Mastering Revision Rhinoplasty (eBook)
400 Seiten
Springer New York (Verlag)
978-0-387-33530-8 (ISBN)
This lavishly illustrated atlas will have wide appeal to the growing number of specialists who perform rhinoplasty (aesthetic and/or reconstructive surgery of the nose). In addition to plastic surgeons, ENT/otolaryngologists, head & neck surgeons, dermatologists and even oral surgeons are now incorporating rhinoplasties into their practices. Over 350,000 rhinoplasties were performed in 2003, and as the number of cases increases, so does the number of failed operations. Follow up surgeries to improve form or function are referred to as 'revision' or 'secondary' rhinoplasties. Michael Evan Sachs has perfected the art and science of revision rhinoplasty with thousands of case, and readers will learn not only how to repair a failed procedure but also how to prevent one in the first place.
designed to be read section by section in the order in which it is presented. I would then recommend a re-reading of the first section so that the tenets laid down in this area are more readily understood after having experienced the tech- nical presentations. The serious student will then utilize the book as an atlas of techniques that can be conveniently referenced when needed in any particular situation. All surgeons should then use any new information as a beginning plat- form of information from which to develop and refine their own experience, col- lecting and analyzing their own personal library of techniques, as they advance though this most wonderful and satisfying Discipline. PHILOSOPHY/ P LAN NIN G/ART iil PHILOSOPHY OF SUCCESSFUL REVISION RHINOPLASTY CONFIDENCE The key element necessary to succeed in any endeavor is confidence. This is observed very obviously in sports like tennis and in technical skills like shooting. However, in surgery in general and in revision surgery more specifically, the ele- ment of a confident surgeon is paramount to the successful completion of the operation. The confidence factor of a surgeon is, of course, determined by many things. Most surgeons are inherently confident. However, the supreme confi- dence necessary to complete a difficult and challenging revision rhinoplasty must be meticulously acquired. Initially, confidence is gained with experience, supplemented by reading, direct observation, and studying videos.
Table of Contents 7
Introduction 8
Part 1 Philosophy/Planing/Art 11
Chapter 1 - PHILOSOPHY OF SUCCESSFUL REVISION RHINOPLASTY 12
CONFIDENCE 12
CONTROL OF OPERATIVE FORCES 13
SURGEON 13
PATIENT 14
TEAM: REALISTIC PROCEDURAL GOALS 14
Chapter 2 - PLANNING 15
DIAGNOSIS 15
TREATMENT 16
STAGING 16
DAMAGE ASSESSMENT 16
STAGING TENETS 17
TIMING 17
INTRAOPERATIVE PLANNING 19
INTRAOPERATIVE CONSIDERATIONS 20
Chapter 3 - DIFFERENCES BETWEEN REVISION AND PRIMARY RHINOPLASTY 21
HEALING FACTORS 21
LIMITATIONS SET BY PREVIOUS OPERATIONS 21
Chapter 4 - AESTHETICS 23
PRIMARY AESTHETIC CONSIDERATIONS 23
SECONDARY AESTHETIC CONSIDERATIONS 23
AESTHETIC LIMITATIONS OF THE REVISED NOSE 23
AESTHETICS OF ETHNICITY 24
THE AESTHETICS OF OPTICAL ILLUSION 24
Chapter 5 - THE PERI-OPERATIVE SETTING 25
PREOPERATIVE CARE 25
INTRAOPERATIVE CARE 25
POSTOPERATIVE CARE 25
Part 2 Technique 27
SURGICAL ANATOMY: PERTINENT ANATOMICAL DETAILS 28
GLOSSARY 28
Chapter 6 THE PRESERVATION AND RESTORATION OF NASAL FUNCTION 29
THE PRESERVATION OF NASAL FUNCTIONALITY DURING PRIMARY RHINOPLASTY 29
EXAMINATION OF THE SURGICAL IMPACT ON EACH PART OF THE NASAL PORTS 35
Chapter 7 - BONY NASAL VAULT 58
SURGICAL ANATOMY 58
AESTHETICS 58
AESTHETIC PATHOLOGY 59
PROJECTION 59
ALIGNMENT 59
POSITION 59
CONTOUR DEFORMITIES 60
TECHNICAL CONCEPTS OF RECONSTRUCTION 60
Chapter 8 MIDDLE NASAL VAULT 80
SURGICAL ANATOMY 80
AESTHETICS 81
AESTHETIC PATHOLOGY 81
TECHNICAL CONCEPTS OF RECONSTRUCTION 82
Chapter 9 SEPTUM 109
SURGICAL ANATOMY 109
AESTHETICS 109
AESTHETIC PATHOLOGY 109
Chapter 10 COLUMELLA 118
Surgical Anatomy 118
AESTHETICS 118
AESTHETIC PATHOLOGY 119
TECHNICAL CONCEPTS OF RECONSTRUCTION 119
Chapter 11 INTERNAL NASAL VALVE RECONSTRUCTION 136
SURGICAL ANATOMY 136
FUNCTIONAL ANATOMY AND PHYSIOLOGY 137
AESTHETICS 137
FUNCTIONAL PATHOLOGY 137
AESTHETIC PATHOLOGY 138
TECHNICAL CONCEPTS OF RECONSTRUCTION 138
Chapter 12 NASAL ROTATION 146
AESTHETIC PATHOLOGY 138
TECHNICAL CONCEPTS OF RECONSTRUCTION 138
Chapter 12 NASAL ROTATION 146
AREAS THAT DEFINE NASAL ROTATION (MAJOR INFLUENCE) 147
AREAS THAT DEFINE NASAL ROTATION (MINOR INFLUENCE) 148
Chapter 13 TRANSITION ZONES 175
SURGICAL ANATOMY 175
AESTHETICS 175
AESTHETIC PATHOLOGY 176
TECHNICAL CONCEPTS OF RECONSTRUCTION 176
Chapter 14 NASAL LIP COMPLEX 192
SURGICAL ANATOMY 192
AESTHETICS 192
AESTHETIC PATHOLOGY 192
Chapter 15 Tip Introduction and Anatomy 200
TIP RECONSTRUCTION 200
SURGICAL ANATOMY 200
Chapter 16 TIP MEDIALIZATION 203
AESTHETIC PATHOLOGY 203
TECHNICAL CONCEPTS OF RECONSTRUCTION 205
Chapter 17 NASAL AND TIP PROJECTION 234
TIP PROJECTION 234
SURGICAL ANATOMY 234
AESTHETICS 235
AESTHETIC PATHOLOGY 235
OVERPROJECTION 235
UNDERPROJECTION 235
TECHNICAL CONCEPTS OF RECONSTRUCTION 236
NASAL PROJECTION 236
Chapter 18 TOTAL TIP RECONSTRUCTION 276
AESTHETIC PATHOLOGY 276
TECHNICAL CONCEPTS OF RECONSTRUCTION 277
Chapter 19 TITANIUM NASAL RECONSTRUCTION 288
SURGICAL ANATOMY 288
Part 3 WORKSHOP 309
Chapter 20 CASE EXAMPLES 310
INDEX 371
| Erscheint lt. Verlag | 23.1.2008 |
|---|---|
| Zusatzinfo | 400 p. 994 illus., 588 illus. in color. |
| Verlagsort | New York |
| Sprache | englisch |
| Themenwelt | Medizinische Fachgebiete ► Chirurgie ► Ästhetische und Plastische Chirurgie |
| Schlagworte | Aesthetics • anatomy • Reconstructive Surgery • Rhinoplasty • Surgery |
| ISBN-10 | 0-387-33530-7 / 0387335307 |
| ISBN-13 | 978-0-387-33530-8 / 9780387335308 |
| Haben Sie eine Frage zum Produkt? |
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