Get Rhinoplasty Tetralogy: Corrective, Secondary, Congenital, PDF

By D. Ralph Millard

ISBN-10: 0316571563

ISBN-13: 9780316571562

You are going to examine from the said grasp of the sector during this definitive quantity. In hundreds of thousands of non-public case sketches, every one liberally supported with appealing colour images, Dr. Millard stocks the wealth of data garnered in an illustrious half-century occupation in rhinoplasty. All features of the technique, from basic rules to important issues to long term follow-up, are lined within the work's 4 sections: Corrective, Secondary, Congenital, and Reconstructive Rhinoplasty. Over 1,500 colour images signify the demanding situations and triumphs of over 50 years of circumstances, supplemented by means of a few 2,300 figures that supply a close-up view of varied procedural thoughts and their effects.

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Additional info for Rhinoplasty Tetralogy: Corrective, Secondary, Congenital, Reconstructive

Example text

Although it is usually possible to obtain an aesthetic result without interrupting the cartilage, under certain circumstances these variations could be considered. Personally I prefer the lateral freeing of the alar cartilage in elongated tips and feel it is one of the most efficient procedures in all of rhinoplasty. The Elongated Tip When the alar cartilages have an acute angle forcing an elongated projecting nasal tip then the reduction of the superior portion of the alar cartilage reduces some of the projection and the same 3 to 4 mm width of intact cartilage is maintained.

The extent and angle of bridge lowering depends on the patient's nose and expressed desires, which rests in the hands and aesthetic sense of the surgeon. Several examples follow. 39 40 41 42 43 44 45 46 47 PRIORITIES IN SEPTAL CORRECTION As noted in 1986 in Principlization of Plastic Surgery! when corrective rhinoplasty is combined with submucous septal cartilage resection, the safe order of priorities is important. Some otolaryngologists whose cases I have had to follow with corrective surgery obviously were not cognizant of the order of priority, being evidently more confident and better trained in septal surgery than in aesthetic rhinoplasty.

I find that in most anterior septal deviations that scoring the concave side of the septum in accordance with Gibson's rule, freeing the septum with a narrow chisel from the nasal spine and along its abnormal attachments in displaced position out of the vomerian groove, the anterior septum can be brought into straight alignment. It is held in corrected position by sutures to reapproximate the anterior septum to the columella but picking up the edge of the septal cartilage on the side toward which the septum is being directed.

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Rhinoplasty Tetralogy: Corrective, Secondary, Congenital, Reconstructive by D. Ralph Millard


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