This book explains the challenging problems often encountered by surgeons when performing septorhinoplasty and secondary rhinoplasty in Asian patients and identifies solutions based on the best available evidence. The opening chapter discusses issues relating to the longevity of alloplastic implants. Various dilemmas in Asian septorhinoplasty are then addressed, including in relation to resorption of autogenous grafts and various aspects of technique. The aim here is to enable surgeons to achieve consistent high-end results. In the case of secondary rhinoplasty, the coverage includes conundrums relating to the distinction between infection and delayed inflammation, the choice of graft materials, correction of the contracted nose, and key decisions, including in patients in whom the septum has been previously resected. A separate chapter provides guidance on the approach to specific difficult cases encountered in Asian populations, including tip deformity,columellar necrosis, nostril asymmetry, and recurrent nasal deviation. Finally, advice is given on best practice in the use of alloplastic materials.
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Inhalt
Chapter 1. The longevity of alloplastic implants
Chapter 2. Surgical site infection (SSI) vs. Late-onset inflammation (LOI)
Chapter 3. Nasal Swab culture: the preparation for the safe surgery
Chapter 4. Medpor: the hurdle of secondary rhinoplasty
chapter 5. Nasal obstruction in Asian rhinoplasty
Chapter 6. The various preparations of autologous materials
Chapter 7. The resorption: the hurdle for autogenous based Asian rhinoplasty
Chapter 8. Controlling Asian Tip: Tip defining point & supratip break
Chapter 9. Controlling Asian Tip: Facet & supra-alar groove
Chapter 10. Controlling Asian Tip: infra-tip lobule & ACR
Chapter 11. Correction of the short secondary nose: Dissection & the framework reconstruction
Chapter 12. Secondary septal surgery
Chapter 13. Think inside the box: Absorbable plate, IHCC and the stem cells
Chapter 14. Pus draining status after complicated septorhinoplasty: when to do the secondary rhinoplasty?
Chapter 15. Nasal tip necrosis: the midline forehead flap should be the last choice.Chapter 16. When you encounter very small septal cartilage
Chapter 17. Hypoplastic lower nose: camouflage vs. reconstruct the framework