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Rhinoplasty, 1st Edition. A Case-based approach

Husain Ali Khan, Behnam Bohluli, Foad Nahai, James D. Frame, Shahrokh C. Bagheri
ISBN: 9780323697750
ISBN: 9780323697750
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A valuable resource for cosmetic and reconstructive surgeons at all levels of training and expertise, Rhinoplasty: A Case-Based Approach offers systematic, expert coverage of both common and complex  rhinoplasty procedures performed in today’s practice. Each chapter offers a carefully written teaching case that outlines essential information related to fundamental aspects of the condition—all from the world’s leading experts in rhinoplasty and aesthetic surgery. Numerous high-quality illustrations and procedural videos help you master the techniques that lead to optimal outcomes and increased patient satisfaction.
Key Features
  • Presents more than 150 teaching cases that represent the full range of today’s practice of cosmetic surgery. Cases are ones most commonly seen, or those that have significant implications for modern clinical practice.
  • Provides the presentation, physical exam findings, and laboratory and imaging studies for each case, along with an analysis of treatment options, complications, selected references, and other relevant information.
  • Reflects real-life clinical perspectives, presenting patients as they would before a surgery, followed by an expert walk-through of the procedure.
  • Features high-quality clinical images and clear anatomical artwork, as well as procedural videos for real-time visual guidance.
  • Shares the experience and knowledge of internationally renowned surgeons who draw from different training backgrounds to provide a multidisciplinary approach to the vast array of patient desires for beauty and functionality.
  • Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Author Information
By Husain Ali Khan, MD, DMD, FACS, Oral and Maxillofacial Surgeon, Georgia Oral and Facial Reconstructive Surgery, Alpharietta, Georgia ; Foad Nahai, MD, FACS, Clinical Professor, Emory University Private Practice, Paces Plastic Surgery and Recovery Center, Atlanta, GA; James D. Frame, FRCS, FRCS (Plast.), Consultant Plastic Surgeon, Professor of Aesthetic Plastic Surgery, Director of Cosmetic and Aesthetic Surgery, Springfield Hospital, Chelmsford, Essex, UK Consultant Plastic Surgeon, Professor of Aesthetic Plastic Surgery, School of Medicine, Anglia Ruskin University, Chelmsford, Essex, UK ; Shahrokh C. Bagheri, BS, DMD, MD, FACS, FICD, Chief, Division of Oral and Maxillofacial Surgery, Department of Surgery, Northside Hospital, Georgia Oral and Facial Surgery, and Eastern Surgical, Associates and Consultants and Behnam Bohluli, DMD, Oral and Maxillofacial Surgery, University of Toronto, Toronto, Ontario, Canada

Περιεχόμενα

A valuable resource for cosmetic and reconstructive surgeons at all levels of training and expertise, Rhinoplasty: A Case-Based Approach offers systematic, expert coverage of both common and complex  rhinoplasty procedures performed in today’s practice. Each chapter offers a carefully written teaching case that outlines essential information related to fundamental aspects of the condition—all from the world’s leading experts in rhinoplasty and aesthetic surgery. Numerous high-quality illustrations and procedural videos help you master the techniques that lead to optimal outcomes and increased patient satisfaction.
  • Cover image
  • Title page
  • Table of Contents
  • Any screen, Any time, Anywhere
  • Copyright
  • List of Contributors
  • Preface
  • Tribute to Jack P. Gunter, MD
  • Section 1: Introduction
  • 1. Ethnicity, Race and Culture: Its Influence on Rhinoplasty
  • Formation of Ancient Civilizations
  • Defining of Different Races, Cultures, and Ethnicity
  • Mixtures of Races
  • Race, Culture, and Ethnicity in Rhinoplasty
  • Further Reading
  • 2. Nasal Anatomy
  • Abstract
  • Anatomy of the Nose
  • Physiology
  • Conclusion
  • References
  • Section 2: Patient Assessment
  • 3. The Initial Examination
  • The Problem
  • The Background
  • The Indications
  • The Examination (Table 3.1)
  • The Limitations and Possible Disadvantages of Diagnostics Tests (Table 3.2)
  • References
  • 4. Photography in Rhinoplasty
  • Introduction
  • Basic Concepts for Standard Photography
  • Advanced Use of Pictures
  • References
  • 5. Three-Dimensional Imaging in Rhinoplasty
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • Choosing Imaging Technology for Rhinoplasty
  • The Pearls
  • References
  • Section 3: Nasal Airway Obstruction
  • Part I: Septoplasty
  • 6. Conservative/Simple Septoplasty
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Alternatives
  • References
  • 7. Advanced Septoplasty: Correction of Caudal Septal Deflection
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Indications
  • The Surgery
  • The Limitations and Possible Complications
  • The Pearls
  • References
  • 8. Advanced Septoplasty: Correction of Dorsal Deflections
  • The Problem
  • The Background
  • The Indications
  • Linear
  • The Patient
  • The Surgery
  • References
  • 9. Advanced Septoplasty: Extracorporeal Septoplasty—Septal Reconstruction
  • Abstract
  • Summary
  • Introduction
  • Outcome and Complications
  • Discussion
  • Summary
  • References
  • Part II: Turbinate Hypertrophy
  • 10. Medical Management of Turbinate Hypertrophy
  • Abstract
  • The Problem
  • The Background
  • The Case
  • What is the Medical Treatment of Turbinate Hypertrophy?
  • Conclusion
  • References
  • 11. Functional Turbinoplasty
  • The Problem
  • The Background
  • The Indications
  • The Diagnosis
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • Further Reading
  • 12. Turbinate Reduction Techniques in Rhinoplasty
  • The Problem
  • The Background
  • The Indications
  • The Surgery
  • The Limitations and Possible Complications
  • The Alternatives
  • Conclusions
  • References
  • Section 4: Graft Harvesting Techniques
  • 13. Septal Graft: Preparation of Crushed Cartilage
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • References
  • 14. Septal Graft: Graft Harvesting Technique
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • Preoperative Evaluation
  • The Surgery
  • The Limitations and Possible Complications
  • The Alternatives
  • 15. Conchal Cartilage Harvest (Anterior Approach)
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 16. Conchal Cartilage Harvest (Postauricular Approach)
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 17. Technique for Harvesting Deep Temporal Fascia
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgical Approach
  • The Name of the Technique
  • The Complications
  • References
  • 18. Temporalis Fascia: Neck Hairline Incision
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • References
  • 19. Costal Cartilage Harvest
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • Section 5: The Dorsum
  • Part I: Overprojected Dorsum
  • 20. Composite Hump Resection
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • Composite Removal of Large Dorsal Hump
  • Alternative Techniques
  • The Alternatives
  • References
  • 21. Component Hump Reduction With Midvault Reconstruction
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery (Table 21.1; Fig. 21.1)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 22. Component Hump Resection With Placement of Spreader Grafts
  • Abstract
  • Disclosure Statement
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 23. Dorsal Hump Reduction With Simple Suturing
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 24. Dorsal Hump Deformity in Compromised Internal Valve
  • The Background
  • The Patient
  • The Problem
  • The Limitations and Possible Complications
  • The Alternative Techniques
  • The Pearls and Pitfalls
  • References
  • Part II: Nasal Radix Augmentation
  • 25. Nasal Radix Augmentation With Crushed Cartilage
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • References
  • 26. Nasal Radix Augmentation With Temporalis/Mastoid Fascia Harvested Through Postauricular Approach
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 27. Dorsal Nasal Augmentation With Fascia Overlying Crushed Cartilage (Sandwich Technique)
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery (Overview of All Procedures)
  • The Surgery (Focused on Sandwich Technique)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 28. Internal Lateral and Medial Osteotomy
  • The Problem
  • The Background
  • The Indications
  • The Case
  • The Surgical Steps
  • The Surgical Steps (Focused on Internal Osteotomy)
  • The Composites
  • Main Technique
  • The Alternatives
  • References
  • 29. External Percutaneous Lateral and Transverse Osteotomies
  • Introduction
  • Method
  • Conclusion
  • References
  • 30. Advances in Rhinoplasty—Piezoelectric Nasal Osteotomy
  • Abstract
  • The Background
  • The Indication
  • The Patient
  • The Surgery
  • References
  • Section 6: Nasal Tip
  • Part I: Tip Refining
  • 31. Suture Tip Rhinoplasty
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • References
  • 32. Boxy Tip: Combination of Techniques
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites (Fig. 32.2)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 33. Tip Grafting
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives (Table 33.3)
  • References
  • Part II: Overprotected Tip
  • 34. Lateral Crural Overlay
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites (Fig. 34.2)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 35. Medial Crural Overlay
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites (Fig. 35.2)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 36. Dome Division
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites (Fig. 36.3)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • Part III: Tip Underprojection
  • 37. Structural Reconstruction in Difficult Secondary Cases
  • The Problem
  • Surgical Technique
  • The Patient
  • References
  • 38. Dorsum Reconstruction and Osteoplasty Using Hand Instruments
  • The Problem
  • Surgical Technique
  • The Patient
  • References
  • 39. Lateral Crural Steal (LCS)
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery (General LCS Technique)
  • The Composites (Fig. 39.2)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 40. Creating Adequate Projection With Closed Rhinoplasty
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites (Figs. 40.1–40.14)
  • The Limitations and Possible Complications (Table 40.2)
  • The Alternatives (Table 40.3)
  • References
  • Part IV: Elongation of Short Nose
  • 41. Dynamic Adjustable Rotational Tip Tensioning Technique
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 42. Tongue and Groove Technique for Nose Elongation
  • The Problem
  • The Background
  • The Indications
  • The Surgery
  • Surgical Technique in Detail
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 43. Tongue-in-Groove Technique
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • Part V: Underrotated Tip
  • 44. Tip Rotating in a Droopy Tip: Endonasal Approach
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites (Fig. 44.3)
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 45. Reductive Rhinoplasty
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • Disclaimer
  • References
  • Part VI: Cephalic Malpositioning
  • 46. Cephalic Malpositioning: Use of Lateral Crural Strut Graft
  • Abstract
  • The Problem
  • The Background
  • Characteristics of LCC Position
  • Surgical Correction of LLC Cephalic Position
  • References
  • 47. Cephalic Malpositioning: Use of Alar Contouring Grafts
  • The Problem
  • The Background
  • Alternatives to the Alar Region Graft
  • The Composites
  • References
  • Section 7: Nasal Base Surgery
  • 48. Alar Preservation Rhinoplasty
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • Surgical Technique
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 49. Correction of the Wide Nasal Base
  • The Problem
  • The Background
  • The Patients
  • The Surgery (Table 49.1; Fig. 49.3; Video 49.1)
  • The Alternatives
  • 50. Nasal Base Modification
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery (Focused on Nasal Base Modification With Pyriform Ligament Release)
  • Surgical Steps
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • Section 8: Preservation Rhinoplasty
  • 51. Lateral Crural Turn-In Flap (Preservation Tip Plasty)
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • The Composites (Fig. 51.3)
  • References
  • 52. Preservation Rhinoplasty (Tip Plasty)
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 53. K-Area Preservation in Primary Rhinoplasty
  • Introduction
  • Principles and Concepts
  • References
  • 54. Dorsal Preservation in Rhinoplasty: A Deviated Nose
  • Abstract
  • The Background
  • The Indications
  • The Surgical Technique
  • Limitations and Complications
  • The Alternative Techniques
  • References
  • Section 9: Nonsurgical Rhinoplasty
  • 55. Fat Grafting for Rhinoplasty
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 56. Medical Aesthetic Rhinoplasty—Liquid Rhinoplasty
  • Introduction
  • Case Reports
  • Background
  • Injecting HA
  • The Limitations and Possible Complications
  • References
  • Section 10: Ethnic Rhinoplasty
  • 57. Dorsal Augmentation Using Glued Diced Costal Cartilage With Fascial Cap in Asian Nose
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 58. Indo-Aryan Nose
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 59. The Middle Eastern Nose
  • The Clinical Problem
  • Background: Defining the Middle Eastern Nose
  • The Patients
  • The Surgery
  • References
  • 60. The Persian Nose: Characteristics and Management
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surger
  • Name of Technique
  • Purpose
  • Indications
  • Effects
  • Surgical Technique in Detail
  • References
  • 61. Latino Nose
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 62. Grecian Nose
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 63. Rhinoplasty in the Caucus Nose
  • Background
  • The Problem
  • Indications
  • The Patients
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • References
  • 64. Russian Nose
  • Abstract
  • The Problem
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 65. Northern European Nose
  • Abstract
  • The Problem
  • The Background
  • The Patient
  • The Indications
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 66. The English Nose
  • Abstract
  • The Problem
  • The Background—Defining the “English Nose”
  • The Assessment
  • The Surgical Procedure
  • References
  • 67. African American Nose
  • The Problem
  • The Background
  • The Indications
  • The Patients
  • The Surgery
  • The Limitations and Possible Complications (Table 67.3)
  • The Alternatives
  • 68. Hispanic Nose
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 69. Brazilian Nose
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 7070. The Mixed Race Nose (Mestizo Nose)
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Advantages and Possible Complications
  • The Alternatives
  • References
  • Section 11: Complicated Rhinoplasty
  • 71. Crooked Nose: Effective Treatment Strategies for Bony Contouring
  • Introduction
  • Anatomic and Clinical Considerations
  • Types of Osteotomies
  • Nasal Bony Reshaping
  • Conclusions
  • References
  • 72. Rhinoplasty in Thick-Skinned Patients
  • Abstract
  • The Problem
  • The Background
  • The Patient (Composites 1, 2)
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 73. Rhinoplasty in the Aging Nose
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery (Focused on the Aging Nose)
  • The Composites
  • Limitations and Possible Complications
  • The Alternatives
  • References
  • 74. Rhinoplasty in Cleft Lip and Palate Patients
  • Abstract
  • Introduction
  • Anatomy
  • Surgical Timing in CLP Patients
  • Secondary Repair: Incisions and Technique
  • References
  • 75. Simultaneous Orthognathic and Rhinoplasty Surgery
  • The Problem
  • The Background
  • The Indications
  • The Contraindications
  • The Patient
  • The Procedure
  • Surgical Steps
  • The Considerations
  • The Limitations and Possible Complications
  • The Alternatives
  • Further Reading
  • Section 12: Complications and Revision Rhinoplasty
  • 76. Management of the Ischemic Nose
  • Abstract
  • The Problem
  • Background and Anatomy
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • References
  • Part I: Tip Deformities
  • 77. Alar Pinch Deformity
  • General Condition of the Patient and Family History
  • Iatrogenic APD
  • Preoperative Analysis
  • Surgery
  • References
  • 78. Correction of the Pinch Deformity by Alar Batten Graft
  • The Problem
  • Introduction
  • Indications
  • Case Presentation
  • Surgical Steps
  • Surgical Steps (Focused on Alar Batten Graft)
  • The Composites
  • Limitations and Possible Complications
  • Alternative Techniques for Medial Osteotomy
  • References
  • Part II: Dorsal Deformities
  • Part II Dorsal Deformities 7979. Correction of Overresection With Crushed Cartilage
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • References
  • 80. Correcting the Overresected Nose
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • 81. Correction of Overresection With Non-Rib Cartilage Wrapped in Fascia
  • Abstract
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Limitations and Possible Complications
  • The Alternatives
  • Further Reading
  • 82. Correction of Overresection With Diced Cartilage Injection
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • References
  • 83. Diced Cartilage Glue Graft for Nasal Augmentation
  • The Problem
  • The Background
  • The Indications
  • The Patient
  • The Surgery
  • The Composites
  • The Limitations and Possible Complications
  • The Alternatives
  • References
  • Index
  • Confidence is ClinicalKey

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