BookSam P. Most ; illustrated by Christine Gralapp.
Summary: "In the past several years we have seen an explosion of new thought in the field of rhinoplasty. For example, after nearly a century of use, the utility of osteotomes and rasps is being challenged by the use of powered, especially ultrasonic, instrumentation to manipulate the nasal bones. Along with this technology comes a whole host of new indications/applications for modifying the bony vault. The mainstream methods for reduction of the dorsal hump, the most common procedure in rhinoplasty, are also being challenged by the renewed interest in the concept of preservation of the dorsum to varying degrees while mobilizing it posteriorly into the maxilla. Increasingly, we are moving toward minimal cartilage resection in the tip, with some advocating for complete preservation of the ligamentous attachments as well. Still, structural approaches to rhinoplasty, whereby the strength of the osseocartilaginous vault is maintained or augmented to create consistent long-term results, remain a key pillar of my rhinoplasty practice. This book is my attempt to distill the most important concepts of structural and preservation rhinoplasty, and to demonstrate how I have been able to incorporate some of the newer techniques into my structural rhinoplasty practice. It is meant for the facial plastic surgeon, otolaryngologist, or plastic surgeon at any career level who wishes to understand more about these concepts in primary and revision rhinoplasty. In Part I, I describe my approach to evaluation of the rhinoplasty patient, as well as operative preparation and incisions/exposure. Emphasis is placed on the patient-physician interaction, because so much of the success of this operation is predicated on understanding our patients' desires and communicating accurately what is and is not possible. Structural and preservation approaches in primary rhinoplasty are described in Part II, including approaches to the septum, which must be controlled in all rhinoplasty operations; bony vault manipulation, which has changed much in the past decade with the adoption of powered instrumentation; approaches to dorsal reduction, including preservation and resective approaches and the decision-making behind each; and my approach to controlling nasal tip projection, rotation, volume, and geometry. In Part III, my philosophies in revision rhinoplasty are outlined. The concepts in Part III are extensions of those in Part II, with the caveat that much of what we try to achieve in revision cases is to reconstitute, rather than manipulate, the dorsum and tip. The concept of the tetrapod is introduced here. Special topics which warrant their own stand-alone chapters are placed in Part IV: the crooked nose, non-Caucasian rhinoplasty, and grafting methods. Finally, Part V ends with case studies that cover important topics from Parts I through III"-- Provided by publisher.
Contents:
Surgical Anatomy for Structural and Preservation Rhinoplasty /
Mohamed A. Abdelwahab, Sarah R. Akkina, Cibele Madsen Buba, Sam P. Most
Photography and Photodocumentation / Cherine H. Kim
Comprehensive Evaluation of the Rhinoplasty Patient / Sami P. Moubayed, Sam P. Most
Operative Preparation, Incisions, Approaches, and Postoperative Care / Tyler S. Okland, Sam P. Most
Surgery of the Nasal Septum / Shannon F. Rudy, Sam P. Most
Management of the Bony Nasal Vault / Cibele Madsen Buba, Sam P. Most
Dorsal Hump Reduction / Alexandra Shams Ortiz, Priyesh N. Patel, Sam P. Most
Preservation of the Nasal Vault / Priyesh N. Patel, Mohamed Abdelwahab, Sam P. Most
Controlling Tip Projection and Rotation / Emily A. Spataro, Sam P. Most
Altering Nasal Tip Volume and Geometry: Preservation and Structure / Sam P. Most
Reconstruction of the Midvault and Tripod: the Tetrapod Concept / Emily A. Spataro, Sam P. Most
Reconstruction of the Nasal Dorsum / Kyle S. Kimura, Priyesh N. Patel, Sam P. Most
Restoration of the Skin Envelope / Sam P. Most
Treatment of the Asymmetric Nose / Sarah R. Akkina, Sam P. Most
The Non-Caucasian Nose / Priyesh N. Patel, Sam P. Most
Grafts in Rhinoplasty / Sarah R. Akkina, Priyesh N. Patel, Sam P. Most
Primary Rhinoplasty : Component Hump Reduction / Cherian K. Kandathil, Cibele Madsen Buba, Sam P. Most
Primary Rhinoplasty : Dorsal Preservation / Cibele Madsen Buba, Cherian K. Kandathil, Sam P. Most
Revision Rhinoplasty : Saddle Nose / Tyler S. Okland, Sam P. Most
Revision Rhinoplasty : Nasal Lengthening / Cherian K. Kandathil, Cibele Madsen Buba, Sam P. Most
Revision Rhinoplasty : Nasal Shortening / Sam P. Most.
Location
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Books: General Collection (Downstairs)
RD119.5 .N67 2022
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