Clinical Atlas of Preservation Rhinoplasty: Steps for Surgeons in Training Rhinoplasty is one of the most challenging procedures in facial plastic surgery, as treatment has to be carefully tailored for each patient; nowadays the concept of preservation rhinoplasty is particularly sought-after, allowing to conserve cartilage bone structure, and avoiding secondary surgery with costal grafts. Thought for the young surgeon in training, this richly illustrated clinical cases atlas in rhinoplasty offers all needed tools to correctly classify the malformation and choose the best reproducible treatment. Chapters clearly illustrate the principal approach with closed technique, to which specific parts on transcolumellar approaches are added, beginning with the simpler cases and progressing stepwise to more complex cases.

Each part Clinical Atlas of Preservation Rhinoplasty is supported by the addition of high quality illustrations and surgical videos to foster the reader’s understanding and preparation of practical steps and best choices, offering direct support in the operating room. The chapters move from the clinical examination, to photography, topography and deformation measurement (TDM) in 3D, computer simulations and the building of a dedicated preoperative check list to endure a careful patient approach and secure the best outcomes for the most frequent rhinoplasty cases. Plastic surgeons in training and ENT doctors alike will find this Clinical Atlas of Primary Rhinoplasty to be a handy guide to resort to, when wanting to improve their daily practice.

Contents

۱. Nasal Biomechanical Anatomy as a Fundamental Basis for Preservation Rhinoplasty۲. How Histology Is Pertinent for Surgical Approach۳. Photography Evaluation and Morphing for Preservation Rhinoplasty۴. Cone-Beam CT or CT Scan Analysis for Routine Pre-Operative Planning Before Rhinoplasty۵. Surgical Steps in Dorsal Preservation۶. Letdown and Piezo Techniques in Preservation Rhinoplasty۷. Combination of Structure and Preservation. A Step-by-Step Surgical Guide to French-Touch Preservation Rhinoplasty۸. Camouflage in Preservation Rhinoplasty۹. Functional Considerations for Preservation Rhinoplasty, Nasal Valve, and Clinical Cases۱۰. Dorsal Precision Segmental Preservation and Howto Avoid Aesthetic Drawbacks۱۱. Prevention and Correction of the Most Common Problems in Preservation Rhinoplasty

Video Contents

Video 1.1 Technical procedure: type II preservation let-down rhinoplastyVideo 6.1 A case of open preservation rhinoplasty using the subdorsal flapVideo 7.1 Installation of the patientVideo 7.2 IncisionVideo 7.3 Oblique radix osteotomyVideo 7.4 Push-downVideo 7.5 Metallic splintVideo 8.1 Diced cartilage creationVideo 8.2 Graft from cephalic trimmingVideo 8.3 Cartilage paste creationVideo 8.4 Diced cartilage + PRF largeVideo 8.5 Diced cartilage + PRF full procedureVideo 8.6 Diced cartilage + PRF graft insertionVideo 9.1 Inspiratory collapse of the left external nasal valve in a patient suffering from a right-sided, deviated nasal septumVideo 9.2 Simulation of the resistance of the scroll area against inspiratory movementsVideo 9.3 The modified SAC flap (simulation and surgeryVideo 10.1 Tetris 2.0