This document outlines surgical assessments for various rhinoplasty patients. It describes pre-operative conditions such as hump deformities, nasal tip issues, and septal deviations. For each patient, it provides a brief surgical plan in 3 sentences or less, including procedures like hump removal, osteotomies, tip work, and grafting. It aims to demonstrate the importance of thorough surgical assessment and planning in rhinoplasty. Pre- and post-operative photos support each assessment. The document is intended for colleagues as part of an advanced rhinoplasty course.
Rhinoplasty or nose job is a surgery to make the nose better by changing the shape of nose. This lecture gives a broad idea on principles of rhinoplasty .
A rhinoplasty surgeon has to be quite careful while choosing the right candidate for rhinoplasty.
Preface
If not coincidence, at least it was in the same decade when endoscopic sinus surgery and computed tomography were introduced to Otolaryngologists, which have changed the approach to sinonasal problems dramatically. Probably, there are no such coincidences in the history of medicine where two new modalities of approaches appeared at the same time, to deal with the same problem and complement each other while doing so. The asset of improved visualization and magnification, available through endoscopes, has revolutionized the understanding of the pathophysiology of sinusitis, and resulted in better appreciation of the anatomy of the paranasal sinuses. However, non-invasive diagnostic endoscopy has its limits, and the deeper structures cannot be evaluated by endoscopy alone . Computed tomography, which has an ability to optimally display bone, soft tissue and air simultaneously, can not only complement endoscopic examination, it can provide a surgical road map delineating the anatomy, defining the obstructing lesions, and noting anatomic variations that may predispose to operative complications.
Computed tomography has scored over plain radiographs and polytomographs as an imaging modality in this area. Even though surpassing CT's capacity to image soft tissue, MRI is less suitable as an imaging modality for evaluation of this area because of the similar signal intensities for bone and air.
CT scanning has become imaging modality of choice and the cooperation required between the Radiologist and the Surgeon is mandatory for both evaluation and treatment of paranasal disorders. It is of paramount importance on the part of the Otolaryngologists to understand interpretation of CT films, Radiological anatomy of the paranasal sinuses, Anatomical variations and the pathology to complement the endoscopy findings for initial screening, surgical planning, reduce postoperative complications and to provide better results. This Presentations is prepared to help Otolaryngology colleagues to learn the Imaging/radiological aspects required for endoscopic sinus surgery.
Rhinoplasty or nose job is a surgery to make the nose better by changing the shape of nose. This lecture gives a broad idea on principles of rhinoplasty .
A rhinoplasty surgeon has to be quite careful while choosing the right candidate for rhinoplasty.
Preface
If not coincidence, at least it was in the same decade when endoscopic sinus surgery and computed tomography were introduced to Otolaryngologists, which have changed the approach to sinonasal problems dramatically. Probably, there are no such coincidences in the history of medicine where two new modalities of approaches appeared at the same time, to deal with the same problem and complement each other while doing so. The asset of improved visualization and magnification, available through endoscopes, has revolutionized the understanding of the pathophysiology of sinusitis, and resulted in better appreciation of the anatomy of the paranasal sinuses. However, non-invasive diagnostic endoscopy has its limits, and the deeper structures cannot be evaluated by endoscopy alone . Computed tomography, which has an ability to optimally display bone, soft tissue and air simultaneously, can not only complement endoscopic examination, it can provide a surgical road map delineating the anatomy, defining the obstructing lesions, and noting anatomic variations that may predispose to operative complications.
Computed tomography has scored over plain radiographs and polytomographs as an imaging modality in this area. Even though surpassing CT's capacity to image soft tissue, MRI is less suitable as an imaging modality for evaluation of this area because of the similar signal intensities for bone and air.
CT scanning has become imaging modality of choice and the cooperation required between the Radiologist and the Surgeon is mandatory for both evaluation and treatment of paranasal disorders. It is of paramount importance on the part of the Otolaryngologists to understand interpretation of CT films, Radiological anatomy of the paranasal sinuses, Anatomical variations and the pathology to complement the endoscopy findings for initial screening, surgical planning, reduce postoperative complications and to provide better results. This Presentations is prepared to help Otolaryngology colleagues to learn the Imaging/radiological aspects required for endoscopic sinus surgery.
the 18th International Course in Modern Rhinoplasty techniques & Symposium The Cleft Lip Patient. 26, 27 & 28 October 2011 AMC Amsterdam
http://www.rhinoplastycourse.nl/
Dr. Jason Roostaeian, UCLA Aesthetic & Reconstructive Plastic Surgeon, goes in depth to explain Rhinoplasty (nose job) surgery. He discusses anatomy, facts, modern techniques, closed vs. open, functional rhinoplasty, costs of a rhinoplasty, and answers top rhinoplasty questions.
18th International Course in Modern Rhinoplasty Techniques & Symposium The Cleft Lip Patient and Revision surgery
26, 27 & 28 October 2011
http://www.rhinoplastycourse.nl/
Rhinoplasty enhances facial harmony and therefore the proportions of your nose. It will also correct impaired respiration caused by structural defects within the nose.
Rhinoplasty surgery will change:
Nose size in relation to facial balance
Nose width at the bridge or in the dimensions and position of the nostrils
Nose profile with visible humps or depressions on the bridge
Nasal tip that's enlarged or bulbous, drooping, upturned or hooked
Nostrils that are large, wide, or upturned
Nasal asymmetry
If you want a a lot of symmetrical nose, keep in mind that everyone’s face is uneven to some extent. Results may not be utterly symmetric, though the goal is to create facial balance and proper proportion.
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You will like this information explaining how your nose can be beautified by surgery.What nose re-shaping can do?
It can make the nose or nostrils larger or smaller, straighten bumps on the bridge, alter the angle between nose and upper lip and change the shape of the nose tip.
Augmentation rhinoplasty with siicone implant covered with acellular dermal m...Man Koon SUH
A novel technique to overcome the visible implant contour throgh the thin skin, when performing the nasal brideg augmentation with silicone implant in Asians
Maxillectomy and craniofacial resection Mamoon Ameen
all maxillectomy types in detail and maxillofacial resection ,indications ,contraindications ,preoperative asssessment and detail techniques and rehabilitations
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Head and Neck Trauma by Dr. Kenneth DickieKenneth Dickie
Dr. Kenneth Dickie from Royal Centre of Plastic Surgery in Barrie, Ontario explained the care for Head & Neck Trauma.
f you have any questions, please contact Dr. Kenneth Dickie at http://royalcentreofplasticsurgery.com/
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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2 Case Reports of Gastric Ultrasound
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
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ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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2. Dear colleague,
This presentation outlines the importance of adequate surgical assessment. Pre-operative pictures
together with clinical information will be shown, based on this an assessment of the surgical plan will be
presented. Training of surgical assessment is an important teaching tool and a unique opportunity to gain
knowledge of the surgical anatomy and to study the postoperative outcome of the applied surgical
techniques. Note, there is never just one solution, modifications- or other surgical techniques might
always be an option.
CAUTION: The lecture can contain pictures taken during surgery, which might be shocking. The lecture is
intended for colleagues and is part of the "International Course in Advanced Rhinoplasty Techniques".
Dirk Jan Menger, MD
Course Director
The Netherlands
www.AdvancedRhinoplasty.nl
4. Surgical Assessment
•
limited hump removal
•
osteotomies (lateral/oblique)
•
septal correction
•
reduction of the caudal septum, upper laterals and nasal spine
•
thin spreader grafts
•
upward rotation of the tip using the "tongue in groove technique"
www.AdvancedRhinoplasty.nl
8. Preoperative evaluation.
This patient had a slight deviation of the cartilaginous dorsum to the left side, over-projection of the nasal tip
and dorsum, a short and "crowded" upper-lip and malocclusion.
www.AdvancedRhinoplasty.nl
9. Assessment
•
external approach rhinoplasty
•
limited hump removal
•
osteotomies; lateral / oblique
•
septal correction, harvesting cartilage
•
spreader grafts
•
tip:
– medial crural overlay
– lateral crural overlay
– suturing
•
augmentation of the naso-frontal angle and reduction of the nasal spine
www.AdvancedRhinoplasty.nl
13. Preoperative condition.
This patient had a collapse of the external nose due to destruction of the cartilaginous nasal septum, as a result
a saddle nose deformity and columellar retraction.
www.AdvancedRhinoplasty.nl
18. Assessment
•
external approach rhinoplasty
•
mild hump resection
•
osteotomies; lateral / oblique and intermediate on the left side
•
septoplasty
•
spreader/splint graft on the left side
•
medial- and lateral crural overlay
•
reduction of the nasal spine
www.AdvancedRhinoplasty.nl
20. Preoperative evaluation.
This patient had a hump deformation, over-projection and under-rotation of the nasal tip and too much
columellar show.
www.AdvancedRhinoplasty.nl
24. Preoperative condition.
This patient had a pseudo hump deformation, a saddle nose deformity and columellar retraction which was
caused by destruction of the cartilaginous nasal septum.
www.AdvancedRhinoplasty.nl
28. Preoperative condition.
This patient had a very thin skin in combination with bulbous/broad lower lateral cartilages and bony dorsum.
www.AdvancedRhinoplasty.nl
36. Preoperative evaluation.
This patient had very prominent domes of the lower lateral cartilages, over-projection of the nasal tip and some
columellar retraction
www.AdvancedRhinoplasty.nl
39. Preoperative evaluation.
This patient had a broad nasal dorsum after septoplasty, insufficient support of the upper lateral cartilages.
www.AdvancedRhinoplasty.nl
42. Preoperative evaluation.
This patient had a very broad nasal dorsum and breathing problems due to a severe septal deviation.
www.AdvancedRhinoplasty.nl
45. Preoperative evaluation.
This patient a mild hump deformation, over-projection of the nasal tip with mild under-rotation.
www.AdvancedRhinoplasty.nl
48. Preoperative evaluation.
This patient had collapse of the cartilaginous nasal skeleton due to over-resection of the nasal septum.
www.AdvancedRhinoplasty.nl
49. Assessment
•
external approach rhinoplasty
•
septal reconstrucution of the L-strut
•
osteotomies, lateral- and oblique; infraction of the pyramid
•
dorsal onlay graft (auricular or rib)
•
columellar strut graft
www.AdvancedRhinoplasty.nl
56. Assessment
•
external approach rhinoplasty
•
mild hump resection
•
osteotomies; lateral / oblique and intermediate on the left side (long nasal bone)
•
septoplasty
•
spreader/splint on the left side
•
limited cephalic resection of the lateral crus
•
tip sutures; inter- and transdomal
www.AdvancedRhinoplasty.nl
58. Preoperative evaluation.
This patient had a deviation of the nasal dorsum to the left side in combination with over-projection of the
nasal tip.
www.AdvancedRhinoplasty.nl
60. Assessment
•
external approach rhinoplasty
•
septal correction
– Fixation of the caudal border to the anterior nasal spine
– "splinting" technique
•
reduction of the cartilaginous septum
•
osteotomies, lateral and oblique
•
spreader grafts
•
tip: inter- and transdomal sutures, limited cephalic strip of the LC’s
www.AdvancedRhinoplasty.nl
65. Assessment
•
external approach rhinoplasty
•
mild hump resection
•
osteotomies; lateral / oblique and intermediate on the left side (long nasal bone)
•
septoplasty
•
spreader/splint on the left side
•
limited cephalic resection of the lateral crus
•
tip sutures; inter- and transdomal
www.AdvancedRhinoplasty.nl
67. Preoperative condition.
This patient had a hump deformation and too much columellar show due to a combination of a long caudal
septum / nasal spine and mild retraction of the ala.
www.AdvancedRhinoplasty.nl
83. Preoperative condition.
This patient had complaints of an irregular and over-projected nasal dorsum and tip. There was a concavity in
the mid nasal third on the right side and breathing problems due to a strong deviation of caudal nasal septum.
www.AdvancedRhinoplasty.nl
84. Assessment
•
external approach rhinoplasty
•
reduction of the cartilaginous- and bony dorsum
•
osteotomies: lateral and oblique
•
septoplasty, including splinting of the caudal septum
•
spreader graft on the right side
•
medial- and lateral crural overlay technique
•
columellar strut graft
•
trans- and interdomal sutures
www.AdvancedRhinoplasty.nl
96. Preoperative evaluation.
This patient had a deviation of the nasal tip to the left side due to an under-development of the ala on the left
side. In the lateral view a hump deformation, drooping tip with very acute naso-labial angle and a deep nasofrontal angle.
www.AdvancedRhinoplasty.nl
97. Assessment
•
external approach rhinoplasty
•
mild hump resection
•
osteotomies; lateral / oblique
•
septoplasty
•
spreader grafts
•
augmentation of the naso-frontal angle
•
reconstruction of the lateral crus on the left side and Z-plasty of the ala
•
lateral crural overlay of the right LC
•
tongue in groove technique
•
trans- and interdomal suture techniques
www.AdvancedRhinoplasty.nl
100. Preoperative condition.
This patient had a thick soft-tissue envelope, a hump deformation and under-projection of the nasal tip.
www.AdvancedRhinoplasty.nl
103. Preoperative evaluation.
This patient had nasal trauma in the past, complete destruction of the nasal septum in childhood. The nasal
skeleton is underdeveloped.
www.AdvancedRhinoplasty.nl
108. Preoperative condition.
This patient had a hump deformation and deviation of the nasal dorsum to the right side, a bulbous- and
drooping nasal tip.
www.AdvancedRhinoplasty.nl
109. Assessment
•
external approach rhinoplasty
•
mild hump resection
•
osteotomies; lateral / oblique
•
septoplasty
•
columellar strut graft
•
cephalic trim of the lower laterals
•
trans- and interdomal suturing
www.AdvancedRhinoplasty.nl
115. Preoperative evaluation.
This patient had a saddle nose deformity due to destruction of septal cartilage after septoplasty performed
elswhere. Note the columellar retraction and the relative long upper-lip due to absence of the caudal part of
the septum.
www.AdvancedRhinoplasty.nl
126. Preoperative condition.
This patient had a saddle nose deformity due to displacement of the nasal septum after trauma, insufficient
support of the nasal dorsum.
www.AdvancedRhinoplasty.nl
130. Preoperative evaluation.
This patient had a concavity on the right side of the nasal dorsum and a bony- and cartilaginous hump.
www.AdvancedRhinoplasty.nl
131. Assessment
•
external approach rhinoplasty
•
hump reduction
•
osteotomies: lateral and oblique
•
spreader graft on the right side
•
augmentation of the naso-frontal angle
•
cephalic reduction of the LC's
•
columellar strut graft
•
trans- and interdomal suturing
www.AdvancedRhinoplasty.nl
137. Preoperative condition.
This patient had under-rotation of the nasal tip, a mild hump and deviation of the dorsum to the left side.
www.AdvancedRhinoplasty.nl
138. Assessment
•
external approach rhinoplasty
•
limited hump removal
•
osteotomies; lateral- and oblique
•
septoplasty
•
reduction of the anterior nasal spine and caudal septum
•
lateral crural steal suture technique
•
columellar strut graft
www.AdvancedRhinoplasty.nl
142. Assessment
•
external approach
•
reduction of the cartilaginous dorsum
•
septoplasty and caudal septal extension of the dorsal part
•
medial crural overlay
•
reduction of the anterior nasal spine
•
columellar strut
www.AdvancedRhinoplasty.nl
144. Preoperative condition.
This patient had a hump deformation, over-projection and downward rotation of the nasal tip and a "crowded
upper-lip"
www.AdvancedRhinoplasty.nl
145. Assessment
•
external approach rhinoplasty
•
hump reduction
•
osteotomies; lateral and oblique
•
thin spreader grafts
•
medial crural overlay
•
reduction of the anterior nasal spine and caudal septum
•
columellar strut graft
www.AdvancedRhinoplasty.nl