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1 Radix: Definition And Analysis |
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3 | (4) |
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1.1 One: The Vertical Position of the Radix |
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3 | (1) |
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1.2 Two: The Projection (Height) of the Radix |
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3 | (2) |
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5 | (2) |
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7 | (16) |
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7 | (1) |
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7 | (4) |
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2.3 What Is the Radix Saw? |
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11 | (1) |
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11 | (11) |
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11 | (5) |
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16 | (1) |
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16 | (4) |
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20 | (1) |
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21 | (1) |
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22 | (1) |
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22 | (1) |
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23 | (24) |
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23 | (1) |
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23 | (1) |
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23 | (14) |
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23 | (4) |
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27 | (1) |
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27 | (6) |
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33 | (1) |
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33 | (1) |
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34 | (1) |
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34 | (1) |
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35 | (2) |
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37 | (7) |
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44 | (3) |
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4 Dorsum: Definition And Analysis |
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47 | (4) |
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50 | (1) |
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5 Dorsum: Dorsal Reduction |
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51 | (16) |
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51 | (1) |
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51 | (5) |
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51 | (1) |
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5.2.2 Segmental Resection |
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51 | (5) |
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56 | (10) |
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56 | (5) |
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61 | (2) |
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63 | (1) |
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63 | (1) |
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63 | (3) |
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66 | (1) |
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66 | (1) |
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6 Middle Vault Reconstruction |
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67 | (56) |
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67 | (1) |
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6.2 Treatment Strategy and Clinical Outcomes |
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68 | (53) |
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68 | (1) |
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6.2.2 Spreader Grafts Are Used to Avoid a Narrow Middle Vault |
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68 | (2) |
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6.2.3 Correction of Dorsal Septal Deviations Can Also Be Performed with Spreader Grafts |
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70 | (14) |
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6.2.4 Asymmetric Spreader Graft to Reconstruct the Middle Vault |
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84 | (4) |
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6.2.5 Collapsed Lateral Nasal Wall |
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88 | (1) |
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6.2.6 Straightening of the Dorsal Septum and the Caudal Septum |
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89 | (4) |
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6.2.7 Autospreader Graft (Autospreader Flap) |
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93 | (6) |
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6.2.8 Unique Situations in Middle Vault Reconstruction |
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99 | (1) |
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99 | (22) |
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121 | (2) |
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123 | (54) |
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123 | (1) |
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123 | (9) |
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7.2.1 Transverse Osteotomy |
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123 | (5) |
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128 | (4) |
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7.3 How Can We Use Osteotomy in Cases? |
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132 | (42) |
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132 | (1) |
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7.3.2 Wide Base and Uncomplicated Dorsum |
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132 | (1) |
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7.3.3 Wide Base and Narrow Dorsum |
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132 | (1) |
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7.3.4 Wide Base and Wide Dorsum |
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133 | (2) |
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7.3.5 Asymmetric Bone Pyramid (Deviated Nasal Bone Pyramid) |
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135 | (5) |
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140 | (8) |
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148 | (2) |
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150 | (1) |
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150 | (3) |
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153 | (21) |
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174 | (1) |
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175 | (2) |
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8 Dorsum: Final Touch The Dorsum |
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177 | (24) |
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177 | (1) |
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8.2 Treatment Strategy and Clinical Outcomes |
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177 | (2) |
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178 | (1) |
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179 | (1) |
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179 | (1) |
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8.3 Excessive Septal Cartilage in the Dorsum |
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179 | (2) |
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180 | (1) |
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180 | (1) |
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8.4 Polly Beak Deformity Caused by Lateral Crus |
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181 | (1) |
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181 | (1) |
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8.5 Loss of Tip Projection |
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182 | (17) |
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184 | (1) |
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185 | (1) |
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186 | (1) |
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186 | (1) |
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186 | (1) |
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186 | (13) |
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199 | (1) |
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199 | (2) |
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201 | (36) |
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201 | (1) |
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201 | (3) |
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204 | (26) |
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204 | (1) |
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205 | (8) |
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213 | (1) |
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213 | (1) |
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213 | (1) |
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213 | (10) |
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223 | (7) |
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230 | (4) |
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234 | (3) |
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10 Tip Anatomy And Analysis |
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237 | (6) |
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237 | (1) |
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237 | (1) |
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237 | (1) |
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238 | (1) |
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239 | (2) |
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241 | (2) |
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11 Plunging Nose, Under-Rotated Nasal Tip |
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243 | (64) |
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11.1 Introduction and Brief Clinical History |
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243 | (1) |
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243 | (11) |
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11.2.1 Droopy Nasal Tip Associated with Extrinsic Factors |
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244 | (6) |
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11.2.2 Droopy Nasal Tip Associated with Intrinsic Factors |
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250 | (4) |
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254 | (24) |
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11.3.1 Correction of Tip Rotation with a Lateral Crural Steal Suture |
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254 | (1) |
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11.3.2 Technique of Lateral Crural Steal Suture |
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255 | (1) |
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11.3.3 Clinical Outcomes: Droopy Nasal Tip Corrected with the Steal Suture Technique |
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256 | (5) |
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11.3.4 Droopy Nasal Tip Treatment with the COST Technique |
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261 | (10) |
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11.3.5 Droopy Nasal Tip Treatment with Vertical Alar Resection (VAR Technique) |
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271 | (7) |
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11.4 Malpositioned/Cephalically Oriented Lateral Crus |
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278 | (11) |
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11.4.1 Treatment of Malpositioned Lateral Crus |
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281 | (8) |
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289 | (16) |
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305 | (2) |
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12 Over-Rotated Nasal Tip |
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307 | (30) |
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307 | (1) |
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12.2 Caudal Septum-Based Over-Rotated Nasal Tip |
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307 | (1) |
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12.3 Alar Cartilage-Based Over-Rotated Nasal Tip |
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307 | (2) |
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309 | (5) |
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314 | (22) |
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314 | (5) |
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319 | (2) |
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321 | (5) |
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326 | (1) |
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326 | (10) |
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336 | (1) |
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336 | (1) |
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337 | (142) |
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337 | (1) |
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337 | (31) |
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342 | (6) |
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348 | (6) |
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13.2.3 Modified Transdomal Suturing |
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354 | (14) |
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13.3 Intermediate Techniques |
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368 | (26) |
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13.3.1 Pseudo-Convexity of the Lateral Crus (An Extrinsic Issue) |
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368 | (2) |
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13.3.2 Convexity of the Lateral Crus Is (An Intrinsic Issue) |
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370 | (2) |
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13.3.3 Septal Lateral Crural Graft |
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372 | (8) |
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13.3.4 Clinical Outcomes of Overlay Placement |
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380 | (6) |
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13.3.5 Alar Lateral Crural Grafting |
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386 | (8) |
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394 | (48) |
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13.4.1 COST (Lateral Crural Steal + Medial Crural Overlap) |
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396 | (19) |
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13.4.2 VAR (Vertical Alar Resection) |
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415 | (27) |
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13.5 Repositioning of the Lateral Crus |
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442 | (16) |
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446 | (8) |
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454 | (1) |
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454 | (4) |
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458 | (5) |
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13.6.1 Wedge-Shaped Skin Resection: Case 36 |
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459 | (1) |
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13.6.2 Crescential Alar Base Reduction: Case 37 |
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460 | (1) |
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461 | (2) |
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13.6.4 Ellipsoidal Excision: Case 39 |
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463 | (1) |
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463 | (14) |
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477 | (2) |
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479 | (40) |
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14.1 Introduction: Brief Clinical History |
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479 | (2) |
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14.1.1 Lateral Crus Malposition |
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479 | (1) |
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14.1.2 Problematic Inner Configurations |
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479 | (1) |
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14.1.3 Weak and Deformed Lateral Crus |
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479 | (1) |
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14.1.4 Unfavorable Relationship Between the Caudal and Cranial Edges of the Lateral Crus |
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479 | (2) |
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14.1.5 Why Does Nasal Obstruction Occur with a Pinched tip? |
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481 | (1) |
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481 | (3) |
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14.3 Clinical Outcomes: Secondary Narrow Nasal Tip |
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484 | (12) |
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14.3.1 Cephalic Malposition of the Lateral Crus |
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484 | (1) |
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14.3.2 Weak and Deformed Lateral Crus |
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485 | (7) |
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14.3.3 Incorrect Suturing During a Previous Surgery |
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492 | (4) |
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14.4 Clinical Outcomes: Primary Narrow Nasal Tip |
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496 | (21) |
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496 | (4) |
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500 | (1) |
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501 | (3) |
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504 | (1) |
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504 | (1) |
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504 | (13) |
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517 | (1) |
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517 | (2) |
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519 | (50) |
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15.1 Introduction: Brief Clinical History |
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519 | (1) |
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519 | (1) |
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15.3 Part 1: Under-Projected Tip Due to Alar Cartilage-Related Problems |
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519 | (25) |
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519 | (1) |
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520 | (1) |
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521 | (6) |
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527 | (9) |
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15.3.5 Lateral Crural Graft and Septocolumellar Strut |
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536 | (8) |
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15.4 Part 2: Under-Projected Tip Due to Caudal Septum and Nasal Spine |
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544 | (12) |
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555 | (1) |
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15.5 Under-Projected Tip Due to Caudal Septum and Alar Cartilages |
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556 | (9) |
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556 | (4) |
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560 | (5) |
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565 | (2) |
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567 | (2) |
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16 Over-Projected Nasal Tip |
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569 | (52) |
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569 | (1) |
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16.2 Potentially Overlooked Over-Projected Tip |
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570 | (4) |
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570 | (1) |
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16.2.2 Presence of Droopy Nasal Tip |
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570 | (4) |
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16.3 Treatment Strategy/Clinical Outcome/Etiology |
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574 | (9) |
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16.3.1 Underdeveloped Nearby Structures |
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574 | (4) |
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16.3.2 Overdeveloped Tip Framework (True Over-Projection) |
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578 | (5) |
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583 | (36) |
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16.4.1 Over-Projection Surgery Due to Septum/Nasal Spine |
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584 | (3) |
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16.4.2 Over-Projection Surgery in Cases with Alar Cartilage Hypertrophy |
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587 | (1) |
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16.4.3 Over-Projection Due to Entirely Hypertrophic Alar Cartilage |
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587 | (32) |
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619 | (1) |
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619 | (2) |
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17 Alar-Columellar Relationship In Rhinoplasty: Relationship Between The Alar Rim And Columellar Border Of The Nose |
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621 | (54) |
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17.1 Introduction/Brief Clinical History |
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621 | (1) |
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17.2 Excessive Nostril Show |
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622 | (1) |
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622 | (13) |
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17.3.1 Cause 1: Hypertrophy of the Caudal Septum and Nasal Spine |
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622 | (8) |
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17.3.2 Cause 2: Anomalies of the Medial Crura |
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630 | (5) |
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635 | (5) |
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640 | (1) |
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640 | (22) |
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640 | (4) |
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17.5.2 Lateral Crural Graft |
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644 | (10) |
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17.5.3 Auricular Composite Graft |
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654 | (8) |
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17.6 Reduced Nostril Show |
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662 | (10) |
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17.6.1 Retracted Columella |
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662 | (3) |
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665 | (7) |
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672 | (2) |
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674 | (1) |
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18 Asymmetrical Nasal Tip |
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675 | (54) |
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18.1 Introduction/Treatment Strategy |
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675 | (7) |
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18.1.1 Management of Caudal Septal Deviation |
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675 | (1) |
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18.1.2 An Algorithm for Management of Deviations in the Caudal Septum |
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675 | (7) |
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18.2 Tip Asymmetries Due to Alar Cartilages |
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682 | (5) |
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687 | (39) |
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687 | (1) |
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688 | (1) |
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688 | (1) |
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688 | (1) |
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689 | (8) |
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697 | (4) |
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701 | (1) |
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701 | (6) |
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707 | (1) |
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707 | (8) |
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715 | (1) |
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715 | (6) |
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721 | (5) |
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726 | (1) |
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726 | (3) |
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19 Step-By-Step Open Approach Rhinoplasty |
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729 | (22) |
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729 | (1) |
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19.2 Steps for Open Approach Rhinoplasty |
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729 | (20) |
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729 | (1) |
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729 | (1) |
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729 | (1) |
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729 | (1) |
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729 | (2) |
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731 | (1) |
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731 | (1) |
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731 | (1) |
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731 | (1) |
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732 | (1) |
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733 | (1) |
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733 | (1) |
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733 | (1) |
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733 | (2) |
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735 | (1) |
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735 | (1) |
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736 | (1) |
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736 | (1) |
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736 | (1) |
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737 | (1) |
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737 | (1) |
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737 | (2) |
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739 | (1) |
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739 | (1) |
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739 | (1) |
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740 | (1) |
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741 | (1) |
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741 | (1) |
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741 | (1) |
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741 | (1) |
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741 | (1) |
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741 | (1) |
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741 | (3) |
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744 | (1) |
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744 | (1) |
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744 | (1) |
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744 | (1) |
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744 | (1) |
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744 | (5) |
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749 | (2) |
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20 Step-By-Step Close Approach Rhinoplasty |
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751 | (10) |
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751 | (1) |
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751 | (6) |
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751 | (1) |
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751 | (1) |
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751 | (1) |
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751 | (1) |
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751 | (1) |
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751 | (1) |
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751 | (2) |
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753 | (1) |
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754 | (1) |
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754 | (1) |
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754 | (1) |
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754 | (1) |
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754 | (2) |
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756 | (1) |
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756 | (1) |
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757 | (4) |
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Part V Additional Information on Rhinoplasty |
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21 Ask The Author: Questions And Answers In Rhinoplasty Surgery |
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761 | |
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771 | |