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A forehead flap is usually required if the nasal defect is larger than 1.5 cm, requires replacement of support or lining, or if it is located within the infratip or columella. [4] If the defect is small and superficial it can be resurfaced with a skin graft or it can heal by secondary intention. [4]
The fleshy external end of the nasal septum is called the columella or columella nasi, and is made up of cartilage and soft tissue. [2] The nasal septum contains bone and hyaline cartilage. [3] It is normally about 2 mm thick. [4] The nasal septum is composed of four structures: Maxillary bone (the crest) Perpendicular plate of ethmoid bone
Photograph A. – Open rhinoplasty: At rhinoplasty's end, after the plastic surgeon has sutured (closed) the incisions, the corrected (new) nose will be dressed, taped, and splinted immobile to permit the uninterrupted healing of the surgical incisions. The purple-ink guidelines ensured the surgeon's accurate cutting of the defect correction plan.
Non-surgical rhinoplasty is reported to have originated at the turn of the nineteenth century, when New York City neurologist James Leonard Corning (1855–1923) and Viennese physician Robert Gersuny (1844–1924) began using liquid paraffin wax to elevate the "collapsed nasal dorsum" that characterizes the "saddle nose deformity."
Septoplasty (Latin: saeptum, "septum" + Ancient Greek: πλάσσειν, romanized: plassein, "to shape"), or alternatively submucous septal resection and septal reconstruction, [1] is a corrective surgical procedure done to straighten a deviated nasal septum – the nasal septum being the partition between the two nasal cavities. [2]
Flap surgery is a technique essential to plastic and reconstructive surgery.A flap is defined as tissue that can be moved to another site and has its own blood supply.This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. [2]
The opening can be enlarged by hayek or kerrison punch forceps to produce hole sufficiently large to provide access for example to allow removal of sinus mucosa or introduction of an endoscope and instruments. Kerrison punch 02. The entire lining of sinus is dissected and removed as the success of the operation in chronic rhinosinusitis ...
Sinusitis, also known as rhinosinusitis, is an inflammation of the mucous membranes that line the sinuses resulting in symptoms that may include production of thick nasal mucus, nasal congestion, facial congestion, facial pain, facial pressure, loss of smell, or fever.