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ویرایش: 1
نویسندگان: Eun-Sang Dhong. Min-Wha Na
سری:
ISBN (شابک) : 9811605416, 9789811605413
ناشر: Springer
سال نشر: 2021
تعداد صفحات: 190
زبان: English
فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود)
حجم فایل: 21 مگابایت
در صورت تبدیل فایل کتاب Asian Septorhinoplasty: Conundrums and Solutions به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب سپتورینوپلاستی آسیایی: معماها و راه حل ها نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
این کتاب مشکلات چالش برانگیزی را که اغلب جراحان هنگام انجام سپتورینوپلاستی و رینوپلاستی ثانویه در بیماران آسیایی با آن مواجه می شوند توضیح می دهد و راه حل هایی را بر اساس بهترین شواهد موجود شناسایی می کند. فصل آغازین، مسائل مربوط به طول عمر ایمپلنت های آلوپلاستیک را مورد بحث قرار می دهد. سپس به معضلات مختلف در سپتورینوپلاستی آسیایی پرداخته می شود، از جمله در رابطه با تحلیل گرافت های اتوژن و جنبه های مختلف تکنیک. هدف در اینجا این است که جراحان را قادر به دستیابی به نتایج با کیفیت بالا و مداوم کنند. در مورد رینوپلاستی ثانویه، این پوشش شامل معماهای مربوط به تمایز بین عفونت و التهاب تاخیری، انتخاب مواد پیوند، اصلاح بینی منقبض و تصمیمات کلیدی، از جمله در بیمارانی است که سپتوم قبلاً برداشته شده است. یک فصل جداگانه راهنمایی در مورد رویکرد به موارد دشوار خاص که در جمعیتهای آسیایی با آن مواجه میشوند، از جمله تغییر شکل نوک، نکروز کلوملار، عدم تقارن سوراخهای بینی و انحراف مکرر بینی را ارائه میدهد. در نهایت، توصیه هایی در مورد بهترین عملکرد در استفاده از مواد آلوپلاستیک ارائه می شود.
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.
Preface Contents 1: The Longevity of Alloplastic Implants 1.1 Bony Resorption Under Alloplastic Implants 1.2 Silicone Implant over Osteotomized Nasal Bone 1.3 Implant Deviation Longer Implant than the Pocket Bony Axis Vs. Septal Axis Implant-Dependent Dorsum Secondary Operation Using Silicone Implant (Re-insertion) 1.4 Clinical Features of Complications Silicone Implants Capsule: Contracture Calcification Demarcation, Transparency Gore-tex Shrinkage and Demarcation IHCC (Irradiated Homologous Cartilage) Resorption: Fracture Alloderm Central Avascular Scar: Contracture Inside the Preexisting Capsule 1.5 Surgical Site Infection Vs. Late-Onset Inflammation References 2: Surgical Site Infection (SSI) Vs. Late-Onset Inflammation (LOI) 2.1 The Differences by Definition Surgical Site Infection (SSI) SSI After a Septal Surgery SSI Without Septal Surgery Late-Onset Inflammation (LOI) 2.2 The Differences Between Clinical Features and Managements Surgical Site Infection (SSI) Management of SSI Late-Onset Inflammation (LOI) Stage 1: Fluctuation: Wax and Wane Stage 2: Skin Lesion: Out-Growth of the Granulation Tissue Stage 3: Puncture with or Without Pus-Drainage Level 4: Cellulitis with Pus-Drainage Pathophysiology of LOI Biofilm Mucocele-Like Pathology Histological Manifestations in Silicone Capsule Healthy Capsule (HC) Nonhealthy Capsule (NHC) The Differences in the Histological Study [13] Hematoxylin and Eosin Staining and Masson’s Trichrome Staining Colloidal Iron Histochemical Staining Immunohistochemical CD31 Staining References 3: Nasal Swab Culture: The Preparation for the Safe Surgery 3.1 What Did I Learn from these Patients? 3.2 The Impact of SSI in Asian Septorhinoplasty Framework Destruction 3.3 The Potentially Infectious Normal Flora (PINF) PINF in Asian Septorhinoplasty Clean-Contaminated Wound Complicated Septorhinoplasty for Asians Bacteremia During Operation Nasal Packing: Intraoperative and Postoperative Management 3.4 Nasal Swab Study for PINF [6] Nasal Swab Negative Nasal Swab Positive Second Nasal Swab Positive Changes in Microbiology Positive to Negative Change Negative to Positive Change Positive to Positive 3.5 My Protocol for a SAFE Asian Septorhinoplasty Nasal Swab Culture: Two Times Applying Antibiotic Ointment The Choice of IV Antibiotics References 4: Medpor: The Hurdle of Secondary Rhinoplasty 4.1 Physical Properties 4.2 Complication Reports 4.3 Why Is Medpor Such a Big Hurdle for Secondary Operation? Dissectiblity 4.4 What Do you Have to Prepare for the Reconstruction? CT Scan: The Only Aid for Preoperative Diagnosis Autograft for the Septal Reinforcement 4.5 Patterns of Medpor Application Septal Application Anterior Application Caudal Application Anterocaudal Application Columella Application Nasal Pain 4.6 Operative Technique of Reconstruct the Collapsed Septum Septum Reconstruction Septal L-strut Reconstruction Using Two Conchal Cartilages [10] Septal L-strut Reconstruction Using Sliced Costal Cartilages Cantilever Graft References 5: Nasal Obstruction in Asian Rhinoplasty 5.1 Diagnosis History and Inspection Nasal Cycle Rhinitis and Sinusitis CT Scan Inferior Turbinate Concha Bullosa Acoustic Rhinometry Causes of Nasal Obstruction after Surgery Intranasal Adhesion Neglected Preoperative Septal Deviation Aggravated Caudal Septal Deviation Implant Instability over Weak Nasal Framework Internal Valve Problem 5.2 “The Tip Extension Anchoring (Suture)” Pushes down the INV 5.3 Aggravated Tip-Middle Vault Airway Discrepancy 5.4 Too Narrow INV Angle Thickened Caudal Septum Other Combined Symptoms with Nasal Obstruction Nasal Pain Foul Odor References 6: The Various Preparations of Autologous Materials 6.1 Auricular Cartilage Dissection 6.2 Must Do and Must Not Do 6.3 Folded Concha: Is it Large and Stable Enough? Folded Cymba and Cavum Concha Technique: Straightening and Stability Average Length and Width of Folded Cymba For Caudal Septal Extension Graft (CSEG) Floating Type Columella Strut Graft Tongue-in-Groove Technique for CSEG The Stability: Columellar Strut Vs. CSEG Cavum Concha Tragal Cartilage The Superficial Mastoid Fascia (SMF) Dissection For Dorsal Augmentation The Sacral Dermis-Fat (SDF) Harvest Septal Cartilage Rib Cartilage References 7: The Resorption: The Hurdle for Autogenous-Based Asian Rhinoplasty 7.1 Diced Cartilage Diced Cartilage Vs. Crushed Cartilage Diced Cartilage Wrapped with Fascia 7.2 Septal Cartilage 7.3 Ear Cartilage 7.4 The Resorption Rate of Soft Tissues Resorption Rate Usefulness of Standardized Two-Dimensional Photo Analysis How to Correct Yawing and Rolling in 2D Photographs The Resorption Rate References 8: Controlling Asian Tip: Tip Defining Point and Supratip Break 8.1 Steps for Nasal Tip Plasty 8.2 The Tip Defining Point Septum-Dependent Tip Projection Septum-Independent Tip Projection 8.3 The Supratip Break: STB Definition 8.4 My Strategy for Ideal STB in Primary Case 8.5 My Strategy for Restoring STB in Secondary Case References 9: Controlling Asian Tip: Facet and Supra-Alar Groove 9.1 The “Facet” Definition Anatomic Considerations How to Preserve the Facet? How to Create a Beautiful Soft Triangle? 9.2 Alar Rim Graft [5] 9.3 Subdomal Graft 9.4 Shield Graft + Cap Graft 9.5 Middle Crural Extension Graft 9.6 Septal Extension Graft Lateral Crural Strut Graft 9.7 Pitfalls Related to Skin Envelop 9.8 How to Recruit the Skin Envelope?: The “Sleeve-Down” Technique 9.9 How to Reduce the Soft Triangle 9.10 The Supra-Alar Groove How to Reduce the Bulbosity and Create the Supra-Alar Groove? References 10: Controlling Asian Tip: Infratip Lobule and ACR 10.1 The Infratip Lobule Definition Anatomic Considerations How to Create a Beautiful Infratip Lobule? 10.2 Spacer Graft 10.3 Lobule Graft 10.4 Alar-Columellar Relationship: ACR Definition Cause of Alar-Columellar Discrepancy (ACD) Central Component Vs. Lateral Component Discrepancy Strategy for Lateral Component Extension 10.5 Lowering LLC by Lateral Crural Spanning Suture (LCSS) 10.6 Alar Batten Graft: Alar Extension Graft 10.7 Camouflage of Retracted Alar Ridge 10.8 Lateral Crural Strut Graft (LCSG) How to Recruit the Skin Envelope?: The “Sleeve-Down” Technique Strategy for Lifting the Alar Base: Alar Lift Strategy for Achieving the Ideal Resting Angle of LLC Correction of Alar-Columellar Discrepancy (ACD) in Primary Rhinoplasty Small Nose: Short Septum + Alar Retraction Columella Retraction + Hanging Alar Hanging Columella + Alar Retraction References 11: Correction of the Short Secondary Nose: Dissection and the Framework Reconstruction 11.1 The Secondary Rhinoplasty in Asians Alloplastic Implant with SRP: Is it Safe? Specific Considerations of Secondary Surgery The Dissection Dissection Above Nasal Sidewall and Root Dissection Between Nasal Bone and ULC Dissection Between Skin Flap from Maxillary Process Dissection Between Sidewall and Maxilla Dissection Between Septum and ULC Dissection Between ULC and LLC (Scroll Area) Dissection Between LLC and LLC Dissection Between LLC and Pyriform Aperture Secondary Septal Dissection Postoperative Re-scarring 11.2 Camouflage or Restoring the Framework? Specific Considerations in Septal Surgery in Asians Septal L-Strut Extension Graft (SLEG) 11.3 Techniques of Septal L-Strut Extension Graft for Asians 11.4 Extended Spreader Graft: Modified Tongue-and-Groove Graft Cantilever Graft References 12: Secondary Septal Surgery 12.1 The Previous SMR State: “No Man’s Land” 12.2 The Revisional Septoplasty Cause Anatomic Considerations 12.3 Saddle Nose Deformity Cause Treatment The Dorsal Margin of Anterior Extended Spreader Graft (AESG) 12.4 Implant-Related Problems 12.5 Collapsed Septum Clinical Features Strategy The “Key Factor”: The Keystone Area The Reverse Swing Door Concept 12.6 The Infected Nose References 13: Think Inside the Box: Absorbable Plate, IHCC, and the Stem Cells 13.1 Absorbable Materials The Fate of Absorbable Plate Two Different Concepts in Adopting Absorbable Plates Temporary Support Scaffold Recruiting Cartilage Two Different Techniques Combining with Cartilage Absorbable Materials Only SEG Tip Plasty: Soft Ball Thread Tip Plasty 13.2 Pitfalls of the “Myth” 13.3 IHCC (Irradiated Homologous Costal Cartilage) Is it a Viable Material? Pitfalls of the “Myth” 13.4 Human Adipose-Derived Stromal (Stem) Cells: hASCs 13.5 Direct-to-Consumer Portrayal of Stem Cell Medicine Counterpoints of Injecting “Adipose-Derived Stem Cells(?)” into the Contracted Nose Human Adipose-Derived Stem (Stromal) Cells Differ from Stromal Vascular Fraction 13.6 Can ASCs Be Administered to Treat Contractures? Pitfalls of the “Myth” References 14: Pus Draining Status After Complicated Septorhinoplasty: When to Do the Secondary Rhinoplasty? 14.1 Background of Choosing this Case 14.2 Case Study History Physical Exam and Diagnostic Findings Endoscopic Findings CT Scan Culture Study and Antibiotics Preoperative Surgical Planning Intraoperative Findings 14.3 Operative Strategies Postoperative Results 15: Nasal Tip Necrosis: The Midline Forehead Flap Should Be the Last Choice 15.1 Background of Choosing this Case 15.2 Case Study History First Choice by the Author: Composite Graft Physical Exam and Diagnostic Findings Preoperative Surgical Goals Strategy for Composite Graft Intraoperative Findings Operation Method Result Secondary Operation: SRP Physical Exam and Diagnostic Findings Strategy for SRP Intraoperative Findings Operation Method Result 16: When You Encounter Very Small Septal Cartilage 16.1 Background 16.2 Case Study History Physical Exam and Diagnostic Findings Endoscopic Findings Acoustic Rhinometry Preoperative Surgical Planning Intraoperative Findings 16.3 Operative Strategies Postoperative Results 17: Hypoplastic Lower Two-Third Nose: Camouflage Vs. Reconstruct the Framework 17.1 Background of Selecting this Patient 17.2 Case Study History First Operation Revision at the Private Clinic Tertiary Operation at a Different Clinic Physical Exam and Diagnostic Findings 17.3 Nasal Swab Study Endoscopic Findings and CT Scan 17.4 Acoustic Rhinometry Preoperative Surgical Goals Strategy for the Operation Intraoperative Findings 17.5 Operation Method 17.6 Result