
Controversies in Rhinoplasty, An Issue of Facial Plastic Surgery Clinics of North America
- 1st Edition, Volume 32-4 - September 30, 2024
- Editors: Roxana Cobo, Fred G. Fedok
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 2 9 3 1 0 - 8
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 9 3 1 1 - 5
In this issue of Facial Plastic Surgery Clinics, guest editors Drs. Roxana Cobo and Fred G. Fedok bring their considerable expertise to the topic of Controversies in Rhinoplas… Read more

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Request a sales quoteIn this issue of Facial Plastic Surgery Clinics, guest editors Drs. Roxana Cobo and Fred G. Fedok bring their considerable expertise to the topic of Controversies in Rhinoplasty. Each article begins with a panel discussion; questions are then answered as part of an active discussion between two or three experts in the field. Topics include safety in rhinoplasty: avoidance and management of complications; appropriate use of implants in the nose; reprojecting the severely damaged nose; septal extension graft vs columellar strut; and many more.
- Contains 13 relevant, practice-oriented topics including nasal surgery in the younger patient; management of thick skin in rhinoplasty; cosmetic rhinoplasty and nasal obstruction; management of the crooked nose; comparison of mechanical, electrical, and piezoelectric instruments in bone reshaping; and more.
- Provides in-depth clinical reviews on controversies in rhinoplasty, offering actionable insights for clinical practice.
- Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Facial plastic surgery, plastic surgery, cosmetic & reconstructive surgery
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Cosmetic Rhinoplasty and Nasal Obstruction: What I Look for, How Do I Evaluate the Patient
- Key points
- Panel discussion
- How do I evaluate the patient?
- What surgical techniques do I use to treat the internal nasal valve dysfunction?
- What surgical techniques do I use to treat the external nasal valve dysfunction?
- In a purely cosmetic rhinoplasty, how do you prevent compromise of nasal function?
- How important is the reconstruction of the scroll area in your procedures? Do you do it routinely? What techniques do you use?
- How have your techniques in this area changed over the last 2 years?
- Nasal Surgery in the Younger Patient
- Key points
- Panel discussion
- What is too young for cosmetic rhinoplasty?
- What is too young for corrective nasal surgery?
- What areas should I preserve in the young patient?
- If cartilage grafting is needed, what are your preferred donor sites in the younger patient? Do you ever use alloplasts or cadaver sources?
- When will you utilize an endonasal rhinoplasty approach in the younger patients? When will you utilize an open rhinoplasty approach in the younger patients?
- How have your techniques in this area changed over the last 2 years?
- Management of Thick Skin in Rhinoplasty
- Key points
- Panel discussion
- What surgical approaches do you use to treat thick skin?
- What medical treatments or minimally invasive treatments do you use to treat thick skin?
- Are skin routines useful to manage the thick skin in rhinoplasty?
- Can thick skin be evaluated adequately before surgery? What can be used?
- How do you avoid dead space formation in the thick skinned patient?
- How have your techniques in this area changed over the last 2 years?
- Comparison of Blunt Force (Mechanical), Piezoelectric, and Electric Instruments in Bony Vault Management
- Key points
- Panel discussion
- Introduction
- Supplementary data
- Managing the Midvault - Autospreaders, Spreader Grafts or What?
- Key points
- Panel discussion
- Supplementary data
- Management of the Crooked Nose: Structural, Preservation, or Camouflage Techniques
- Key points
- Panel discussion
- Open or endonasal approach
- Management of the septum in the crooked nose
- Is it only structural approaches or is there a role for preservation techniques? If so, which?
- In the severely damaged septum, which harvesting options do you use?
- Treatment options for facial asymmetries in the crooked nose
- How have your techniques changed over the past 2 years?
- Clinics care points
- Septal Extension Graft Versus Columellar Strut
- Key points
- Panel discussion
- Summary
- Supplementary data
- The Use of Costal Cartilage in Rhinoplasty
- Key points
- Panel discussion
- Question 1. Harvest site/technique
- Question 2: Do you perform a full cross section or partial harvest of rib cartilage?
- Question 3: What are your indications in primary rhinoplasty
- Question 4: What instruments do you use?
- Question 5: What cartilage carving techniques do you use?
- Question 6: Have your techniques changed in the last 2 years?
- Supplementary data
- Dorsal Preservation Rhinoplasty
- Key points
- Panel discussion
- Question 1. In what patients is preservation rhinoplasty indicated, when is it not indicated?
- Question 2. How to decide on the proper technique
- Question 3. How can I safely introduce dorsal preservation techniques in my surgical armamentarium?
- Question 4. Do I need any special surgical instruments?
- Question 5. How can I prevent complications?
- Question 6. How have your techniques in this area changed over the last 2 years?
- Clinics care points
- Dorsal Preservation Versus Structural Techniques and Their Application
- Key points
- Panel discussion questions
- Introduction
- How do structure and preservation differ?
- What is more effective?
- How to decide on the proper technique?
- What is the optimal patient for preservation rhinoplasty?
- What is the optimal patient for structural approaches?
- How have your techniques in this area changed over the past 2 years?
- Summary
- Clinics care points
- Reprojecting the Severely Damaged Nose
- Key points
- Panel discussion
- Introduction
- How do you prepare and treat the patient with contracted skin-soft tissue envelope?
- How do you manage the contracted lining to repair or prevent nasal stenosis?
- What techniques do you use to lengthen the overshortened nose?
- What techniques do you use to support the dorsum?
- How do you deal with concomitant septal perforations?
- How have your techniques in this area changed over the last 2 Years?
- Summary
- Supplementary data
- Appropriate Use of Implants in the Nose
- Key points
- Panel discussion
- What is your favorite implant in rhinoplasty and why?
- Do you have any special techniques to prevent complications?
- In what areas of the nose do you use implants routinely? Are there any areas where you do not use implants?
- If you have implant extrusion, how do you manage it?
- What are the pros and cons of costal cartilage versus implants in rhinoplasty?
- How have your techniques in this area changed over the last 2 years?
- Summary
- Clinics care points
- Safety in Rhinoplasty: Avoidance and Management of Complications
- Key points
- Panel discussion
- Introduction
- Summary
- Clinics care points
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 32-4
- Published: September 30, 2024
- Imprint: Elsevier
- Hardback ISBN: 9780443293108
- eBook ISBN: 9780443293115
RC
Roxana Cobo
Affiliations and expertise
Chief, Department of Otorhinolaryngology, Imbanaco Medical Center, Cali, ColumbiaFF
Fred G. Fedok
Affiliations and expertise
Fedok Plastic Surgery and Laser Center, Adjunct Professor, Department of Surgery, University of South Alabama