Principles of Nasal Reconstruction by Shan R. Baker

By Shan R. Baker

Principles of Nasal Reconstruction, moment variation, is a complete, in-depth source written by way of one of many world’s most advantageous practitioners of nasal reconstruction. This completely revised and up-to-date textbook discusses a variety of uncomplicated and complicated nasal reconstructive approaches in sufferers proposing with various partial and entire thickness defects of the nostril. half One discusses the basics of nasal reconstruction. It presents algorithms to help the medical professional in deciding upon the popular approach to restoring inner lining, structural help, and exterior disguise, all of that are ruled by means of the level of the nasal illness and availability of assets that may be used for the fix. half represents the “how to” part of the booklet. It presents distinct step-by step discussions of concepts used to layout, dissect, move and refine flaps and grafts utilized in nasal reconstruction. It additionally stories the prevention and administration of problems. partly 3, every one bankruptcy discusses a consultant case or instances that reveal usual problems and barriers confronting all surgeons whilst reconstructing the nostril. Designed so practitioners can upload to their surgical repertoire with a radical examining, or fast seek advice the textual content aided through exact labeling and hundreds of thousands of images, rules of Nasal Reconstruction is a useful source for otolaryngologists, head-and-neck surgeons, and plastic and reconstructive facial surgeons. in regards to the writer Shan R. Baker, M.D., is Professor and leader of the component to Facial Plastic and Reconstructive surgical procedure and Director of the heart for Facial plastic surgery within the division of Otolaryngology Head and Neck surgical procedure, college of Michigan overall healthiness procedure. He has greater than 30 years of surgical adventure in reconstructing the nose.

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2). Coumadin should be discontinued 3–5 days before surgery. A number of herbal supplements also possess anticoagulant properties and should be avoided. A medical history is obtained from the patient, and a physical examination is performed as part of the consultation. The general health of the patient is noted, with special attention given to hypertension, symptomatic coronary artery disease, and smoking history. Smokers are strongly encouraged to quit and are instructed on the higher risk of complications for users of tobacco products.

Despite being thicker at the nasal tip, the skin rapidly transitions to being very thin where it covers the nostril margins and columella. The close approximation of the dermis of the skin lining and covering the nasal facets and nostril margins makes these areas especially vulnerable to notching and contour irregularities after reconstruction. Sebaceous glands are more numerous in the caudal half of the nasal skin. This is especially true in the non-Caucasian nose, which commonly displays a greater amount of subcutaneous fibrous fatty tissue.

The flap is used to line a contralateral hemitip or alar lining defect. 5) (see Chap. 11). The anterior ethmoid artery is the predominant source of vascular supply to the anterosuperior septum. This vessel supplies a mucoperichondrial flap hinged on the dorsal septum. Originally described as a composite flap, the mucoperichondrial flap has been used for nearly a century Medial internal nasal branch of anterior ethmoidal a. Septal branch of posterior ethmoidal a. Kiesselbach’s plexus Septal branch of superior labial a.

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