دانلود کتاب Aesthetic Septorhinoplasty

فهرست مطالب :

Foreword Preface to the Second Edition of the Aesthetic Septorhinoplasty What Kind of Book Is This? About the Second Edition Acknowledgments Contents About the Author Part I: Before Surgery 1: Photography 1.1 Patient Photographs 1.1.1 Reference Photographs 1.1.2 Photography Angles 1.2 The Photography System 1.2.1 Intraoperative Photographs 1.2.2 Light Illusions 1.2.3 Fish-Eye 1.3 Camera Settings 1.3.1 Focus Settings 1.3.2 ISO 1.3.3 Shutter Speed 1.3.4 F 1.3.5 Skin Color 1.3.6 Color Settings 1.3.7 Soft box Light Settings 1.3.8 Shooting with a Smartphone 1.3.9 Video Camera 1.4 Imaging 1.4.1 Shadowing the Images 1.5 The Importance of Photography and Imaging 1.6 Surgery Notes and Archiving 1.7 Photography Archive 1.7.1 Backup 2: How to Draw a Nose 2.1 Exercises 2.1.1 Sketch from the Front 2.1.2 Sketch from the Side 2.1.3 Sketch from Above and Below 2.2 Analysis of Patient Photographs 3: Nasal Polygons 3.1 Infratip Triangle 3.2 Tip Defining Point 3.3 What Is a Facet? 3.4 The Non-mobile Nose 3.5 The Mobile Tip Area 3.5.1 Mass Polygons 3.5.2 Space Polygons 3.6 Tip Breakpoints 3.7 Dome Triangles 3.8 Interdomal Triangle 3.8.1 Dome Divergence 3.9 Infralobular Polygon 3.10 Columellar Polygon 3.11 Footplate Polygons 3.12 Facet Polygons 3.12.1 Relation of the Facet and Dome Polygons 3.13 Lateral Crus Polygons 3.14 Resting Angle 3.14.1 Vertical Compression Test 3.14.2 Incorrect Resting Angle and Its Effect on the Ala 3.14.3 Wide Lateral Crura 3.14.4 Long Lateral Crura 3.14.5 Convex Lateral Crura 3.14.6 Cephalic Malpositioning 3.15 Scroll Facet 3.16 Scroll Line 3.17 Dorsal Cartilage Polygon 3.18 Dorsal Bone Polygon 3.19 Upper Lateral Cartilage Polygons 3.20 Lateral Bone Polygons 3.21 Dorsal Aesthetic Lines 3.21.1 Summary: Dorsal Aesthetic Lines 3.22 Lateral Aesthetic Lines 3.23 The Polygon Model 4: Instruments 4.1 The Rhinoplasty Instrument Set 4.2 Magnetic Instrument Mat 4.3 Nasal Speculum 4.4 Dorsum Retractor 4.5 Small Retractor (Crile) 4.6 Forceps 4.7 Needle Holder 4.8 Scissors 4.9 Bone Scissors 4.10 Rasp 4.11 Elevators 4.12 Hooks 4.13 Ninety-Degree Bone Raspatory 4.14 Rongeur 4.15 Chisels and Osteotomes 4.16 Hammer 4.17 Arkansas Stone 4.18 Sutures 4.19 Taştan-Çakır Saws 4.20 Forceps 4.21 Ayhan PPE Forceps 4.22 Headlamp Part II: Surgery 5: Skin, Chin, Cheek, and Forehead 5.1 Skin Care and Rhinoplasty 5.2 Oral Isotretinoin Treatment 5.3 Menstruation 5.4 Forehead Fat Grafting 5.4.1 Why Is the Forehead Important in Rhinoplasty? 5.4.2 Technique 5.5 Jaw 5.6 Importance of Cheeks 5.7 Periorbital Fat Grafting 6: Surgical Preparation, General Anesthesia, and Local Anesthetic Infiltration 6.1 Patient Position and Tracheal Intubation 6.2 Cleaning 6.3 Local Anesthesia 6.3.1 For the Nose 6.3.2 For the Septum 6.4 Injection Points 6.5 Lighting in the Operating Room 6.6 Drawings 7: Turbinate Surgery 7.1 Turbinates 7.2 Turbinate SMR 7.2.1 Normal Anatomy 7.2.2 Inwardly Collapsed Maxillary Base 7.2.3 Segmental Out-Fracture 8: Incisions and Dissection in Rhinoplasty 8.1 Hemitransfixion and Transfixion Incisions 8.2 Entering the Nasal Dorsum from the Septal Angle 8.3 Infracartilaginous Incision and Auto-rim Flap 8.4 Markings 8.5 Lateral Crural Subperichondrial Dissection 8.6 How Is Lateral Crural Subperichondrial Dissection Performed? 8.7 Combining Tip and Dorsum Dissections 8.8 Periosteal Dissection 8.9 Subperichondrial Dissection in Secondary Rhinoplasty 8.10 Delivering the Domes 8.11 Supratip Break Point 8.12 Subperichondrial Dissection in Open Approach 8.13 Why Subperichondrial Dissection? 8.13.1 Subperichondrial Dissection and Healing 8.13.2 Subperichondrial Dissection and Muscle Function 8.13.3 Subperichondrial Dissection and the Camouflage Effect 8.13.4 Effect of Subperichondrial Dissection on Bleeding 8.13.5 Effect of Subperichondrial Dissection on Ligaments 9: Septoplasty 9.1 Dissection 9.2 Extracorporeal Septoplasty 10: Classic Dorsal Resection 10.1 Dissection of the Upper Lateral Cartilage Mucosa 10.2 Dorsal Cartilage Resection 10.3 Dorsal Bone Resection 10.4 Radix 11: Osteotomy, Ostectomy, and Dorsal Reconstruction 11.1 Setting the Dorsal Height 11.2 Checking the Open Roof 11.3 Lateral Osteotomy 11.4 Transverse Osteotomy 11.5 Medial Oblique Osteotomy 11.6 Lateral Ostectomy 11.6.1 Ostectomy Technique 11.6.2 Instruments for Ostectomy 11.6.3 Why Ostectomy? 11.6.3.1 Improved Control 11.6.3.2 Function 11.6.3.3 Steps 11.6.3.4 Unsuccessful Osteotomy 11.6.3.5 Bone Surface Problems 11.6.3.6 Bruising 11.6.3.7 Re-drape Problems 11.7 Out-Fracturing the Nose with Ostectomy 11.8 Bone Check 11.9 Bone Massage 11.10 Reconstruction of the Nasal Dorsum 11.11 Dorsal Aesthetic Lines 11.12 The Libra Graft 11.13 Nasal Dorsum Control 11.14 Bone Dust and Cartilage Paste 11.15 Short Nasal Bones 11.16 Dorsal Reconstruction in Men 12: My First 500 Dorsal Preservation (October 2019) 12.1 Dorsal Preservation and Classic Dorsal Resection 12.2 On Which Patients Should Dorsal Preservation Be Used? 12.3 Which Technique to Do First? 12.4 What Are the Types of DP? 12.5 When Do I Use Total Preservation and When Cartilage Only DP? 12.5.1 Cone Beam 12.6 Total Preservation Versus Cartilage Only Preservation 12.7 Low Septal Strip Versus High Septal Strip? 12.7.1 The Relationship of Septoplasty and Rhinoplasty with Skull Base 12.7.2 Removing the Septal Strip 12.7.2.1 Low septal strip 12.7.2.2 High septal strip: 12.7.3 The Resistance Points of DP 12.7.3.1 Cartilage Only Dorsal Preservation 12.7.3.2 Osseocartilaginous Dorsal Preservation 12.8 Dorsal Fixation 12.9 Dorsal Cartilage Fine-Tuning 12.10 No-Dissection DP 12.10.1 Case #1 12.10.2 Case #2 12.10.3 Case #3 12.10.4 Case #4 12.10.5 Case #5 12.10.6 Case #6 12.10.7 Case #7 12.10.8 Case #8 12.10.9 Case #9 12.10.10 Case #10 12.10.11 Case #11 12.10.12 Case #12–13 12.10.13 Complications: Case #1 12.10.14 Complications: Case #2 12.11 Conclusions 13: How Did the Nose Get Deformed? 13.1 Observation and Theory 13.1.1 Observations 13.1.2 Theory 13.2 Discussion 14: TIP Surgery 14.1 Auto-Rim Flap 14.1.1 When to Apply an Auto-Rim Flap 14.1.2 Is the Auto-Rim Flap Difficult to Perform? 14.1.3 What Is the Rationale for the Auto-Rim Flap? 14.1.4 How to Perform an Auto-Rim Flap 14.2 Marking and Lateral Crural Resection 14.3 Lateral Crura Preservation 14.3.1 Lateral Crural Steal 14.3.1.1 The Ellipse Model 14.3.1.2 Results 14.3.1.3 Surgical Technique of Lateral Crural Steal 14.3.1.4 Dome Symmetry Test 14.4 Cephalic Dome Suture 14.4.1 How I Started Using the Cephalic Dome Suture 14.5 Dome Equalization 14.6 Figure-of-Eight Suture 14.7 Columellar Strut Graft 14.7.1 Where Is the Best Graft Donor Area? 14.7.2 Strut Graft Placement 14.8 Loop Suture for Strut Graft Stabilization (Tie Suture) 14.9 C Suture 14.9.1 Columellar Breakpoint 14.9.2 Technique 14.10 Stabilization of the Columellar Polygon 14.11 Bow-Tie Suture (Figure-of-Eight, Horizontal Mattress Suture) 14.12 Medial Crura Overlap 14.12.1 What Is the Most Reliable Lower Lateral Cartilage Cutting Point? 14.12.2 Total Medial Crural Overlap 14.12.3 Partial Medial Crural (Caudal) Overlap 15: Tip Projection and Rotation 15.1 Projection 15.1.1 Nostril Apex Projection 15.1.2 Lobule Projection 15.2 Tip Rotation 16: Tip Asymmetry 17: Cephalic Malposition 17.1 Treatment 17.2 Summary 17.3 Transposition of the Lateral Crural Tail 18: Fine-Tuning 18.1 Narrowing of the Footplate Polygon 18.1.1 Asymmetrical Footplates 18.2 Dissection and Augmentation of the Origin of Depressor Nasi Muscle 18.3 Additional Transdomal Sutures 18.3.1 Increasing Dome Definition 18.3.2 Expanding the Interdomal and Infralobular Polygons 18.4 Resection of the Caudal Edge of the Dome 18.5 Infralobular Caudal Contour Grafts 18.6 Tip Grafts 18.6.1 Boomerang-Shaped Peck Graft 18.7 Deprojection of Nostril Apex Projection (NAP) 18.8 C′ Graft 18.9 Tip Camouflage 18.10 Extra Columellar Strut 18.11 Rim Grafts 19: Stabilization of the Nasal Tip 19.1 Vertical Scroll Reinsertion 19.2 Suturing the Pitanguy Ligament in the Open Technique 19.2.1 Repairing the Superficial SMAS 19.2.2 Membranous Tongue in Groove 20: Nostril Surgery 20.1 Problems and Solutions 20.2 Thick Alar Base: Simple Elliptic Resection 20.3 Big Nostrils: Nostril Sill Advancement Flap 20.4 Superior Repositioning of the Nostril Sill 20.5 Big Nostril and Thick Alar Base: Combination of Nostril Sill Advancement Flap and Elliptic Resection 20.6 Common Mistakes 20.7 Hanging Alae 20.8 Alar Rim Excision 20.8.1 Marking 20.8.2 Incision 20.8.3 Resection 20.8.4 Suture 21: Deviated Nose 21.1 Problems with Left Axis Noses 21.2 Reference Points 21.3 Nasal Dorsal Resection 21.4 Septoplasty 21.5 Tip Surgery 21.6 Swinging Door Septoplasty 22: Secondary Rhinoplasty 22.1 Septal Cartilage 22.2 Rib Cartilage 22.3 Cartilage Chips 22.3.1 Surgery 22.4 Block Cartilage 22.5 Oblique Split Rib Grafts 22.6 Partial Oblique Split Rib Grafts 22.6.1 Surgery 22.7 Cartilage Paste 22.8 Turkish Delight 22.9 Rib Perichondrium 22.10 Nasal Dorsal Dissection in Secondary Rhinoplasty 22.11 Hanging Columella 22.11.1 Preventing Alar Retraction 22.11.2 Surgery 22.12 Lateral Crural Cephalic Strut Graft 22.13 Pinched Nose Deformity 23: Taping and Splinting 23.1 Fixing the Silicone Splints: 23.2 Drains 23.3 Taping and Splinting 23.3.1 Prevent Fossa Formation Under Domes 23.4 Postoperative Care 23.4.1 Postoperative Order 23.5 Prescription After Rhinoplasty 23.6 Recommendations After rhinoplasty 24: Case Studies References Further Reading Index