Plastic Surgery of Head and Neck: Volume I: Corrective and Reconstructive Rhinoplasty

ISBN-13: 9783642878770 / Angielski / Miękka / 2012 / 548 str.

Hans J. Denecke; Rudolf Meyer; Lowell Oxtoby

Opis

... fungar vice cotis, acutum reddere quae ferrum valet exsors ipsa secandi (HORACE, .Ars poetical Era da prevedere che dopo parentesi assai lunga di silenziosa elaborazione, al grande sviluppo della chirurgia plastica ed al suo affermarsi come specialita) generalmente riconosciuta, seguisse la fioritura di testi vari di mole e di intenzione a quella dedicati. Lodevoli opere quasi tutte ma per la maggior parte riflettenti massima la preoccupazione degli autori di esibire i piu brillanti risultati raggiunti anzicM indicare con sufficiente chiarezza e dettaglio i mezzi piu idonei a conseguirli. Ma ecco finalmente uscire per Ie stampe questi volumi splendidi di veste dove gli Autori, pur valentissimi chirurghi, quasi dappertutto rinunciano a far bella mostra di se col fotografico sciorinamento di quanto pur sanno fare ed invece con modestia pari a quella dell'antico Poeta esporre ogni piu riposto dettaglio di interventi fondamentali 0 menD comuni valendosi del sussidio di figure di rigorosa rispondenza e di insuperata artistica efficacia. Opera questa destinata ad imporsi ed a rimanere proprio percM di essa puo farsi il raro elogio d'essere veramente strumento di lavoro cui tanti chirurghi non mancheranno di fare frequente ricorso onde affinare la propria esperienza proprio come Orazio pensava dovesse essere dell'opera sua.

Spis treści

General.- A. History of rhinoplasty.- B. Anatomy of the nose.- C. Physiology of the nose.- D. Shape, angle and size.- E. Documentation.- F. General indication for corrective and reconstructive surgery.- G. Psychological aspects and legal considerations.- H. Operating room and light sources.- J. General notes on anesthesia and medication.- K. Technique of local anesthesia in rhinoplasty.- L. Instruments for rhinoplasty.- Surgical procedure.- A. Corrective rhinoplasty.- I. Incisions.- II. Décollement of dorsum and lateral nasal walls. Transfixion.- III. Correction of bony nose.- 1. Hump removal.- 2. Correction of isolated wide bony nose.- 3. Correction of wide nose in ozena.- 4. Correction of narrow bony nasal vault.- IV. Shaping of nasal tip including lower lateral cartilages and columella.- 1. General considerations about plastic surgery of nasal tip, necessary incisions.- 2. Excisions of septal cartilage.- 3. Corrective surgery of the lower lateral cartilages.- a) Luxation method.- b) Eversion method.- c) Incisions and excisions on the lower lateral cartilages for modeling.- 4. Correction of nasolabial angle and fixation of remodelled tip.- V. Total reduction of the nose.- VI. Surgery in particular positional anomalies and disturbances in shape of alae.- 1. Correction of alar collapse.- 2. Correction of abnormally shaped alae.- VII. Operations in certain positional anomalies and deformities of columella.- 1. Narrowing of wide columella.- 2. Lifting of hanging columella.- 3. Shortening of columella.- 4. Lengthening of columella.- 5. Correction of oblique columella.- 6. Correction of nasolabial angle and of hidden columella.- VIII. Corrections of nasal septum in their relation to rhinoplasty.- 1. General considerations.- 2. Submucous resection of the septum (Killian).- 3. Septum plasty.- 4. Correction of bony and cartilaginous deflected nose in combination with septum operation.- 5. Closure of septum perforations.- 6. Skin grafting (dermoplasty) on nasal septum and in nasal cavity.- IX. Correction of saddle nose.- 1. General considerations.- 2. Correction of saddle nose of slight degree using tissue from nose itself.- a) Correction with septal cartilage.- b) Correction with lower lateral cartilage.- c) Correction by narrowing.- d) Correction with upper lateral cartilage.- 3. Correction of saddle nose with implants.- a) Historical review and general remarks concerning preparation of grafts.- ?) Cartilage.- Cartilage bank.- Obtaining cartilage from the ear as autograft.- Diced cartilage as autograft.- Meniscus cartilage as homograft.- Heterografting of cartilage.- Homografting of cartilage.- ?) Bone.- Autografting of bone.- Autografted and homografted bone in the nose.- Homografting of bone.- b) Removal, shaping and insertion of grafts.- ?) Cartilage.- Removal of cartilage from the rib.- Shaping the graft.- Cartilage grafting in children and the aged.- ?) Bone.- Removal from the iliac crest.- Bone bank for nasal grafts.- Grafting of minced bone. “Morcellement”, bone chips (minced cancellous bone).- Results of bone grafting in the nose.- ?) Dermal flap as graft for saddlenose surgery.- c) Alloplastic material for nose.- ?) Formerly used implants.- ?) Implants used today.- Hard plastics.- Soft plastics.- Chemistry of plastics.- Metals.- Characteristics of alloplastic material.- d) Incisions for implant insertion in saddle nose.- e) Fixation of implants.- X. Correction of compound saddle nose.- 1. Sliding flaps and other flap utilization.- 2. Endonasal prostheses and retention devices.- XI. Correction of rhinophyma.- XII. Treatment of nasal injuries.- 1. Recent injuries of soft nasal structures.- 2. Old injuries of soft nasal structures.- 3. Fractures of bony and cartilaginous nasal vault.- 4. Immobilization of corrected nasal fracture.- 5. Plastic closure of dural fistulas in the region of nose and paranasal sinuses.- XIII. Plastic operations in the glabellar and frontal sinus region.- XIV. Correction of harelip nose.- 1. Correction of unilateral harelip nose.- Primary repair.- Secondary repair.- 2. Correction of bilateral harelip nose.- XV. Surgical treatment of nasal atresias and stenoses.- 1. Correction of anterior nasal atresias and stenoses.- 2. Correction of choanal atresia.- a) Transseptal approach.- b) Transantral approach.- c) Transnasal approach.- d) Transpalatal approach.- e) Surgical treatment of cicatricious choanal atresia.- 3. Correction of naso-pharyngeal atresias and stenoses.- XVI. Plastic surgery in hereditary nasal malformations.- 1. Monsters (cyclops eye in total absence of nose).- 2. Correction of congenital clefts in nasal region.- a) Median nasal cleft.- b) Double formations.- c) Lateral nasal clefts.- 3. Correction of congenital malformations related to facial clefts.- a) Correction of nasal aplasia.- b) Correction of proboscis lateralis.- c) Correction of nose in bilateral facial cleft.- d) Removal of median nasal fistulas and dermoid cysts.- e) Correction of other nasal malformations.- ?) Correction of flat nose.- ?) Correction of microrhinia.- ?) Surgery in absence of septum.- ?) Strands in nose.- B. Reconstructive rhinoplasty (replacement surger?).- I. Columellar reconstruction.- 1. Columellar reconstruction with flaps from neighboring area.- 2. Reconstruction of columella with distant flaps.- II. Composite auricular grafts for replacement of columella and alae.- Review of historical development of composite grafts.- Healing process of free composite auricular grafts.- Indication.- Technical procedure in removal of composite grafts and treatment of donor area.- Technique of suturing composite grafts.- Dressing technique.- Results.- Other possibilities.- III. Reconstruction of alae.- 1. Local reconstruction procedures.- 2. Reconstruction with flaps from neighboring areas.- 3. Reconstruction with septal flap.- 4. Reconstruction with distant flaps.- a) Forehead flaps.- b) Neck flaps.- c) Fronto-temporal flaps.- d) Flaps from upper arm (Italian method).- IV. Reconstruction of nasal tip.- 1. Reconstruction with flaps from neighboring area.- 2. Reconstruction with distant flaps.- a) Forehead flaps.- b) Fronto-temporal flap.- c) Tubed pedicle flaps from head and neck.- d) Visor flap.- e) Flaps from arm.- f) Reattachment of nose.- V. Reconstruction in other partial nasal defects (lateral nasal wall and dorsum).- 1. Reconstruction using free full-thickness skin grafts.- 2. Reconstruction using straight advancement flaps.- 3. Reconstruction using rotation and transposition flaps from cheek.- 4. Reconstruction using rotation and transposition flaps from forehead.- 5. Reconstruction with fronto-temporal flaps.- 6. Reconstruction with septum flap.- 7. Reconstruction with island flaps (Monks’ method).- 8. Reconstruction with tubed pedicle flaps.- 9. Reconstruction with abdomino-brachial sandwich flap.- VI. Partial and complete nasal reconstructive surgery.- 1. Indian method and Italian method.- 2. Reconstruction with visor or bridge flaps.- 3. Reconstruction with fronto-temporal flaps.- 4. Reconstruction with tubed pedicle flaps.- VII. Plastic procedure in nasal tumors.- 1. Approach and reconstruction following removal of tumors of and in nose.- 2. Repair of defects of nasal floor following tumor removal.- 3. Treatment of nasal hemangiomas.- C. Appendix.- I. Rhinoplasty in children.- II. Treatment of wounds; dressings.- III. Pitfalls and complications in rhinoplasty.- IV. Other nasal diseases in their relation to plastic surgery.- 1. Rhinoplasty in lupus vulgaris.- 2. Abrasion and scarification in diseases of nasal skin (dermabrasion).- 3. Treatment of paraffinoma of nose.- V. Epitheses.- Author Index.