Full Description
This book presents the cutting edge in Asian septorhinoplasty using only autogenous tissue and explains how to achieve high-end results consistently. To date, dorsal alloplastic implants have predominated in Asian rhinoplasty, leading to iatrogenic complications such as a foreshortened nose and destruction of the remaining septum. The lower two-thirds of the nose can be enhanced anteriorly and caudally by means of septorhinoplasty using autogenous grafts only in Asians with relatively small noses. Septal L-strut extension, comprising a caudally extended septal batten graft and an anteriorly extended spreader graft, stabilizes and supports a septum-dependent dorsum and tip, reducing the need for alloplastic implants. The septal L-strut extension graft is indicated in primary cases when the bony dorsum is acceptable but the cartilaginous dorsum is relatively hypoplastic, and in secondary cases with an iatrogenic short-nose deformity due to alloplastic implants. The book describes this approach in detail and in addition presents autogenous solutions for the upper third of the nose and various specific circumstances.
Contents
1. Planning the safe surgery.- 1) planning: What to see, what to hear, what to decide.- 2) functional considerations: CT , endoscopic evaluations.- 3) The PINF: potentially infective nasal flora.- 4) primary nose vs secondary nose.- 2. Septal surgery.- 1) A to z of septal dissection for the plastic surgery.- 2) submucous resection: achieving the maximal amount.- 3) the wise harvest.- 4) the viewpoints of secondary septal procedure.- 3. Controllng the Lower 2/3.- 1) achieving the dorsal esthetic line.- 2) the foundation of septal surgery: ANS and PSA.- 3) the caudal septal extension graft: the folded cymba concha.- 4) The SLEG: the septal L-strut extension graft.- 4. Controlling the upper 1/3.- 1) Controlling the deviation.- 2) Controlling the hump.- 3) balancing the reduction and augmentation.- 5. Cases: the flow sheet.- 1) deviated nose.- 2) hump nose.- 3) saddle nose.- 4) hypoplastic 2/3.
