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E-grāmata: Photographic Atlas of Rhinoplasty: Problem-solving and Troubleshooting

  • Formāts: PDF+DRM
  • Izdošanas datums: 18-May-2021
  • Izdevniecība: Springer Nature Switzerland AG
  • Valoda: eng
  • ISBN-13: 9783030443252
  • Formāts - PDF+DRM
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  • Formāts: PDF+DRM
  • Izdošanas datums: 18-May-2021
  • Izdevniecība: Springer Nature Switzerland AG
  • Valoda: eng
  • ISBN-13: 9783030443252

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This atlas pursues a problem-based rather than solely technique-oriented approach. Instead of focusing on open or closed rhinoplasty, it compares the relative merits of both approaches for specific anatomical problems and surgical techniques.

The book incorporates a wealth of pre-,  peri-,  and postoperative images as well as short- and long-term results.Readers are not only introduced to ideal surgical outcomes and successful results; the author also shares his hands-on experience in revision cases.

The chapters are clearly structured, and each explores a particular problem by giving an overview of the pathology and then offering possible solutions in a step-by-step approach. Individual chapters describe conditions of the radix, the dorsum, and the nasal tip and address technical questions like the indications for osteotomy and dorsum preservation. All these topics are accompanied by HD video clips using state-of-the-art Augmented Reality technology.

Plastic surgeons and ENT doctors can directly and easily see the implications for their own clinical practice. As such, this book is not only a valuable addition to surgeons' bookshelves, but also offers direct support in the operating theatre.


Part I Radix
1 Radix: Definition And Analysis
3(4)
1.1 One: The Vertical Position of the Radix
3(1)
1.2 Two: The Projection (Height) of the Radix
3(2)
Suggested Reading
5(2)
2 High Radix
7(16)
2.1 Introduction
7(1)
2.2 Treatment Strategy
7(4)
2.3 What Is the Radix Saw?
11(1)
2.4 Clinical Outcomes
11(11)
2.4.1 Case 1
11(5)
2.4.2 Case 2
16(1)
2.4.3 Case 3
16(4)
2.4.4 Case 4
20(1)
2.4.5 Case 5
21(1)
2.5 Conclusion
22(1)
Suggested Reading
22(1)
3 Low Radix
23(24)
3.1 Introduction
23(1)
3.2 Treatment Strategy
23(1)
3.3 Clinical Outcomes
23(14)
3.3.1 Case 1
23(4)
3.3.2 Case 2
27(1)
3.3.3 Case 3
27(6)
3.3.4 Case 4
33(1)
3.3.5 Case 5
33(1)
3.3.6 Case 6
34(1)
3.3.7 Case 7
34(1)
3.3.8 Case 8
35(2)
3.4 Conclusion
37(7)
Suggested Reading
44(3)
Part II Dorsum
4 Dorsum: Definition And Analysis
47(4)
Suggested Reading
50(1)
5 Dorsum: Dorsal Reduction
51(16)
5.1 Introduction
51(1)
5.2 Treatment Strategies
51(5)
5.2.1 En Bloc Resection
51(1)
5.2.2 Segmental Resection
51(5)
5.3 Clinical Outcomes
56(10)
5.3.1 Case 1
56(5)
5.3.2 Case 2
61(2)
5.3.3 Case 3
63(1)
5.3.4 Case 4
63(1)
5.3.5 Case 5
63(3)
5.4 Conclusion
66(1)
Suggested Reading
66(1)
6 Middle Vault Reconstruction
67(56)
6.1 Introduction
67(1)
6.2 Treatment Strategy and Clinical Outcomes
68(53)
6.2.1 Spreader Graft
68(1)
6.2.2 Spreader Grafts Are Used to Avoid a Narrow Middle Vault
68(2)
6.2.3 Correction of Dorsal Septal Deviations Can Also Be Performed with Spreader Grafts
70(14)
6.2.4 Asymmetric Spreader Graft to Reconstruct the Middle Vault
84(4)
6.2.5 Collapsed Lateral Nasal Wall
88(1)
6.2.6 Straightening of the Dorsal Septum and the Caudal Septum
89(4)
6.2.7 Autospreader Graft (Autospreader Flap)
93(6)
6.2.8 Unique Situations in Middle Vault Reconstruction
99(1)
6.2.9 Conclusion
99(22)
Suggested Reading
121(2)
7 Dorsum: Osteotomy
123(54)
7.1 Introduction
123(1)
7.2 Treatment Strategy
123(9)
7.2.1 Transverse Osteotomy
123(5)
7.2.2 Lateral Osteotomy
128(4)
7.3 How Can We Use Osteotomy in Cases?
132(42)
7.3.1 Wide Nasal Bones
132(1)
7.3.2 Wide Base and Uncomplicated Dorsum
132(1)
7.3.3 Wide Base and Narrow Dorsum
132(1)
7.3.4 Wide Base and Wide Dorsum
133(2)
7.3.5 Asymmetric Bone Pyramid (Deviated Nasal Bone Pyramid)
135(5)
7.3.6 Double Saw
140(8)
7.3.7 Short Nasal Bone
148(2)
7.3.8 Narrow Nasal Base
150(1)
7.3.9 Narrow Nasal Root
150(3)
7.3.10 Unique Situations
153(21)
7.4 Conclusion
174(1)
Suggested Reading
175(2)
8 Dorsum: Final Touch The Dorsum
177(24)
8.1 Introduction
177(1)
8.2 Treatment Strategy and Clinical Outcomes
177(2)
8.2.1 Case 1
178(1)
8.2.2 Case 2
179(1)
8.2.3 Case 3
179(1)
8.3 Excessive Septal Cartilage in the Dorsum
179(2)
8.3.1 Case 4
180(1)
8.3.2 Case 5
180(1)
8.4 Polly Beak Deformity Caused by Lateral Crus
181(1)
8.4.1 Case 6
181(1)
8.5 Loss of Tip Projection
182(17)
8.5.1 Case 7
184(1)
8.5.2 Case 8
185(1)
8.5.3 Case 9
186(1)
8.5.4 Case 10
186(1)
8.5.5 Case 11
186(1)
8.5.6 Case 12
186(13)
8.6 Conclusions
199(1)
Suggested Reading
199(2)
9 Dorsum: Saddle Nose
201(36)
9.1 Introduction
201(1)
9.2 Treatment Strategy
201(3)
9.3 Clinical Outcomes
204(26)
9.3.1 Case 1
204(1)
9.3.2 Case 2
205(8)
9.3.3 Case 3
213(1)
9.3.4 Case 4
213(1)
9.3.5 Case 5
213(1)
9.3.6 Case 6
213(10)
9.3.7 Case 7
223(7)
9.4 Conclusion
230(4)
Suggested Reading
234(3)
Part III Nasal Tip
10 Tip Anatomy And Analysis
237(6)
10.1 Tip Anatomy
237(1)
10.2 Basic Anatomy
237(1)
10.3 Directions
237(1)
10.4 Terminology
238(1)
10.5 Grafts
239(2)
Suggested Reading
241(2)
11 Plunging Nose, Under-Rotated Nasal Tip
243(64)
11.1 Introduction and Brief Clinical History
243(1)
11.2 Treatment Strategy
243(11)
11.2.1 Droopy Nasal Tip Associated with Extrinsic Factors
244(6)
11.2.2 Droopy Nasal Tip Associated with Intrinsic Factors
250(4)
11.3 Example Cases
254(24)
11.3.1 Correction of Tip Rotation with a Lateral Crural Steal Suture
254(1)
11.3.2 Technique of Lateral Crural Steal Suture
255(1)
11.3.3 Clinical Outcomes: Droopy Nasal Tip Corrected with the Steal Suture Technique
256(5)
11.3.4 Droopy Nasal Tip Treatment with the COST Technique
261(10)
11.3.5 Droopy Nasal Tip Treatment with Vertical Alar Resection (VAR Technique)
271(7)
11.4 Malpositioned/Cephalically Oriented Lateral Crus
278(11)
11.4.1 Treatment of Malpositioned Lateral Crus
281(8)
11.5 Conclusion
289(16)
Suggested Reading
305(2)
12 Over-Rotated Nasal Tip
307(30)
12.1 Introduction
307(1)
12.2 Caudal Septum-Based Over-Rotated Nasal Tip
307(1)
12.3 Alar Cartilage-Based Over-Rotated Nasal Tip
307(2)
12.4 Treatment Strategy
309(5)
12.5 Clinical Outcomes
314(22)
12.5.1 Case 1
314(5)
12.5.2 Case 2
319(2)
12.5.3 Case 3
321(5)
12.5.4 Case 4
326(1)
12.5.5 Case 5
326(10)
12.6 Conclusion
336(1)
Suggested Reading
336(1)
13 Wide Nasal Tip
337(142)
13.1 Introduction
337(1)
13.2 Treatment Strategy
337(31)
13.2.1 Basic Techniques
342(6)
13.2.2 Clinical Outcomes
348(6)
13.2.3 Modified Transdomal Suturing
354(14)
13.3 Intermediate Techniques
368(26)
13.3.1 Pseudo-Convexity of the Lateral Crus (An Extrinsic Issue)
368(2)
13.3.2 Convexity of the Lateral Crus Is (An Intrinsic Issue)
370(2)
13.3.3 Septal Lateral Crural Graft
372(8)
13.3.4 Clinical Outcomes of Overlay Placement
380(6)
13.3.5 Alar Lateral Crural Grafting
386(8)
13.4 Advanced Techniques
394(48)
13.4.1 COST (Lateral Crural Steal + Medial Crural Overlap)
396(19)
13.4.2 VAR (Vertical Alar Resection)
415(27)
13.5 Repositioning of the Lateral Crus
442(16)
13.5.1 Case 33
446(8)
13.5.2 Case 34
454(1)
13.5.3 Case 35
454(4)
13.6 The Alar Base
458(5)
13.6.1 Wedge-Shaped Skin Resection: Case 36
459(1)
13.6.2 Crescential Alar Base Reduction: Case 37
460(1)
13.6.3 Case 38
461(2)
13.6.4 Ellipsoidal Excision: Case 39
463(1)
13.7 Conclusions
463(14)
Suggested Reading
477(2)
14 Narrow Nasal Tip
479(40)
14.1 Introduction: Brief Clinical History
479(2)
14.1.1 Lateral Crus Malposition
479(1)
14.1.2 Problematic Inner Configurations
479(1)
14.1.3 Weak and Deformed Lateral Crus
479(1)
14.1.4 Unfavorable Relationship Between the Caudal and Cranial Edges of the Lateral Crus
479(2)
14.1.5 Why Does Nasal Obstruction Occur with a Pinched tip?
481(1)
14.2 Treatment Strategy
481(3)
14.3 Clinical Outcomes: Secondary Narrow Nasal Tip
484(12)
14.3.1 Cephalic Malposition of the Lateral Crus
484(1)
14.3.2 Weak and Deformed Lateral Crus
485(7)
14.3.3 Incorrect Suturing During a Previous Surgery
492(4)
14.4 Clinical Outcomes: Primary Narrow Nasal Tip
496(21)
14.4.1 Case 6
496(4)
14.4.2 Case 7
500(1)
14.4.3 Case 8
501(3)
14.4.4 Case 9
504(1)
14.4.5 Case 10
504(1)
14.4.6 Case 11
504(13)
14.5 Conclusions
517(1)
Suggested Reading
517(2)
15 Under-Projected Tip
519(50)
15.1 Introduction: Brief Clinical History
519(1)
15.2 Treatment Strategy
519(1)
15.3 Part 1: Under-Projected Tip Due to Alar Cartilage-Related Problems
519(25)
15.3.1 Transdomal suture
519(1)
15.3.2 Columellar Strut
520(1)
15.3.3 Onlay Tip Grafts
521(6)
15.3.4 Clinical Outcomes
527(9)
15.3.5 Lateral Crural Graft and Septocolumellar Strut
536(8)
15.4 Part 2: Under-Projected Tip Due to Caudal Septum and Nasal Spine
544(12)
15.4.1 Case 9
555(1)
15.5 Under-Projected Tip Due to Caudal Septum and Alar Cartilages
556(9)
15.5.1 Case 10
556(4)
15.5.2 Case 11
560(5)
15.6 Conclusion
565(2)
Suggested Reading
567(2)
16 Over-Projected Nasal Tip
569(52)
16.1 Introduction
569(1)
16.2 Potentially Overlooked Over-Projected Tip
570(4)
16.2.1 Size of the Nose
570(1)
16.2.2 Presence of Droopy Nasal Tip
570(4)
16.3 Treatment Strategy/Clinical Outcome/Etiology
574(9)
16.3.1 Underdeveloped Nearby Structures
574(4)
16.3.2 Overdeveloped Tip Framework (True Over-Projection)
578(5)
16.4 Surgical Techniques
583(36)
16.4.1 Over-Projection Surgery Due to Septum/Nasal Spine
584(3)
16.4.2 Over-Projection Surgery in Cases with Alar Cartilage Hypertrophy
587(1)
16.4.3 Over-Projection Due to Entirely Hypertrophic Alar Cartilage
587(32)
16.5 Conclusion
619(1)
Suggested Reading
619(2)
17 Alar-Columellar Relationship In Rhinoplasty: Relationship Between The Alar Rim And Columellar Border Of The Nose
621(54)
17.1 Introduction/Brief Clinical History
621(1)
17.2 Excessive Nostril Show
622(1)
17.3 Hanging Columella
622(13)
17.3.1 Cause 1: Hypertrophy of the Caudal Septum and Nasal Spine
622(8)
17.3.2 Cause 2: Anomalies of the Medial Crura
630(5)
17.4 Retracted Ala
635(5)
17.4.1 Case 11
640(1)
17.5 Treatment Strategy
640(22)
17.5.1 Alar Rim Graft
640(4)
17.5.2 Lateral Crural Graft
644(10)
17.5.3 Auricular Composite Graft
654(8)
17.6 Reduced Nostril Show
662(10)
17.6.1 Retracted Columella
662(3)
17.6.2 Hanging Ala
665(7)
17.7 Conclusion
672(2)
Suggested Reading
674(1)
18 Asymmetrical Nasal Tip
675(54)
18.1 Introduction/Treatment Strategy
675(7)
18.1.1 Management of Caudal Septal Deviation
675(1)
18.1.2 An Algorithm for Management of Deviations in the Caudal Septum
675(7)
18.2 Tip Asymmetries Due to Alar Cartilages
682(5)
18.3 Clinical Outcomes
687(39)
18.3.1 Case 1
687(1)
18.3.2 Case 2
688(1)
18.3.3 Case 3
688(1)
18.3.4 Case 4
688(1)
18.3.5 Case 5
689(8)
18.3.6 Case 6
697(4)
18.3.7 Case 7
701(1)
18.3.8 Case 8
701(6)
18.3.9 Case 9
707(1)
18.3.10 Case 10
707(8)
18.3.11 Case 11
715(1)
18.3.12 Case 12
715(6)
18.3.13 Case 13
721(5)
18.4 Conclusion
726(1)
Suggested Reading
726(3)
Part IV Rhinoplasty
19 Step-By-Step Open Approach Rhinoplasty
729(22)
19.1 Introduction
729(1)
19.2 Steps for Open Approach Rhinoplasty
729(20)
19.2.1 Step 1
729(1)
19.2.2 Step 2
729(1)
19.2.3 Step 3
729(1)
19.2.4 Step 4
729(1)
19.2.5 Step 5
729(2)
19.2.6 Step 6
731(1)
19.2.7 Step 7
731(1)
19.2.8 Step 8
731(1)
19.2.9 Step 9
731(1)
19.2.10 Step 10
732(1)
19.2.11 Step 11
733(1)
19.2.12 Step 12
733(1)
19.2.13 Step 13
733(1)
19.2.14 Step 14
733(2)
19.2.15 Step 15
735(1)
19.2.16 Step 16
735(1)
19.2.17 Step 17
736(1)
19.2.18 Step 18
736(1)
19.2.19 Step 19
736(1)
19.2.20 Step 20
737(1)
19.2.21 Step 21
737(1)
19.2.22 Step 22
737(2)
19.2.23 Step 23
739(1)
19.2.24 Step 24
739(1)
19.2.25 Step 25
739(1)
19.2.26 Step 26
740(1)
19.2.27 Step 27
741(1)
19.2.28 Step 28
741(1)
19.2.29 Step 29
741(1)
19.2.30 Step 30
741(1)
19.2.31 Step 31
741(1)
19.2.32 Step 32
741(1)
19.2.33 Step 33
741(3)
19.2.34 Step 34
744(1)
19.2.35 Step 35
744(1)
19.2.36 Step 36
744(1)
19.2.37 Step 37
744(1)
19.2.38 Step 38
744(1)
19.2.39 Step 39
744(5)
Suggested Reading
749(2)
20 Step-By-Step Close Approach Rhinoplasty
751(10)
20.1 Introduction
751(1)
20.2 Steps
751(6)
20.2.1 Step 1
751(1)
20.2.2 Step 2
751(1)
20.2.3 Step 3
751(1)
20.2.4 Step 4
751(1)
20.2.5 Step 5
751(1)
20.2.6 Step 6
751(1)
20.2.7 Step 7
751(2)
20.2.8 Step 8
753(1)
20.2.9 Step 9
754(1)
20.2.10 Step 10
754(1)
20.2.11 Step 11
754(1)
20.2.12 Step 12
754(1)
20.2.13 Step 13
754(2)
20.2.14 Step 14
756(1)
20.2.15 Step 15
756(1)
Suggested Reading
757(4)
Part V Additional Information on Rhinoplasty
21 Ask The Author: Questions And Answers In Rhinoplasty Surgery
761
Suggested Reading
771
Sureyya Seneldir graduated from Istanbul University Medical Department in 1991. He has carried out over 10,000 functional and aesthetic rhinoplasty operations over the course of his career.





He is a member of the European Academy of Facial Plastic Surgerys (EAFPS) Rhinoplasty Focus Group and a regular attendee and speaker at conferences around the world, delivering presentations and performing live surgery demonstrations. In 2012 he founded the Rhinoplasty School as a means of sharing his experience and philosophy with other rhinoplasty surgeons.





 The School has held more than twenty course sessions to-date, all of which Dr. Seneldir has personally managed. Over 2,000 surgeons have now completed the program. He also set up the related Cadaver Course and Fellowship Program, which gives participants the chance to put the theory taught in the initial course into practice.





He has also built up an extensive archive of photo records and surgical videos since the outset of his career, an invaluable body of materials which are used to train practitioners at all levels. 





Sureyya is a passionate advocate of harnessing the latest technology to improve the patients, and surgeons, experience. His philosophy of creative productivity underpins much of his work, including the creation of two product lines MagicSaw and Rhinosmart.