基本説明
二期的鼻形成術を必要、あるいは適応にいれなければならないような形態異常とその関連事項に主眼をおいた手術書です。
Contents: General Considerations; Sociology; Jurispridence; Anatomy; Physiology; Preoperative Evaluation; Timing; Anesthesia; Complicatoins; Bony Deformities; Deformities of the Cartilaginous Framework; Dorsum; Inner Part of the Nose; and more.
Full Description
Secondary Rhinoplasty begins with the basic anatomy of the nose that often predetermines which technique is possible and which is realistic. Each region of the nose and its particular anatomy is analyzed and explained as a specific unit and as part of the total aspect of management. Reconstruction of the nose, biologic deteriorations, tumors, the effects of aging, and associated congenital abnormalities are also dealt with. Nothing of substance has been left out, and yet the primary value of this text is the presentation of the most optimal surgical methods of correction.
Contents
1 History.- 2 General Considerations.- 3 Sociology.- 4 Jurisprudence.- 5 Anatomy.- 5.1 Bones.- 5.2 Cartilages.- 5.3 Muscles.- 5.4 Blood Supply.- 5.5 Nerve Supply.- 6 Physiology.- 7 Preoperative Evaluation.- 8 Timing.- 9 Anesthesia as Presented by J.-C. Berset.- 9.1 General Remarks.- 9.2 Techniques of Anesthesia.- 9.3 Local Anesthesia.- 10 Complications.- 10.1 Bleeding.- 10.2 Edema.- 10.3 Infection.- 10.4 Toxic Shock Syndrome.- 10.5 Complications Affecting the Skin.- 10.6 Injury to the Lacrimal Apparatus.- 10.7 Blindness Resulting from Arterial Occlusion After Septoplasty.- 10.8 Intracranial Injuries.- 10.9 Perforations of the Septum.- 10.10 Anosmia and Altered Sense of Smell.- 10.11 Cysts.- 11 Residual Bony Deformities.- 11.1 Introduction.- 11.2 Order of Operative Steps.- 11.3 Removal of the Hump.- 11.4 Osteotomies.- 12 Residual Deformities of the Cartilaginous Framework.- 12.1 Introduction and General Notes.- 12.2 Deformities of the Caudal Edge of the Septal Cartilage.- 12.3 Supratip Deformities.- 12.4 Deformity of the Tip and Nostril Resulting from False Shaping of the Alar Cartilages.- 13 Open Procedures as Used by J.-F. Emeri.- 14 Incisions in Secondary Tip Procedures and Correction of the Middle Third of the Nose.- 14.1 Incisions in Secondary Tip Procedures.- 14.2 Correction of the Middle Third of the Nose.- 15 Nasal Valve Collapse.- 15.1 Introduction.- 15.2 History of Collapse Treatment.- 15.3 Actual Therapy.- 16 Pointed Narrow Tip and Bifid Tip.- 16.1 The Pointed Narrow Tip.- 16.2 Bifid of Cleft Tip.- 17 Pinched Nose and Fibrous Prominent Tip.- 17.1 Pinched Nose.- 17.2 Fibrous Prominent Tip.- 18 Short Nose, Pig Snout Nose.- 19 Residual Deformities of the Dorsum.- 19.1 Saddle Nose.- 19.2 The Non-Caucasian Nose.- 20 Residual Deformities of the Inner Part of the Nose - Septorhinoplasty.- 21 Intranasal Endoscopy as Treated by D. Simmen.- 22 Crooked Nose.- 23 Turbinate Reduction.- 23.1 Conventional Procedure.- 23.2 Procedure by D. Simmen.- 24 Septal Perforations.- 24.1 Etiologies of Nasal Septal Perforation.- 24.2 Prevention of Iatrogenic Ferforations.- 24.3 Treatment of Septal Perforations.- 25 Surgical Treatment of Osler-Weber-Rendu Disease.- 26 Residual Deformities of the Columella.- 26.1 General Remarks (Balanced Columella, Double Angle).- 26.2 Too-short Columella.- 26.3 Binder Syndrome.- 26.4 Hidden Columella.- 26.5 Hanging Columella.- 26.6 Broad Columella.- 26.7 Oblique Columella and Other Partial Deformities of the Columella.- 27 Nasolabial Angle and Upper Lip.- 27.1 Nasolabial Angle.- 27.2 Tethered Lip.- 27.3 The Tension Nose.- 28 Residual Deformities of the Ala.- 28.1 Hanging (Hooding) Ala.- 28.2 Lowering of the Alar Rim.- 29 Stenosis and Atresia.- 29.1 Introduction.- 29.2 Stenosis of the Vestibule.- 29.3 Narrow Nasal Cavities.- 29.4 Correction of the Ozena Nose.- 29.5 Choanal Atresia.- 29.6 Velopharyngoplasty.- 29.7 Snoring and Sleeping Apnea.- 30 The Aging Nose.- 31 Rhinoplasty in Children.- 31.1 Nasal Growth.- 31.2 Stuffy Nose in Childhood.- 32 Harelip Nose.- 32.1 Unilateral Harelip Nose.- 32.2 Bilateral Harelip Nose.- 33 Deformities Affecting the Skin.- 33.1 Thick Skin.- 33.2 Furrows and Dimples.- 33.3 Rhinophyma.- 33.4 Thin Skin.- 34 Dressing.- 35 Plastic Procedures in Nasal Tumors.- 35.1 General Remarks.- 35.2 Treatment of Nasal Hemangiomas.- 36 Partial and Total Reconstruction of the Nose.- 36.1 Composite Grafts.- 36.2 Total External and Internal Construction in Arhinia.- 36.3 Construction of an Internal and External Nose Necessitated by Dysplasia Resulting from Interposition of a Tumor.
