Articles

Rhinoplasty

		Finesse Rhinoplasty Rhinoplasty is the most challenging operation in plastic surgery. First of all, the anatomy in each nose is distinct. The wide amount of variation is seen in part due to differences within skin soft tissue envelope thickness and the shape... continue

		Nasal Reconstruction of the Leprosy Nose using Costal Cartilage Anil R. Shah MD, Clinical Instructor, Division of Facial Plastic Surgery, Section of Otolaryngology, University of Chicago, Chicago, IL, Private Practice, Chicago, IL, Daniel Zeitler MD, Resident, Department of Otolaryngology, New York University School of Medicine, New York, NY ... continue

		Open Septoplasty: Indications and Treatment Mohamad Chaaban, MDa, Anil R. Shah, MDb,* a Department of Otolaryngology, Head and Neck Surgery, University of Chicago Hospitals, 5841 S Maryland Avenue E-102, Chicago, IL 60637, USA b Division of Facial Plastic Surgery... continue

		Concentric and Eccentric Carved Costal Cartilage COSTAL CARTILAGE GRAFTing in rhinoplasty has gained increasing popularity in recent years. This technique is valuable when a significant degree of structural augmentation and support is needed in the nasal dorsum and tip... continue

		Revision Rhinoplasty Analysis Rhinoplasty anatomy and analysis often go hand in hand. It is important to know anatomic terms so that communication between surgeon and patient can be facilitated. The descriptions of anatomy and analysis have been oversimplified... continue

		Congenital Anomalies of the Nose Congenital midline nasal masses, which include nasal dermoid cysts, nasal encephaloceles, and nasal gliomas (Figures 91, 92 and 95), are rare malformations; one occurs in 20,00040,000 live births in the United States... continue

		Open Rhinoplasty On the surface, open, or external rhinoplasty differs from endonasal rhinoplasty by just a single incision along the midcolumella. However, both of these operations are based on vastly different core philosophies... continue

		Alar Base Resection and Repair Revision The alar base plays an important role in the overall appearance and proportion of the nose. An overly wide or flared alar base will lead to a bottom heavy nose and disrupt the delicate balance of an otherwise properly executed rhinoplasty... continue

		Quantitative Comparison Between Microperforating Osteotomies and Continuous Lateral Osteotomies in Rhinoplasty Lateral Osteotomies are used in rhinoplasty to narrow the nasal bones, close the open roof deformity after hump removal, and achieve symmetry of an asymmetrical framework. The 2 basic techniques for performing lateral osteotomies are continuous and perforating... continue

		Aligning the bony nasal vault in rhinoplasty The bony nasal vault represents a complex three dimensional structure. With a widely divergent spectrum of nasal bony deformities, use of a single technique will often result in inconsistent results... continue

		Loss of smell The ability to smell is often taken for granted. Not only are there many life enhancing odors such as the smell of fresh baked goods from a bakery or a rose garden in the spring, but the ability to smell can warn of life... continue

		Costal cartilage in a Porcine Model The project was conducted at a large university animal research laboratory. The costal cartilage of eight thirty-kilogram domestic pigs was harvested. The cartilage was cut into central and peripheral segments... continue

		How much does a rhinoplasty cost? The cost of cosmetic surgery is dependent on several factors. First of all, the location of the surgery will have a major impact on cost. Generally speaking, the same procedure performed in the Midwest will cost less than either the west or east coasts... continue

		How I Do It: Treating the crooked nose with a suture suspension technique Well intended osteotomies of the ascending process of the maxilla are often performed in an attempt to shift the nasal pyramid into a central position; however, this maneuver is doomed to fail if the deviation is secondary to a septal misdirection... continue

		Maximizing Nasal Projection By Release and Advancement of the Medial Crus Achieving maximal nasal projection in the under projected nose is a difficult task. The medial crura complex is the main projector of the tip. In the subset of patients with short to medium length medial crura, projecting the nasal tip is limited... continue

		Nuances in Tip Modification: Specific Applications of Cartilage Splitting in Rhinoplasty Division of the lower lateral cartilages in rhinoplasty has long been maligned for producing unnatural results. However, recognition of medial, intermediate, or lateral crural discrepancies allows for their division and overlay... continue

		Structural approach to endonasal rhinoplasty Without question, the introduction of open rhinoplasty has increased the emphasis on preservation and support of existing structure in rhinoplasty. The unparalleled view afforded by open rhinoplasty has decreased the learning curve of surgeons in the most difficult of plastic surgery procedures... continue