Revision Rhinoplasty - 22/08/11
Doi : 10.1016/B978-0-323-05283-2.00040-9
Key Points |
• | The understanding of revision rhinoplasty requires understanding the complications of primary rhinoplasty. |
• | Minor errors in technique or errors of omission result in problems that tend to be straightforward to correct. |
• | Failure to restabilize weakened structures of the nose or excessive reduction or excision during primary surgery may lead to deformities that require replacing support and strength to the nose during revision surgery. |
• | Severe problems due to gross errors of judgment are the most challenging cases and may require extensive reorientation and restructuring. |
• | Following reduction of the nasal infrastructure, a thick, stiff skin–soft tissue envelope (SSTE) may not drape smoothly and may instead result in additional swelling, scarring, or a soft tissue pollybeak. |
• | A thin or damaged SSTE reveals even small irregularities of the underlying bone and cartilage. |
• | A pollybeak may result from inadequate reduction of the cartilaginous dorsum, soft tissue fullness caused by poor draping of a thick skin envelope, or decreased nasal tip projection due to loss of support. |
• | The pinched middle vault may result from failure to restabilize an open cartilaginous dorsal roof; correction requires middle vault reconstruction with spreader grafts. |
• | The overly narrowed nasal tip, bossae, alar pinching, or lateral nasal wall collapse may result from overly aggressive tip reduction procedures. Correction may require camouflage grafts or reconstructing the lower lateral cartilages. |
• | The ptotic tip must be corrected by increasing tip support and projection through advancement of the medial and intermediate crura relative to a long native septum, columellar strut, extended columellar strut, or caudal extension graft. |
Plan
© 2010 Elsevier Inc. Tous droits réservés.
Article précédent
- Noncaucasian Rhinoplasty
- Stephen S. Park, Hong-Ryul Jin
- Immunology of the Upper Airway and Pathophysiology and Treatment of Allergic Rhinitis
- Fuad M. Baroody, Robert M. Naclerio
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L'accès au texte intégral de ce chapitre nécessite l'achat du livre ou l'achat du chapitre.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à ce produit ?