Abstract
Many sections of the previous two chapters describe indispensable or frequent surgical steps, whereas many of the next sections of this chapter are therefore dedicated to those particular situations, sometimes infrequent in daily practice, but which the nasal surgeon has to face.
The finishing surgical steps of the BOR discipline are closely related to the fine-tuning of the shape of the osseous and cartilaginous nasal framework. Rhinoplasty is a matter of fine details. The aspects to be addressed have an extreme morphological variability and there are different techniques that can be used for to achieve every single objective. In these steps, one of the surgeon’s most important skills is to identify the residual intraoperative deformities deserving of improvement, prioritizing them and select the most conservative and effective corrective surgical maneuvers.
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Notes
- 1.
Fred GB. The nasal tip in rhinoplasty: use of the invaginating technique to prevent secondary drooping. Ann Otolaryngol. 1950;59:215–23.
- 2.
Geistlich Bio-Gide porcine collagen membrane 2.5Â Ă—Â 2.5 cm (the author declares that he has no conflict of interest).
- 3.
An extraordinary surgeon with an original and incisive spirit, Guy Jost is at the origin of an invention that does not carry his name. Working with Professor Redon, he invented the suction device which he modestly called “Redon and Jost” and which every surgeon knows by the name of “Redon.” Head of the ENT department of the Lariboisière hospital in Paris, he dedicated himself in particular to rhinoplasty.
- 4.
Millard DR Jr. Principle number 21: Learn to Control Tension. In: Principlization of Plastic Surgery. Boston/Toronto: Little, Brown and Company; 1986. p. 345.
Further Reading
Daniel RK. Aesthetic plastic surgery: rhinoplasty. Boston: Little, Brown; 1993. p. 525–53.
Jugo S. Surgical atlas of external Rhinoplasty. Edinburgh: Churchill Livingstone; 1995.
Tebbetts JB. Primary Rhinoplasty. A new approach to the logic and the techniques. St. Louis: Mosby; 1998.
Daniel RK. Rhinoplasty. An atlas of surgical techniques. Berlin, Heidelberg: Springer-Verlag; 2002.
Daniel RK. Mastering Rhinoplasty. A comprehensive atlas of surgical techniques. New York: Springer; 2010.
Guyuron B. Rhinoplasty. Edinburgh: Elsevier Saunders; 2012.
Daniel RK, Pálházi P. Rhinoplasty. Berlin: Springer International Publishing AG; 2018.
Articles on Diced Cartilage Grafts
Erol OO. The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg. 2000;105(6):2229–41.
Daniel RK. Diced cartilage grafts in Rhinoplasty surgery: current techniques and applications. Plast Reconstr Surg. 2008;122(6):1883–91.
Calvert J, Kwon E. Techniques for diced cartilage with deep temporalis fascia graft. Facial Plast Surg Clin North Am. 2015;23(1):73–80.
Kreutzer C, Hoehne J, Gubisch W, Rezaeian F, Haack S. Free diced cartilage: a new application of diced cartilage grafts in primary and secondary Rhinoplasty. Plast Reconstr Surg. 2017;140(3):461–70.
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Meneghini, F. (2021). Basic Open Rhinoplasty: Final Surgical Steps. In: Basic Open Rhinoplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-61827-8_17
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DOI: https://doi.org/10.1007/978-3-030-61827-8_17
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