By Shahrokh C. Bagheri BS DMD MD FACS FICD, Husain Ali Khan MD DMD FACS, Angela Cuzalina MD
A accomplished replace of rhinoplasty for the oral and maxillofacial general practitioner! themes comprise fundamentals of basic beauty rhinoplasty, facial research, anatomy of the nostril for rhinoplasty, septoplasty along side beauty rhinoplasty, grafting thoughts and fabrics for rhinoplasty, nasal tip changes, correction of the crooked nostril, endonasal rhinoplasty, revision rhinoplasty and tough situations, ethnic rhinoplasty, historical past of rhinoplasty, and extra!
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Extra info for Rhinoplasty: Current Therapy, An Issue of Oral and Maxillofacial Surgery Clinics, 1e
P. ) of open and closed techniques should dominate the current dictum for modern rhinoplasty surgery Although successful outcomes are achieved via both techniques, when possible students of rhinoplasty should acquire the skills to treat and modify the nose using both methods. In closed rhinoplasty, the access to the nasal structures is usually via a combination of partial or complete transfixion incisions along with an intercartilagenous (between the lower and upper lateral cartilages) or intracartilagenous (cartilage splitting) incisions.
ULC Superiorly, the ULCs are fused with the septum and constitute the greater support of the middorsum of the nose. 5,6,21 This area in combination with the septum is known as the keystone region. The Fig. 9. Nasal septum. 22–24 The importance of maintaining this relationship cannot be overstated in rhinoplasty. The ULCs also play an essential role in the makeup of the internal nasal valve. 25 The ULCs and LLCs at the scroll area have a fibrous attachment. This attachment has been mentioned as one of the minor support mechanisms of the nasal tip.
There are many ways through which this can be achieved; the author’s preference is to list the patient’s chief complaints and the patient’s goals or expectations. ” These complaints can then be transferred to a structural problem list, and the surgeon can then come up with a treatment plan to address each structure. The surgeon must also determine whether he or she will approach the surgery through an open approach or an endonasal approach. Minor modifications and changes can be definitively achieved through an endonasal approach, though some surgeons state that if very precise maneuvers need to be achieved then an open approach better enables these changes; this is still a topic of debate.