BookEun-Sang Dhong, Min-Wha Na.
Summary: This book explains the challenging problems often encountered by surgeons when performing septorhinoplasty and secondary rhinoplasty in Asian patients and identifies solutions based on the best available evidence. The opening chapter discusses issues relating to the longevity of alloplastic implants. Various dilemmas in Asian septorhinoplasty are then addressed, including in relation to resorption of autogenous grafts and various aspects of technique. The aim here is to enable surgeons to achieve consistent high-end results. In the case of secondary rhinoplasty, the coverage includes conundrums relating to the distinction between infection and delayed inflammation, the choice of graft materials, correction of the contracted nose, and key decisions, including in patients in whom the septum has been previously resected. A separate chapter provides guidance on the approach to specific difficult cases encountered in Asian populations, including tip deformity, columellar necrosis, nostril asymmetry, and recurrent nasal deviation. Finally, advice is given on best practice in the use of alloplastic materials.
Contents:
1 The longevity of alloplastic implants
2 Surgical site infection (SSI) vs. Late-onset inflammation (LOI)
3 Nasal Swab culture: the preparation for the safe surgery
4 Medpor: the hurdle of secondary rhinoplasty
5 Nasal obstruction in Asian rhinoplasty
6 The various preparations of autologous materials
7 The resorption: the hurdle for autogenous based Asian rhinoplasty
8 Controlling Asian Tip: Tip defining point & supratip break
9 Controlling Asian Tip: Facet & supra-alar groove
10 Controlling Asian Tip: infra-tip lobule & ACR
11 Correction of the short secondary nose: Dissection & the framework reconstruction. 12 Secondary septal surgery
13 Think inside the box: Absorbable plate, IHCC and the stem cells
14 Pus draining status after complicated septorhinoplasty: when to do the secondary rhinoplasty?
15 Nasal tip necrosis: the midline forehead flap should be the last choice
16 When you encounter very small septal cartilage
17 Hypoplastic lower 2/3 nose: camouflage vs. reconstruct the framework.