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A - transpalatal 345 - incision 406 Abbe-Estlander flap 364,367 - transseptal 344 - reverse V-Y plasty 388,389 acne rosacea 398 Aquaplast 403 broad nose, and slight bifidity 59 acrylic 178 arhinia bulldog deformities 155 aesthetic judgement 3 - embryology 438,439 Burget, technique 435-437 aging nose 355-359 primary surgery performed by Dr. Burian and Millard, technique 385 Aiaeh, bilateral transposition flap 154 Baraka 439 Burrow's triangle excision 357 air flow 16 - treatment in Lausanne 439-444 butterfly technique, Ponti 100-102 - measurement 18 Artecoll 178,179 ala artery C - collapsing 112 angular artery 13 cacosmia 340 - hanging (hooding) - lateral nasal artery 13 calcium hydroxyapatite paste with fib- alar-nasal crease, lowering 307,308 - sphenopalatine artery 14 rin glue 182 excision of a strip oflining 307 aspiration phenomen 110 Caldwell-Lue approach 338,341 marginal resection 295-305 atresia carcinoma, septum 212, 424 trimming the caudal border of the - choanal 344-347 carotid system, internal 14 lateral crus 306 -- endoscopic approach 347 cartilages 11, 12 trimming the cephalic portion the -- membraneous 346 - alar cartilages lateral crus 306 - nasopharyngeal! palatopharyngeal false shaping 83-90 - retracted 369 348-350 trimming the caudal border of the - rim, lowering 309-318 atropine 24 lateral crus 306 alar notches 319 trimming the cephalic portion the alloplastic material 178-183 B lateral crus 306 - button 213 balanced cross section 172 cartilage-splitting method 95 - long-term rejection phenomena 180 Baraka, primary surgery of arhinia 439 cartilaginous framework, residual de- aluminium 178 basal resection 204 formity 71-90 anatomy beak caucasoid nose 183 - blood supply 13,14 - duck 71 ceramic, tricalcium phosphate 182 - bone 11 - Parrot's / polly 42,78,79 Chapta nose 183 - cartilages 11, 12 benzodiazepine 23 children, rhinoplasty 361,362 - muscle 12, 13 Berson's method 250,251 chondrocyte activity 190 - nerve supply 14 bifidi, and broad nose 59 ciliary epithelium 17 anesthesia Binder's syndrome 168, 176, 252, 254, 361 Cinelli, collapse probe test 109 - general remarks 23,24 Blair's method 368 cleft lip repair 363 - local 28 bleeding 29, 30 cleft palate 350

- technique 24-28 blindness, resulting from arterial occlu- CO 2 laser 400 angle sion 33 cocaine 235,236 - nasofrontal 68-70 blood supply 13,14 collapse probe test, Cinelli 109 -- secondary correction 70 body image 4 columella - nasolabial 275-281 bone grafting 176-178 - balanced 247-249 -- too acute 276,277 - complications 177 - broad 268-270 anosmia / altered sense of smell 34 bone - concave 273 approach - anatomy 11 - depressed 274 - Caldwell-Lue 338,341 - deformities (see there) - elongation 251 - endoscopic 347 bony spur, removal 199 - hanging 267 - transnasal 344 Brauer and Foerster - hidden 256 488 Subject Index

iatrogenic 257 Demodex folliculorum 398 - extramucosal 154 - oblique 271-274 depressor muscle, resection 191 - forehead 178,435-437 - retraction 192 dermabrasion 395 - fronto-parieto-retroauricular, Meyer I - short 76,179 deviation Galvao 431-434 - too-long 249 - bony 62-68 - frontotemporal, Schmid 239,410, - too-short 250-256 correction in two ways 63 416-421,423 columellaplasty 247 -- and hump 64 - gingivobuccal 229,231 complications 29-34 -- traumatic 66 - island 325,326,328,333,382 composite autograft 320,321 - caudal anterior 203 - labial flap 368 - auricular 333 - dorsocolumellar 194 - lateral crural 87 computer 20 dimples 395-397 - lip-advancement 364 coryza 348 Dingman and Walter procedure 150 - mucoperichondrial 158,163 Cottle diphteria 348 - mucoperiosteal 158,163 - push-down technique 46,215,217 diseases (see syndromes) - mucosal 336 - tunnels 191 dish face 255 - myocutaneous 325,328 Craig forceps 192,194 dissatisfaction 3 - nasal mucosal 213 Cronin procedure 385 double cross plasty 336 - oblique forehead flap 410 crooked nose 203-209 drawings and sketches 19 - paranasal 382 - straighteningwith correction of dressing 403 - paranasal transposition 325 mandibular deformity 206 dysmorphophobia 5 - pedicle 382 - traumatic 65 dysplasia, maxillonasal (Binder's syn• - pendulum flap, Kapetansky 364 cryosurgery 208 drome) 168,176,179,252,254,361 - philtral 385 C-shape deformity 255 - rectangular temporal 421 cyalit solution 173 E - rhomboid 410 cycle, nasal 15,16 edema 30,31 - septal chondromucosal 150 cyst 34 Eitner's method, mucoperichondral dis- - septal mucosal rotating 214 section 39 sliding 370 D Emeri, open procedure 91-93 - spoon-shaped 229 Dacron 179 endoscopy - square 261 Daley, inverted suture 275 - choanal atresia 347 - superciliary carrier 238 decortication 89 - intranasal, treated by D. Simmen - Tipton-Hinderer 154 - Rethi technique 373 199-202 - tongue 238 deformity epistaxis 212,245,246 -- cartilage-supported, Schmid 421 - ala, residual 295-318 Erich's listing seagull incision 373,376 - transposition 368 -- alar rim, lowering 309-318 etruscan nose 68,69 - trapdoor 214 -- hanging ala 295-308 evaluation, preoperative 19,20 - triangular 321,410 - bony, residual eversion method 37,87,95 - two labial mucosa 154 -- after rhinoplasty 37 extramucosal technique 38-43,117, - V-shaped 91 -- order of operative steps 35 145,146,196,205,214,216,227 flying wing operation 169 - bulldog deformity 155 Fomon - C-shape 255 F - dissection technique 39 - cartilaginous framework, residual face with two vertical axes 66 - rotation technique 356 71-90 fibrin tissue glue 30,172,195,197 - transnasalsutures 56 caudal edge of the septal cartilage filtration, nose 17 forceps 72-74 flap - Craig 192,194 supratip (see there) - Abbe-Estlander flap 364,367 - Kazanjian 47 - columella 247-274 - arm 238,421,444 - Levignac 191 -- general remarks 247-249 - bilateral 169 - Luc 191 - dorsum, residual 165-187 - bilateral labial mucosa 226 - Rowland 40,41 -- non-caucasian 183-187 bilateral transposition flap, Aiach 154 Takahashi 200 -- saddle nose 155,162,165-183 - bipedicular 112 - Walsham 51,54 - inner part of the nose 189-197 - buccal mucosal 228 forehead island flap 426 - open roof deformity (wide flat dor- - cheek 238, 421 fracture, green stick 205 sum) 44,54-61 - chondromucosal transposition flap function, nose 15 - open vault deformity 44 216 furrows 395-397 - skin 393-401 - chondroplastic of Lipsett 85,86 - iatrogenic, correction 396 - unpredictable secondary 3 - compound buccal 233 degloving maneuver, Rogers 145 - compound forehead island 410, delivery technique 83-85 426-430 Subject Index 489

G -- without correction of the tip-col- L Galvao, fronto-parieto-retroauricular umella complex 247 lacrimal apparatus, injury 33 flap 431-434 hydro dissection 191 Lapidot's method 120, 121 general considerations 3-6 hydroxyapatite 178 laryngeal mask 25-27

Gillies and Kilner, method 368 hypertelorism 361 laser, CO 2 400 glabella-nasion area, deepening 68 - and platyrhinia 58 Le Fort I osteotomy 364 Gore-tex 178,182 leading thread, transcutaneous 96 graft lengthening, nose 146 - alar graft 381 iliac bone graft 167,176 leprosy 348 - bone grafting 176-178 implant leptorhinia 186 - boomerang-shaped 172 - dynamic 181 Levignac forceps 191 - butterfly cartilage 111 - misplaced 76 ligament, dermo-cartilaginous of Pitan- - cartilage 170-176,180,444 - Poliamide mesh 179 guy 76 - composite graft 320,321,333,414 - silastic 181 lip, upper - cup-shaped cartilage 129 - silicone 180 - shortening 280, 281 - dermal 178 -- used by Hinderer 276 - tethered 282-290 discoid cartilage 131 - silicone block 158 - too-prominent 276 fascia graft 180 incision 35 Lippsett - helical composite 411 - Brauer and Foerster 406 - chondroplastic flap 85,86 - iliac bone 167,176 - cartilage-splitting 87 - depression, septal cartilage 74,105 - L-shaped 147,152,155-157,163,170, - elephant trunk 88 listing seagull incision, Erich's 373,376 172,177 - external,jigure 36 L-shaped graft 147,152,155,156,163, - misplaced 76 - glabellar skin 174 170,172,177 - mucosal 348 - hemitransfixion 190 - open procedure, rib cartilage graft - onlay 96,102,103 - intercartilaginous 76,83 157 - posterior septal 147 - intracartilaginous 87 Luc forceps 191 - rectangular septal cartilage 111 - listing seagull, Erich's 373,376 lupus erythematodes 327 - Sheen's lobule tip 96 - M-shaped 352 luxation technique 83-85,95 - skin 178,325 - Rethi 87-90,95,205,224,226 - Skoog graft 120 - secondary tip procedure 95-104 M - skull graft, Tessier 168 - T- incision 344, 346 Marlex 178 - split-skull 176 - transcartilaginous 87 mattress suture, transnasal 56 - spreader graft 111 - transfixion 190 maxillary crest 11 - straight 147 - vertical 204 maxillonasal dysplasia (Binder's syn- - tile graft technique, Planas 105 infection 31 drome) 168,176,179,252,254,361 - umbrella graft 127 infolding method 333,335 mesorhinia 186 greek nose 68,69 infracturing 54 methylmethacrylate 178 growth, nasal 362 intracranial injuries 33 Meyer gummy smile 283-285 inverted suture, Daley 275 - fronto-parieto-retroauricular flap iradiation 172 431 H irritants, mucosal 212 - suction elevator 38 harelip nose 363-392 island flap 328 midazolam 24 - bilateral 385-392 - compound forehead 410,426-430 middle third of the nose, correction - correction with auricular triangular - myocutaneous 328 95-107 fossa 388 - paranasal 325, 326, 333 Millard's method 435-437 - unilateral 367-384 Ivalon 179 mobilization, bones 53,54 Hayeks's disease 211,218,221 ivory 178 mongoloid nose 183 hemangioma motivation, patient 3 - cavernous 388 mucociliary clearance, nasal 17 - treatment 406 jurisprudence 9 mucoperichondral dissection Hinderer, silicone implant 276 - Eitner's method 39 history of rhinoplasty 1,2 K - Fornon's technique 39 hump Kapetansky, pendulum flap 364 mucosal hypertrophy 208 - and bony deviation 64 Kazanjian muscle - dorsal, resection 91-93 - forceps 47 - depressor alae 13 - removal - method 349 - depressor septi 13 excessive 44-46 Kiesselbach's area 212,245 levator labii superioris alaeque nasi extramucosal technique 38-43 Killian, radical septal resection 190 13 insufficient 37,38 - nasalis muscle 12 490 Subject Index

N pemphigus 348 - total external and internal cionstruc- narrow nasal cavities 338,339,342 perforation, septum 34 tion, arhinia 438-444 nasal-airway pressure mask, nocturnal - closure with buccal flap 228 recovery 27 352 - etiology 211, 212 rejection phenomena, long-term 180 nasal cavities iatrogenic, prevention 212 resection - narrow 338,339 - treatment 213 - basal resection 204 - narrowing 342 large, closure 228-237 depressor muscle 191 nasal spine medium-sized, closure 216-227 - dorsal hump 91-93 - resection 191 by obturation 213 - excessive - too-prominent 275 septocolumellar reconstruction -- of intranasal lining 75 nasal valve, collapse 109-125 238-244 -- of the lower lateral cartilage 75, 76 - actual therapy 112-125 small perforation, closure 214-216 - Killian, radical septal resection 190 - etiology 110 surgical 213, 214 - strip resection, inferior septal bor- - history of treatment 110-112 Pedon 179 der 73 - pathology 110 Peterson, upper resection 359 Restilane 178, 179 negroid nose 183 physiology 15-18 Rethi - with platyrhinia 17 pig snout nose 145-164 - decortication technique 373 nerve pinched nose 131-134 - incision 87-90,95,205,224,226 - anterior ethmoidal nerve 14 Pinocchio nose 95-99 rhinitis - infraorbital nerve 14 plan, preoperative 9 - chronic 207 - nasal nerve 14 Planas - chronic atrophic 340 - spheno-palatine nerve 14 - one piece removal 189 rhinomanometry 18 neurotics, two basic types 5 - tile graft technique 105 rhinomyosis 87 non-caucasian nose 183-187 Plaster 403 rhinophyma 398-400 - complications 186 plastics, injectable 179 rhinopoiesis 410 nostril, deformities 83-90 Platic-Pore 180 rhinorrhea, cerebrospinal fluid 33 Nylon 179,180 platinum 178 rhinoscleroma 348 platyrhinia 186 rhinotomy, lateral 246,405 o - and hypertelorism 58 roatation technique, Farnan and Bell olecranon 176 - negroid nose 17 356 one piece removal, Planas 189 - Tarnaud's (see ozena) Rogers, degloving maneuver 145 open flap rhinoplasty 357 - with short columella 179 Rowland forceps 40, 41 open procedure 90 pneumotachometer 18 - as used by Dr. Emeri 91-93 Poliamide mesh implant 179 S open roof deformity (wide flat dorsum) polly beak 42,43 saddle nose 155,162,165-183 44,54-61 - correction 78,79 alloplastic material 178-183 open vault deformity 44 polyethylene 179 - bone grafting 176-178 opioid 24 - porous (Plastic-Pore) 180 - cartilage graft 170-176 oriental 186 polyposis 34 - true I pseudo 165 Osler's disease 197 Ponti, butterfly technique 100-102 Saunder's plasty 197 Osler- Weber-Rendu disease 245 porcelain 178 Schmid osteotome 41 postoperative care 28-34 - cartilage-supported tongue flap 421 - curved 52,68,69 Potter method 378,385,387 - frontotemporal flap 239,410, osteotomy premedication 24 416-421,423 - lateral 48-51 Proplast 178-180 Schulz-Colon procedure 216 - mobilization of bones 53,54 propofol 23-27 sebaceous nose 393-395 - paramedian 47 prosthesis, septal flanged 213 secretion, nose 17 - transcutaneous 49 Pseudomonas 31 septocolumellar reconstruction - transverse 49,51-53 psychiatric syndrome 4 238-244 outfracturing 54 push back technique 217 septocolumellar reconstruction over-and-over suture 302,303 push-down technique, Cottle 46,215, 421-425 ozena 173, 228, 336 217 septoplasty 189,338 - correction 340-343 pyramid, bony septorhinoplasty 189 - broad 60 - secondary 403 P - deviation and hump 64 septum packing 403 - carcinoma 2l2, 424 palpation 19 R - cartilage, regeneration 190 paraffin 178 reconstruction, nose 409-444 - lowering, insufficient 74,75 Parrot's beak 42 - composite grafts 410-437 - perforation (see there) Subject Index 491

- radical resection, Killian 190 Supramid 178 toxic shock syndrome 31 - septal cartilage, deformities supratip deformities 74-83 transcollumellar suture, straight needle of caudal edge 71-74 - depression, emphasing 78 86 Lipsett's depression 74,105 - excessive resection of intranasal lin- transnasal approach 344 supratip (see there) ing I of the lower lateral cartilage transpalatal approach 345 tip and nostril (see there) 75,76 transseptal approach 344 trimming 73> 75 - fibrous tissue, enormous hard 82 TreIat elevator 38,309,310 - spur 189 - insufficient lowering of the septum tricalcium phosphate ceramic 182 - straightening 195 74,75 tumor, plastic procedures 405-407 Sheen - insufficient trimming, dorsal border I turbinate reduction - spreader technique 105 septal mucosa 75 - conventional procedure 207, 208 - lobule tip graft 96 - misplaced grafts I implants 76 - endoscopic procedure 208,209 short nose 142,145-164 - rounded and tipless thick tip 83 turbinectomy 207 Silastic 178,181 - short columella 76 two-pocket procedure 77 silicone 179 - skin I subcutaneous tissue, inherent - block 158 thickness 76, 77 U - extrusion 181 - thickening, after posttraumatic cor- unit, Gonzales- Ulloa 409 - implant used by Hinderer 276 rection 81 uvulopalatopharyngoplasty 353 sill, too prominent vestibular 279 surgical nose 6 Simmen, intranasal endoscopy 199-202 suture V skin - inverted, Daley 275 valve, technique for amplifying 124 - complications 31-33 - over-and-over suture 302,303 valvular incompetence - elasticity 400 - trans columellar 86 - anterior 112-116 - excision, buffalo-horn shaped 281 - transnasal, Formon 56 - posterior 116-125 - inherent thickness 76, 77 swinging-door effect 71,189,192 velopharyngoplasty 350-352 - thick 393-395 synchondroses 190 vestibule, stenoses 319-338 - thin 400,401 syndromes I diseases (names only) vomer 11 Skoog - Binder's syndrome 168,176,179,252, - deviated 194 - graft 120 254,361 V-Y advancement procedure 251,252, - technique 45 - Hayeks's disease 211,218,221 261,265,320 sleep apnea 352,353 - Osler's disease 197 V-Y plasty 186,361,378 smallpox 348 - Osler- Weber-Rendu disease 245 - reverse, Brauer and Foerster 388, snoring 352,353 syringe pump 27 389,406 sociology 7 - vertical 364 soft tissue, flaccidity 356 T spoon-shaped flap 229 Takahashi forceps 200 W spreader technique, Sheen 105 Tarnaud's platyrhinia (see ozena) Walsham forceps 51,54 Staphylococcus aureus 31 tears 191 Washio method 431 stenosis Teflon 178-180 weak triangle of converse 75 - narrow nasal cavities 338,339 telescoped nose, traumatic 160 wedge resection - vestibular 319-337 tension nose 291-293 alar base combined with marginal -- paranasal flap 325 Tessier, skull graft 168 alar resection 303 stenosis, lacrimal sac 33 timing 21 - with thinning the thick ala 303 step, lateral osteotomy 50,51 tip Weinlechner's method 399 straight needle, trans columellar suture - bifid I cleft 129,130 wide flat dorsum (open roof) 44,54-61 86 bulbous 154 written cons ens 9 Strauch, Z-plasty 336 - deformities 83-90 Streptococus pyogenes 31 - fibrous prominent 135-143 x strip resection, inferior septal border - pointed narrow 127,128 Xomed 403 73 - secondary tip procedures, incisions stuffy nose in childhood 362 95-104 Z subcutaneous tissue, inherent thickness - snub 154 Zaufal's nose (see ozena) 76,77 - too-broad 100-104 Z-plasty 363,368 subluxation, septal 204 tip-ala-columellar complex, sagging 355 - alar skin 320 submucosal cautery 208 - correction 358 bilateral 351 subunit, Burget and Menick 409 tip-columellar complex - of Strauch 336 suction elevator - ptosis 357 three dimensional 321, 324 - Meyer's 38 - support with rolled ear cartilage 260 - velopharyngeal 350 - TTI!lat 38,309,310 Tipton-Hinderer flap 154