BookVirendra Ghaisas.
Summary: Each racial and ethnic population has their own nasal characteristics, which need to be considered when planning rhinoplasty surgery. This book is probably the first of its kind in the Indian context highlighting the goal of maintaining ethnic identity congruent with the patients facial features and establishing Indian standards for gauging the success of the surgery. This is important as most of the rhinoplasty books have addressed these issues of the Caucasian or southeast Asian population and Caucasian normative standards of facial analysis. This book provides a broader understanding of ethnically specific features. It highlights the regional variations within India and their implications for rhinoplasty Surgery, thereby filling the void of lack of knowledge of the intricacies of surgery on Indian noses. It deals with important topics such as preoperative evaluations, determining factors such as thickness and texture of skin along with the various complications that may be encountered. It simplifies and facilitates learning with numerous pre-operative, intra-operative, and postoperative photographs. This book provides a systematic approach to Rhinoplasty surgery in Indian patients with an emphasis on addressing the functional aspects along with the cosmetic aspects. This book is a must-have for trainees in rhinoplasty and plastic surgery courses along with facial plastic surgeons, maxillofacial surgeons, and aesthetic surgeons operating on the Indian population across the globe.
Contents:
Intro
Foreword
Contents
About the Author
My Journey
1: How to Start Journey of Rhinoplasty for Beginners
2: An Overview of the Anthropological Perspective of Indian Noses and Its Implications for Rhinoplasty
2.1 Effect of Migration
2.2 Effect of Climate
2.3 Interregional Variations of Some Nasal Parameters
2.4 Nasal Index
2.4.1 Nasal Index (Doddi et al.)
3: Evaluation of Rhinoplasty Patients
3.1 During Patient's First Visit
3.1.1 Patient's Approach to Surgery
3.1.2 Surgeon's Approach to Surgery
3.1.3 Examination 3.1.3.1 General Examination
3.1.3.2 Examination of the Nose
3.1.4 Diagnostic Nasal Endoscopy
3.2 Evaluation During Second Detailed Visit of the Patient
3.2.1 Patients' Expectations
3.2.2 Psychological Assessment
3.2.2.1 Body Dysmorphic Syndrome
3.2.2.2 Questionnaire
3.2.3 Background and Ethnicity of the Patient
3.2.4 Functional Assessment
3.2.5 Analysis of Facial Aesthetics
3.2.6 Analysis of the Nose
3.2.6.1 Pre-operative Clinical Correlation
3.2.6.2 Internal Nasal Valve (Fig. 3.18) 3.2.6.3 Analysis of Artistic or Aesthetic Beauty of the Face
3.2.6.4 Facial Asymmetry (Figs. 3.21, 3.22 and 3.23)
3.2.6.5 Photography
3.2.6.6 Medical Photography (Figs. 3.33, 3.34, 3.35, 3.36 and 3.37)
3.2.6.7 Rhinomanometry (Fig. 3.38)
3.2.6.8 3D Software Analysis and Reconstruction (Fig. 3.39)
4: Basic Rhinoplasty Surgery
4.1 Operative Planning
4.1.1 Anaesthesia
4.1.2 Incision (Figs. 4.7, 4.8, 4.9 and 4.10)
4.1.3 Dissection (Figs. 4.11, 4.12, 4.13 and 4.14)
4.1.4 Approach to the Septum (Figs. 4.15, 4.16, 4.17, 4.18 and 4.19)
4.1.5 Septoplasty 4.1.6 Osteotomy (Figs. 4.28, 4.29, 4.30, 4.31 and 4.32)
4.1.7 Surgery of Middle One-Third of the Nose
4.1.8 Surgery of Lower One-Third of the Nose
4.1.9 Closure
4.1.10 Alaplasty (Explained in Detail in Chap. 9)
4.2 Post-Operative Care
4.2.1 Immediate Post-op Care
4.2.2 Late Post-op Care
4.3 Documentation
4.4 Note on Piezoelectric Device
5: Nasal Septum
5.1 Internal Nasal Valve Area (Fig. 5.2)
5.2 Acoustic Rhinometry
5.3 Etiology of Nasal Septal Deviations
5.3.1 Classification of Nasal Septal Deviations
5.3.2 Examination of the Patient 5.4 Steps of Septoplasty
5.5 Paediatric Septorhinoplasty
6: Saddle Nose Deformity: Augmentation Rhinoplasty
6.1 Modified Classification for Indian Patients
6.2 Skin Thickness
6.3 Classification
6.4 Salient Features of Commonly Used Augmentation Techniques
6.5 Structural Grafting
6.6 Spreader Grafts
6.7 Extended Spreader Graft
6.8 Grafts
6.9 Post-Operative Period
6.10 Complication
6.11 Conclusion
7: Dorsal Nasal Hump Deformity: Reduction Rhinoplasty
7.1 Cartilaginous Hump
7.1.1 Treatment
7.2 Bony and Cartilaginous Hump