UBM |
| physical | xv, 262 Seiten 632 Illustrationen 31 cm x 23 cm |
| publishDate | 2017 |
| publishDateSearch | 2017 |
| publishDateSort | 2017 |
| publisher | Thieme |
| record_format | marc |
| spelling | Behrbohm, Hans 1955- Verfasser (DE-588)109744748 aut Essentials of septorhinoplasty philosophy - approaches - techniques Hans Behrbohm, MD, PhD, M. Eugene Tardy, jr., MD, FACS ; with contributions from: Wibke Behrbohm, Randolph B. Capone [und 17 weiteren] Second edition Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme [2017] xv, 262 Seiten 632 Illustrationen 31 cm x 23 cm txt rdacontent n rdamedia nc rdacarrier Nasenchirurgie (DE-588)4714940-1 gnd rswk-swf HNO-Heilkunde ; Fachdisziplin (DE-588)4143413-4 Aufsatzsammlung gnd-content Nasenchirurgie (DE-588)4714940-1 s DE-604 Tardy, M. Eugene 1934- Verfasser (DE-588)172412765 aut Behrbohm, Wibke aut Capone, Randolph B. (DE-588)102352743X aut Erscheint auch als Online-Ausgabe 978-3-13-162812-1 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=ec3fcf2b4445495f9fe8a144b4f529fa&prov=M&dok_var=1&dok_ext=htm Inhaltstext Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029722748&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Behrbohm, Hans 1955- Tardy, M. Eugene 1934- Behrbohm, Wibke Capone, Randolph B. Essentials of septorhinoplasty philosophy - approaches - techniques Nasenchirurgie (DE-588)4714940-1 gnd |
| subject_GND | (DE-588)4714940-1 (DE-588)4143413-4 |
| title | Essentials of septorhinoplasty philosophy - approaches - techniques |
| title_auth | Essentials of septorhinoplasty philosophy - approaches - techniques |
| title_exact_search | Essentials of septorhinoplasty philosophy - approaches - techniques |
| title_full | Essentials of septorhinoplasty philosophy - approaches - techniques Hans Behrbohm, MD, PhD, M. Eugene Tardy, jr., MD, FACS ; with contributions from: Wibke Behrbohm, Randolph B. Capone [und 17 weiteren] |
| title_fullStr | Essentials of septorhinoplasty philosophy - approaches - techniques Hans Behrbohm, MD, PhD, M. Eugene Tardy, jr., MD, FACS ; with contributions from: Wibke Behrbohm, Randolph B. Capone [und 17 weiteren] |
| title_full_unstemmed | Essentials of septorhinoplasty philosophy - approaches - techniques Hans Behrbohm, MD, PhD, M. Eugene Tardy, jr., MD, FACS ; with contributions from: Wibke Behrbohm, Randolph B. Capone [und 17 weiteren] |
| title_short | Essentials of septorhinoplasty |
| title_sort | essentials of septorhinoplasty philosophy approaches techniques |
| title_sub | philosophy - approaches - techniques |
| topic | Nasenchirurgie (DE-588)4714940-1 gnd |
| topic_facet | Nasenchirurgie Aufsatzsammlung |
| url | http://deposit.dnb.de/cgi-bin/dokserv?id=ec3fcf2b4445495f9fe8a144b4f529fa&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029722748&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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