Rethinking Rhinoplasty and Facial Surgery: A Structural Anatomic Re-Analysis of the Face and Nose and Their Role in Aesthetics, Airway, and Sleep

Preface/Summary
Acknowledgement/Conflict of Interest Statement
Contents
Part I: Toward an Understanding of Structure/Function Interaction
	Chapter 1: The Problem We Face: The “Compartmentalized” Conventional View of Facial/Nasal Anatomy
		Beyond Spreader Grafts: Do We Ask “Why?” Enough?
		So, What Is the Solution?
		References
	Chapter 2: The Invisible Forces in Our Nasal Airway: Air Flow and Cavity Negative Pressure
		The Key to Understanding Nasal Pathology: Nasal Obstruction Versus Nasal Underuse
			Over-Reliance on Subjective Outcome Measures: Why We Are Not Getting Reliable Feedback About Our Treatments
		NUS Causing “Secondary Obstruction”
		Conclusion
		References
	Chapter 3: Nasal Function and Sleep Disorders
		So, How Does Rhinoplasty/Nasal Valve Surgery Impact OSA?
			Gravitational Forces
			Tone/Airfoil Shape
		References
	Chapter 4: The Human Facial Skeleton: Influence on the Airway and Aesthetics? An Analysis of Cause/Effect Paradigms
		Evolution of the Human Face: Why This Matters Clinically
		The Facial Skeleton, Aesthetics, and the Airway: Is the Conventional Cause and Effect Correct?
		Fallacy 1: The Adenoid Develops Due to a Vague Inflammatory Process
		A Shrinking “Snout”...or How Diminishing Facial Structure Specifically Causes Mouth-Breathing
		References
Part II: Rhinoplasty Strategy and Tactics
	Chapter 5: A Structural Model to Systematically Understand Nasal Framework: The Rhinoplasty Compass™
		How the Framework Layer Causes Functional and Aesthetic Problems?
			Rethinking the Nasal Valve
			Putting It All Together: The Framework and Its Relations Using the Dynamic Triangular Prism Model (DTPM), the Nasal Inlet, Aesthetics and Symmetry
		Rhinoplasty Compass Point 1: AP+ (Antero-Posterior Septal Extrustion)
		Rhinoplasty Compass Point 2: SI+ (Supero-Inferior Septal Excess)
		Rhinoplasty Compass Point 3 (Antero-Posterior Septal Deficiency AP–)
		Rhinoplasty Compass Point 4: (Supero-Inferior Deficiency: SI–)
		Combinations
		References
	Chapter 6: Modeling to Evaluate Conventional Procedures
		Submucous Resection Septoplasty with/Without Graft Harvesting
		“Batten” Grafts and Implants
		Spreader Grafts (Dorsal Grafts)
		Tripod Grafts and Sutures
		Tension-Adjusting Procedures—Scroll and Crural Interaction
		References
	Chapter 7: Rhinoplasty Strategy and Tactics Using the Rhinoplasty Compass™
		Overall Strategy (The Plan)
		The Approach
		Transfixion Approach to the Entire “L”-Strut—Exposure and Access
		The Release
		The Re-sizing/Repositioning Phases
			Goal
				SI+
				SI−
				AP+
				AP−
		Infinite Combinations to Tailor to Your Patients
		Reinforcement
		References
	Chapter 8: Complementary Procedures to the Framework Strategy (The Canopy Layer)
		Goal of Canopy Surgery
		Broad Nostrils and the Alar Base
		Patient Selection
		References
	Chapter 9: Strategies for Addressing Mouth-Breathing Treatment with an “Adequate” Nose
		Temporary Mouth-Closure Devices
			Personal Experience and Thoughts on Temporary Mouth-Closure Devices
			Oral Appliances
		Long-Term Strategies to Prevent Mouth-Breathing via Musculoskeletal Improvement
			Myofunctional Therapy
			Facial Bone Expansion Strategies
		References
	Chapter 10: Breaking the Barriers Between Specialties: Toward a Universal Understanding of Anatomy and Function
		External Facial Skeleton (Aesthetics/Trauma)
			Facial Skin/Soft-Tissue
		Cheeks and Jawline
		External Facial Skeleton: Trauma
		Internal Facial Skeleton (Airway)
		References
Appendix: Notes on Severity of the Upper Respiratory Infection in the Covid-19 Era (Interplay of Ambient Humidity and Mouth-Breathing)
	References
Index