We advocate a systematic, graduated approach to rhinoplasty in every phase of patient encounter from the pre- to intra to postoperative period. This approach is contingent on three guiding principles: planning, simplicity, and flexibility, which should inform on every rhinoplasty venture. With a detailed plan well thought out in advance, the surgeon may avoid protracted operative time and ill-defined goals. Using the full arsenal of techniques, including delivery, nondelivery, and open approaches (which celebrates the goal of flexibility), the surgeon may select only the simplest method that...

Temporomandibular joint (TMJ) ankylosis is a disorder that leads to a restriction of the mouth opening from partial reduction to complete immobility of the jaw. It can be described as fusion of articular surfaces and is an extremely disabling affliction that causes problems in mastication, digestion, speech, appearance, and hygiene. In growing patients, deformities of the mandible and maxilla may occur together with malocclusion. The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and high incidence of recurrence. Team approach is required for...