Structure rhinoplasty:: lessons learned in 30 years Volume 1
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Chicago
DMT Solutions
[2019]
|
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | xxix, 684, 17 Seiten Illustrationen |
Internformat
MARC
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| 100 | 1 | |a Toriumi, Dean M. |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Structure rhinoplasty: |b lessons learned in 30 years |n Volume 1 |c Dean M. Toriumi, MD |
| 264 | 1 | |a Chicago |b DMT Solutions |c [2019] | |
| 300 | |a xxix, 684, 17 Seiten |b Illustrationen | ||
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Datensatz im Suchindex
| _version_ | 1804180009860988928 |
|---|---|
| adam_text | Within each chapter you will find the following marginal icons:
(£)
(Dean’s app) (Video) (Case video)
These elements are numbered consecutively within each chapter, and correspond to content found on
the app that accompanies this book.
i Becoming a Better Rhinoplasty Surgeon: An Overview of My
Personal Evolution 1
The Importance of Computer Imaging 1
The Importance of Rhinoplasty Worksheets 2
The Importance of Photodocumentation 4
Photography Setup and Equipment 6
Three-Dimensional Computer Imaging 13
Intraoperative Photography and Video 15
Open Structure Rhinoplasty: Looking Back 25
Observations and Improvements to Technique 25
Anesthetic Injections of the Nose 25
Vascular Supply to the Nose 30
Improving My Columellar Scars 31
Inverted-VTranscolumellar Incision Versus Stair-Step Incision 37
Placement of the Transcolumellar Incision 42
Opening the Nose 48
Closing the Nose 53
Postoperative Loss of NasalTip Projection 56
Endonasal Approach to the Nose 59
xix
XX
Contents
3 Septoplasty, Septal Deviations, and Subtotal Septal Reconstruction 93
Incisions for Septoplasty 95
Surgical Options to Correct Septal Deviation 96
Swinging Door Maneuver 96
Fracture to Correct Minor Deviation of the Nasal Spine 97
External Rhinoplasty Approach to Treat Severe Caudal
Septal Deviation 98
Approaching Septum From Above 102
Importance of Dissection in Subperichondrial Plane During Septoplasty 112
Subtotal Septal Reconstruction 116
Fixation of Caudal Septal Replacement Grafts 126
Extended Spreader Grafts and Intraoperative Measurements 140
Sequence of Septal Work and Osteotomies 152
Managing Disruption of Keystone Area 158
Managing the Nasal Profile and Bony Nasal Vault 167
Radix Grafts to Balance Profile and Maximize Dorsal and Tip Projection 168
Pollybeak Deformity 187
Dorsal Hump 194
Dorsal Hump Composition 194
Dorsal Hump Reduction 195
Leaving or Creating a Dorsal Hump 205
Rasping the Dorsum to Manage Dorsal Hump 221
Power Bur to Manage Dorsal Hump 230
Managing the High Radix 234
Osteotomies After Dorsal Hump Reduction 242
Osteotomies and Nasal Obstruction 278
3 Stabilizing the Nasal Base and Caudal Septal Extension Grafts 279
Evolution of Caudal Septal Extension Graft 279
Columellar Strut 281
Caudal Septal Extension Graft Configurations 303
Rectangular-Shaped Caudal Septal Extension Graft 303
Wide-Base Caudal Septal Extension Graft 311
Caudal Septal Replacement Graft With Advancement of
Medial Crura 325
Contents
Superiorly Based End-to-End Caudal Septal Extension Graft 339
Tongue in Groove”Technique to Set Medial Crura Back on Caudal
Septum 340
Flared-Base Caudal Septal Replacement Graft 387
CaudalSeptal Replacement Graft With Splinting Grafts
Over Nasal Spine 392
Spreader Grafts and Middle Nasal Vault Reconstruction 417
Nasal Bone Length and Middle Vault Stability 417
Maximal Stabilization of Middle Vault 419
Assessing Middle Vault Stability 419
Measuring Middle Vault Width 420
Modifications in Middle Vault Reconstruction to Avoid the Wide Nose 426
Middle Vault Open (MVO) and Middle Vault Intact (MVI) Placement
of Spreader Grafts 440
Spreader Flaps 457
Managing the Deviated/Asymmetric Nose Deformity 461
Common Asymmetries of the Nose 461
Misalignment of Radix With Nose and Upper Lip 461
Asymmetries in the Nasal Base 475
Managing Acute Nasal Trauma 488
Managing Uncomplicated Nasal Fractures 488
Closed Reduction Nasal Fracture 497
Special Considerations With Closed Reduction Approach 501
Open Reduction Nasal Fracture 502
Endonasal Rhinoplasty Approach to Correct Deviated Nose 503
Importance of Learning Endonasal Approach 514
Osteotomies to Manage Bony Nasal Vault 515
Spreader Grafts to Correct Deviations of Middle Nasal Vault 542
Managing Deviated Nasal Base or Tip With Caudal Septal Reconstruction 578
xxii
Contents
8 Costal Cartilage Grafting and Dorsal Nasal Augmentation 603
The Shift From Auricular Cartilage to Costal Cartilage 603
Initial Problems Using Costal Cartilage 608
Managing Warping in Costal Cartilage 610
Fixation Methods of Dorsal Graft to Nasal Dorsum 621
Curvature of Grafts 638
Patient Age and Effect on Cartilage Warping 640
Diced Cartilage Fascia Graft as Alternative to Costal Cartilage
to Avoid Warping 652
Problems and Solutions With Costal Cartilage 667
Warping of Dorsal Graft 667
Chest Scar and Pain 667
Small Chest Incision 668
Selection of Rib 669
Tips for FIarvesting Rib and Perichondrium 672
Closure of Rib Harvest Site 680
Importance of Intraoperative Measurements When Using Costal Cartilage 681
Progression of Nasal Tip Surgery 685
Ideal Nasal Tip Shape 688
Achieving Ideal Nasal Tip Shape With Surgery 693
Anatomic Factors to Consider to Achieve Favorable Shadowin
of Nasal Tip 695
Managing the Bulbous NasalTip 698
Controlling Favorable Orientation or Tilt of the Lateral Crur,-. 712
Repositioning Medial Crural-Columellar Complex to Treat Hanging Tip
Lobule and Long Nose 828
Increasing Tip Projection in Patient With Acute Nasolabial Angle 848
Managing the Ptotic NasalTip 871
Caudal Septal Extension Graft to Treat Overrotated Nasal Tip 894
Lengthening the Short Nose 908
From Shield Tip Graft to Releasing and Repositioning Tip Cartilages 928
Controlling Lobular Prominence 971
DomalTransection Suture Fixation and Repositioning 984
Lateral Crural Replacement in the Unilateral Cleft Lip Nasal
Deformity 1001
Contents
xxm
10 Secondary Rhinoplasty and Complex Nasal Deformities 1037
Secondary Rhinoplasty 1037
Patient Selection 1045
Intranasal Endoscopic Examination 1056
Graft Material 1057
Nasal Bone Deformities 1119
Reconstruction of the Middle Nasal Vault 1123
Addressing Thin Dorsal Nasal Skin 1124
Correction of Septal Perforation 1152
Stabilization of the Nasal Base 1158
Nasal Tip Reconstruction 1160
Replacement of Internal Lining 1255
Correction of Severe Alar Retraction 1286
Correction of Nasal Vestibular Stenosis 1296
Revision Rhinoplasty: Revising Your Own Cases 1308
Complex Nasal Deformities 1359
Cocaine Nose 1359
Perichondrial-Cutaneous Auricular Graft for Internal Lining 1366
11 Ethnic Rhinoplasty: Emphasis on the Asian Nose and
the Black Nose 1395
Asian Augmentation Rhinoplasty 1395
Alloplastic Implants for Augmentation 1395
Evolution of Aesthetic Desires of Asian Patient Population 1396
Importance of Computer Imaging 1397
Glabellar Augmentation 1398
Septal and Auricular Grafting Material 1411
Using Costal Cartilage for Asian Augmentation Rhinoplasty 1418
Asian Augmentation Rhinoplasty Strategy 1420
Augmentation Rhinoplasty in the Black Patient 1525
Managing the Nasal Tip in the Black Patient 1534
Management of Nasal Base and Alar Base 1544
Importance of Preserving Natural Features in Ethnic Rhinoplasty 1629
XXIV
Contents
12 Final Parting Notes 1643
Benefit of Compartmentalizing the Nose 1643
Three Stages of Healing After Rhinoplasty 1645
My Position on the Use of Fillers in the Nose 1684
Benefit of Cartilage-Banking in the Postauricular Hairline 1694
Benefit of Postoperative Compression Exercises 1703
Preventing Warping in Costal Cartilage 1715
Postoperative Nasal Exercises and Steroid Injections to Improve
Results and Healing 1718
Managingthe Underprojected Chin 1719
Technique for Implant Placement 1724
Potential Implant Complications 1724
Autologous Fat Injection for Minor Augmentation 1724
Postoperative Sequelae and Complications 1727
Managing Functional Problems 1729
Importance of Treating the Lateral Wall 1742
Management of Postoperative Infection 1747
Office and Operating Room Team and Instruments 1754
Mentors 1756
The Future of Rhinoplasty 1757
Photographic Documentation 1757
Patient-Reported Outcome Measures and 3-D Imaging 1757
Alloplastic Implants and Costal Cartilage 1759
Injectable Fillers in the Nose 1759
Microfat or Nanofat-Infused Soft Tissue Augmentation (MISTA) and
Microfat or Nanofat Inferior Turbinate Augmentation (MITA) 1759
Dean s App 1769
13 Clinical Case Studies 1809
Case 13-1 Patient with an overprojected nasal tip, dorsal hump, and bulbous
nasal tip 1809
Case 13-2 Patient with a deviated nose with underprojected tip and
asymmetric nostrils 1824
Case 13-3
Patient with long and large deviated nose with nasal
obstruction 1831
Contents
xxv
Case 13-4
Case 13-5
Case 13-6
Case 13-
Case 1
Case 1
Case 13-10
Case 13-11
Case 13-12
Case 13-
Case 13 1.1
Case 13-15
Case 13-16
Case 13-17
Case 13-18
Case 13-19
Case 13-20
Patient with underprojected wide nose with bulbous
nasal tip 1843
Patient with saddle-nose deformity with deviation and
collapse 1852
Ptotic nasal tip and deviated nasal bones in previously operated,
mature patient 1861
Overprojected tension nose deformity with dorsal hump and
deviation 1869
Patient with severely deviated septum and nasal obstruction who
underwenttwo previous septoplasties 1877
Younger patient with a bulbous nasal tip and obtuse nasolabial
angle 1887
Mature patient with unilateral cleft lip nasal deformity and
severely underprojected nasal tip 1899
Young patient with deviated nose and nasal obstruction 1908
Secondary rhinoplasty patient with underprojected nasal tip
and saddle deformity 1914
Secondary rhinoplasty patient presenting with an infected
Gore-Tex implant 1924
i atient presenting with a Mohs defect after excision of a basal
cell skin cancer requesting simultaneous closure of the defect and
rhinoplasty 1942
Patient presenting with dorsal hump and bulbous nasal tip 1952
Patient with recent nasal fracture, ptotic tip, and caudal septal
deviation 1960
Secondary rhinoplasty with deviation and ptotic nasal tip 1969
Secondary rhinoplasty in patient with alar retraction and tip
deformity and filler injections 1979
Secondary rhinoplasty in patient with overrotated tip lobule, alar
retraction, and pinched middle nasal vault 1989
Secondary rhinoplasty with nasal obstruction and alar base
overreduction deformity 2002
XXVI
Contents
Case 13-21
Case 13-22
Case 13-23
Case 13-24
Case 13-25
Case 13-26
Case 13-27
Case 13-28
Case 13-29
Case 13-30
Case 13-31
Case 13-32
Case 13-33
Case 13-34
Case 13-35
Secondary rhinoplasty in Asian patient with short nose,
overrotated tip, severely retracted ala, and soft tissue triangle
facet deformity 2011
Secondary rhinoplasty in a patient with concave right lateral crus
and nasal obstruction 2028
Primary rhinoplasty with bulbous nasal tip showing multiple
options for management 2042
Secondary rhinoplasty patient with a narrow nose and pinched,
underprojected nas 2055
Secondary rhinoplas y patient with ptotic, pinched nasal tip
and nasal obstruction 2057
Primary rhinoplasty patient with a dorsal hump and
long nose 2076
Deviated nose with septal perforation 2089
Primary functional rhinoplasty with no cosmetic changes
performed endonasally 2100
Secondary rhinoplasty with short nose and alar retraction 2113
Secondary rhinoplasty in patient with an underprojected
nasal tip, congenitally small right nostril, and a deviated dorsal
implant 2125
Saddle-nose deformity repair in patient who underwent previous
septoplasty 2138
Secondary rhinoplasty patient with saddle-nose deformity and
vestibular stenosis 2154
Patient with a deviated nose, underprojected chin, and
asymmetric face 2176
Secondary rhinoplasty patient with nasal obstruction, short nose,
and overrotated nasal tip 2193
Patient with bilateral cleft lip nasal deformity and severe nasal
vestibular stenosis 2204
Contents
xxvii
44 Video Case Studies 2217
Case 14-1 Primary septorhinoplasty with dorsal hump and tension nose
deformity 2218
Case 14-2 Male patient with underprojected nasal tip and large dorsal
convexity 2224
Case 14-3 Ethnic rhinoplasty with underprojected nasal tip and wide nasal
base 2229
Case 14-4 Primary septorhinoplasty on patient with overprojected nasal tip
and long, narrow nose 2238
Case 14-5 Secondary rhinoplasty on patient with overrotated, short
nose 2249
Case 14-6 Secondary rhinoplasty on patient with pinched asymmetric tip
and poilyheak deformity 2258
Case 14-7 Primary rhinoplasty on patient with dorsal hump and dramatically
overprojected nasal tip 2266
Case 14-8 Secondary rhinoplasty patient with supratip deformity and tip
deformity with nasal obstruction 2274
Case 14-9 Patierr Ml:h severely contracted, short nose with subtotal septal
per for ■ • caused by prior cocaine use 2282
Case 14-10 Seconds y rhinoplasty patient with severely deviated nose with
adequate septum for reconstruction 2291
Case 14-11 Patient with deviated nose and alar deformity with external nasal
valve collapse 2299
Case 14-12 Patient who suffered nasal fracture and deviated nose with
disruption of the keystone area at time of surgery 2307
Case 14-13 Asian Augmentation rhinoplasty with major dorsal augmentation
and correction of short nose deformity 2314
Case 14-14 Secondary rhinoplasty patient with ptotic tip and severe nasal
obstruction 2325
xxviii
Contents
Case 14-15
Case 14-16
Case 14-17
Case 14-18
Case 14-19
Case 14-20
Case 14-21
Case 14-22
Case 14-23
Case 14-24
Case 14-25
Case 14-26
Case 14-27
Patient with bilateral cleft lip nasal deformity and severely
underprojected nasal tip 2333
Secondary rhinoplasty patient with severe alar retraction and
notching and short nose deformity 2340
Primary rhinoplasty patient with dorsal hump, bulbous tip, and
thicker skin 2353
Primary rhinoplasty patient with dorsal hump, low radix, and
underprojected nasal tip 2363
Patient with cleft lip nasal deformity who underwent multiple
previous rhinoplasties 2370
Secondary rhinoplasty in Asian patient with extruding Medpor
implant 2382
Secondary rhinoplasty patient with deviation, middle vault
collapse, and severe nasal obstruction 2394
Asian patient who underwent multiple filler injections
( nonsurgical rhinoplasty ) with resultant deformity 2404
Patient with saddle-nose deformity and underprojected nasal
tip treated with costal cartilage that warped, requiring revision
surgery 2417
Patient who underwent previous rhinoplasty presenting with
Mohs surgery defect after excision of a basal cell carcinoma of
her left nasal tip treated with forehead flap reconstruction 2431
Patient with severely deviated nose and underprojected nasal tip
with severe nasal obstruction 2445
Patient who underwent previous rhinoplasties with severe
alar retraction and saddle-nose deformity with nasal
obstruction 2452
Patient with unilateral left cleft lip nasal deformity,
underprojected tip, and nasal obstruction 2461
Contents
xxix
Case 14-28 Patient with severe nasal obstruction, deviation, and thin
skin 2470
Case 14-29 Patient with severe nasal obstruction, deviation, and under¬
projected nasal tip 2479
Case 14-30 Patient with severe alar retraction and short nose deformity after
nasal trauma 2487
Case 14-31 Black patient with hanging tip lobule, wide nasal base, and under-
projected chin 2496
Case 14-32 Asian patient with impending extrusion of Silastic implant 2505
Case 14-33 Patient with granulomatosis with polyangiitis (Wegener s
granulomatosis) and severely contracted short nose 2514
Case 14-34 Patient with subtotal septal perforation and near-complete
Index 1-1 columellar defect 2527
|
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| publisher | DMT Solutions |
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| spelling | Toriumi, Dean M. Verfasser aut Structure rhinoplasty: lessons learned in 30 years Volume 1 Dean M. Toriumi, MD Chicago DMT Solutions [2019] xxix, 684, 17 Seiten Illustrationen txt rdacontent n rdamedia nc rdacarrier (DE-604)BV045867768 1 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=031251123&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Toriumi, Dean M. Structure rhinoplasty: lessons learned in 30 years |
| title | Structure rhinoplasty: lessons learned in 30 years |
| title_auth | Structure rhinoplasty: lessons learned in 30 years |
| title_exact_search | Structure rhinoplasty: lessons learned in 30 years |
| title_full | Structure rhinoplasty: lessons learned in 30 years Volume 1 Dean M. Toriumi, MD |
| title_fullStr | Structure rhinoplasty: lessons learned in 30 years Volume 1 Dean M. Toriumi, MD |
| title_full_unstemmed | Structure rhinoplasty: lessons learned in 30 years Volume 1 Dean M. Toriumi, MD |
| title_short | Structure rhinoplasty: |
| title_sort | structure rhinoplasty lessons learned in 30 years |
| title_sub | lessons learned in 30 years |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=031251123&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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