Secondary Rhinoplasty And Nasal Reconstruction

Cover......Page 1
Secondary Rhinoplasty and Nasal Reconstruction......Page 2
Preface......Page 3
Contents......Page 4
Part I: SECONDARY RHINOPLASTY......Page 6
Topographic Anatomic Examination......Page 7
Aesthetic Analysis......Page 9
Surgical History......Page 19
Interview......Page 20
Donor Materials......Page 21
Operative Approach: Endonasal vs. External......Page 22
External Approach......Page 24
Surgical Plan......Page 25
Endonasal Approach......Page 30
Surgical Plan......Page 32
Dorsal Deformities......Page 34
Minimal Dorsal Loss (Sheen Case)......Page 35
Moderate Dorsal Loss (Sheen Case)......Page 42
Traumatic Nasal Deformity (Sheen Case)......Page 48
Vault Deformities......Page 54
Inverted V Deformity (Sheen Case)......Page 55
Inverted V Deformity (Rohrich Case)......Page 59
Supratip Deformities......Page 65
Excessive Skin and Overreduced Skeletal Framework (Sheen Case)......Page 66
Visible Dorsal Graft and Flat Nasofacial Angle (Sheen Case)......Page 72
Supratip Deformity, 
Shortened Nose, and Alar Pinching (Rohrich Case)......Page 79
Intraoperative Findings......Page 81
Nasal Tip Deformities......Page 85
Long Middle Crura and Wide Angle of Rotation (Sheen Case)......Page 86
Surgical Plan......Page 87
Secondary Nasal Deformity With Low Radix/Ill-Defined Tip Projection
(Rohrich Case)......Page 92
Operative Goals......Page 93
Intraoperative Findings......Page 95
The Short Nose......Page 97
High Root With Unacceptable Nasolabial Angle (Sheen Case)......Page 98
Surgical Plan......Page 100
Low Radix/Inadequate Tip Projection and Short Nasal Length
(Rohrich Case)......Page 105
Intraoperative Findings......Page 107
Postoperative Care......Page 111
Unresolved Problems......Page 113
Part II: REOPERATIVE SURGERY FOR NASAL RECONSTRUCTION......Page 116
General Considerations......Page 118
Creation of the Alar Groove......Page 121
Flaying the Nose: An Early Window of Opportunity......Page 129
Forcing Contour With Cartilage Grafts Under Skin Grafts......Page 137
Re-Creation of the Alar Cartilages......Page 141
Early Secondary Installation of a Cartilaginous Nasal Framework......Page 149
Conclusion......Page 163
Index......Page 164