1.

Record Nr.

UNINA9911009146703321

Autore

Dhong Eun Sang

Titolo

Asian Septorhinoplasty : Septal L-Strut Extension Graft / / by Eun Sang Dhong

Pubbl/distr/stampa

Singapore : , : Springer Nature Singapore : , : Imprint : Springer, , 2025

ISBN

981-9661-27-7

Edizione

[1st ed. 2025.]

Descrizione fisica

1 online resource (275 pages)

Disciplina

617

Soggetti

Surgery

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

1. Planning the safe surgery -- 1) planning: What to see, what to hear, what to decide -- 2) functional considerations: CT , endoscopic evaluations -- 3) The PINF: potentially infective nasal flora -- 4) primary nose vs secondary nose -- 2. Septal surgery -- 1) A to z of septal dissection for the plastic surgery -- 2) submucous resection: achieving the maximal amount -- 3) the wise harvest -- 4) the viewpoints of secondary septal procedure -- 3. Controllng the Lower 2/3 -- 1) achieving the dorsal esthetic line -- 2) the foundation of septal surgery: ANS and PSA -- 3) the caudal septal extension graft: the folded cymba concha -- 4) The SLEG: the septal L-strut extension graft -- 4. Controlling the upper 1/3 -- 1) Controlling the deviation -- 2) Controlling the hump -- 3) balancing the reduction and augmentation -- 5. Cases: the flow sheet -- 1) deviated nose -- 2) hump nose -- 3) saddle nose -- 4) hypoplastic 2/3.

Sommario/riassunto

This book presents the cutting edge in Asian septorhinoplasty using only autogenous tissue and explains how to achieve high-end results consistently. To date, dorsal alloplastic implants have predominated in Asian rhinoplasty, leading to iatrogenic complications such as a foreshortened nose and destruction of the remaining septum. The lower two-thirds of the nose can be enhanced anteriorly and caudally by means of septorhinoplasty using autogenous grafts only in Asians with relatively small noses. Septal L-strut extension, comprising a caudally extended septal batten graft and an anteriorly extended spreader graft, stabilizes and supports a septum-dependent dorsum



and tip, reducing the need for alloplastic implants. The septal L-strut extension graft is indicated in primary cases when the bony dorsum is acceptable but the cartilaginous dorsum is relatively hypoplastic, and in secondary cases with an iatrogenic short-nose deformity due to alloplastic implants. The book describes this approach in detail and in addition presents autogenous solutions for the upper third of the nose and various specific circumstances.