Secondary Rhinoplasty And Nasal Reconstruction   

Excerpted in its entirety from Reoperative Aesthetic and Reconstructive Plastic Surgery, (Edited by James C. Grotting, M.D.) By Rod J. Rohrich, M.D., Jack H. Sheen, M.D., Gary C. Burget, M.D., and Dean E. Burget, Jr., M.D. The authors, acknowledged experts in nasal surgery, explore the clinical decision making and operative strategies involved when secondary nasal surgery is required. They provide the expert advice and step-by-step operative guidance that is crucial when one is handling tissues compromised by previous surgery. Key anatomic information and standards for aesthetic analysis are stressed, with carefully outlined surgical plans. Both open and closed approaches to common secondary rhinoplasty problems are fully discussed and illustrated by Drs. Rohrich and Sheen as they explore the various methods for treating dorsal deformities, vault deformities, supratip deformities, nasal tip deformities, and problems of nasal length. Drs. Burget and Burget focus on the staged components of nasal reconstruction and the special innovation and artistry that is required for creating an alar groove, recreating normal nasal contours and alar cartilages, contouring skin grafts with cartilage, restoring the nasal tip framework, and inserting a cartilage framework. Contents: Secondary Rhinoplasty: Topograhic Anatomic Examination Aesthetic Analysis Documentation Patient Consultation Goals Donor Materials Timing Operative Approach: Endonasal vs. External External Approach Overview of Operative Technique Specific Problems Dorsal Deformities Vault Deformities Supratip Deformities Nasal Tip Deformities The Short Nose Postoperative Care Unresolved Problems Reoperative Surgery for Nasal Reconstruction: General Considerations Secondary Staged Procedures Conclusion 1996. Hardcover, 160 pages, 400 illustrations