An International Journal of Otorhinolaryngology Clinics

Register      Login

VOLUME 6 , ISSUE 2 ( Number, 2014 ) > List of Articles

RESEARCH ARTICLE

Dorsal Approach Rhinoplasty

Kenneth R Dubeta

Citation Information : Dubeta KR. Dorsal Approach Rhinoplasty. Int J Otorhinolaryngol Clin 2014; 6 (2):1-23.

DOI: 10.5005/aijoc-6-2-1

License: CC BY-NC 3.0

Published Online: 01-03-2012

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Direct dorsal excision of skin and subcutaneous tissue is employed in rhinoplasty cases characterized by thick rigid skin to achieve satisfactory esthetic results, in which attempted repair by more conventional means would most likely frustrate both surgeon and patient.

This historical review reminds us of the lesson: ‘History repeats itself.’ Built on a foundation of reconstructive rhinoplasty, modern cosmetic and corrective rhinoplasty have seen the parallel development of both open and closed techniques as ‘new’ methods are introduced and reintroduced again. It is from the perspective of constant evolution in the art of rhinoplasty surgery that the author presents, in Part II, his unique ‘eagle wing’ chevron incision technique of dorsal approach rhinoplasty, to overcome the problems posed by the rigid skin nose.


PDF Share
  1. Surgery of facial fractures, Philadelphia, WB Saunders Co., Chapter 2, The Men of the Elder Days 1964;88:11–42.
  2. The Surgery of Injury and Plastic Repair. Baltimore: Williams and Wilkins Co. Chap XI, ‘The Nose‘ 1939;18:742–54.
  3. Plastic surgery at the New York Hospital one hundred years ago (Chap V). New York, Paul B Hoeber 1953;pp 55–69.
  4. Susruta Samhita. Calcutta, JN Bose 1907. In: Seltzer AP. Plastic Surgery of the Nose (Chap 1). Philadelphia: JB Lippincott 1949;1–6.
  5. Plastic Surgery of the Nose (Chap 1). St Louis: CV Mosby Co. 1951:pp 17–26.
  6. Reconstructive Plastic Surgery (Chap 29) (2nd ed). Philadelphia: WB Saunders Co 1977;2:1209–12.
  7. Carl Ferdinand von Graefe (1787-1840). Plast and Reconstr Surg 1970;46(6):554–63.
  8. New forehead flap for nasal reconstruction. Proc R Soc Med 1942;35:811.
  9. Retroauricular-temporal flap. Plast Reconstr Surg 1969;43:162–66.
  10. Die nasenbehandlung. In: Operative Chirurgie, Leipzig FA Brockhaus 1845.
  11. Cosmetic surgery, principles and practice (Chap 7). Philadelphia: JB Lippincott Co. 1960;258–59.
  12. The deformity termed ‘pug-nose‘ and its correction by a simple operation. Med Rec 1887;31:621.
  13. Beitraege zur Rhinoplastik. Berl Klin Wahnschr 1907;46:470.
  14. Nasenplastik und sonstige Gesichtplastik nebst Mammaplastik, Leipzig 1931 Curt Kabitzsch, First edition 1928.
  15. Operative reduction of the size of a nose (rhinomiosis). Berlin Klinische Wochen schrift 1898; 40: 882. In: Aufricht (Ed). Plast Reconstr Surg 1970;46:178–83.
  16. ‘Combined nasal plastic and chin plastic: correction of microgenia by osteocartilaginous transplant from large hump nose. Am J Surg 1934;25:292.
  17. Corrective Rhinoplastic Surgery. New York: Paul B Hoeber 1935.
  18. Reconstruction of saddle nose by cartilage overlay. Deutsche Gesell F Chir 29:460,1900; translater Dr F McDowell. In: Plast Reconstr Surg 1970;46:498–501.
  19. Handbuch der spezielle chir. Kats, Preysing, Blumenfeld 1912.
  20. ‘Ueber Nasenplastik‘. Brunsbeitr Z Klin Chir 1914;94:515.
  21. Rhinoplasty with free transplantation from the auricle. Sovet Khir 1935;9:70–90.
  22. Raccourcissement du nez trop long.‘ (Operation to shorten an excessively long nose). Revue de Chirurgie Plastique 1934;2:85.
  23. Plastiche operationen an der Ohrmuschel, Stuttgart G Rhiemeverlag, 1962.
  24. Operationen weyen entstellender sattelnase. Chirurg 1956;27:356–60.
  25. A new free graft applied to reconstruction of the nostril. Br J Surg 1943;30:305.
  26. Composite free grafts of skin and cartilage from ear. Surg Gynec Obst 1946;82:253.
  27. New technique for corrective surgery of the nasal tip. AMA Arch Otolaryng 1953;58:183–87.
  28. A new approach to rhinoplasty. Trans Am Acad Ophth and Otol 1966;70:183–92.
  29. External approach in rhinoplasty (decortication). Symp Orl Iug 1966;3-4:354–60.
  30. External approach to rhinoplasty. Can J Otol 1973;2:207–10.
  31. External approach to rhinoplasty. Laryngoscope 1974;84:2195.
  32. Reconstructive rhinoplasty for rhinophyma. Plast Reconstr Surg 1970;46:265–70.
  33. Use of composite ear grafts in correction of the short nose. Plast Reconstr Surg 1969;43:117–24.
  34. The use of composite grafts in the head and neck region: In: English G (Ed). Otolaryngology, Philadelphia, Harper and Row 1981.
  35. Achieving more nasal tip projection by the use of a small autogenous vomer or septal cartilage graft. Reconstr Surg 1975;56:35–40.
  36. Nasal septal perforation and nostril stenosis. In: Goldwyn RM (Ed). The Unfavorable Result in Plastic Surgery. Boston: Little Brown and Co 1972.
  37. Augmentation rhinoplasty. Facial Plast Surg 1984;1(2):125.
  38. ‘Special rhinoplasty techniques (Chap 40). In: Cummings C (Ed). Otolaryngology-Head and Neck Surgery. St Louis: CV Mosby Co 1986;1:751–84.
  39. The auto-alloplast: An alternative in facial implantation. Otolaryngol Clin North Am 1982;15:161.
  40. Reconstructive rhinoplasty. Chap 41. In:Cummings C (Ed). Otolaryngology Head and Neck Surgery. Krause CJ (Ed). St Louis: CV Mosby Co, 1986l;1:785–810.
  41. Rhinoplasty: Emphasizing the external approach. New York: Thieme Inc 1986.
  42. The importance of medial crura in the nasal tip reconstruction. Arch Otolaryng 1957;65:143.
  43. Advances in nasal tip surgery: The lateral crural steal. Arch Otolaryngol Head Neck Surgery 1989;115:1206–12.
  44. Graduated sculpture refinement of the nasal tip. Facial Plastic Surg Clin North Am 2004;12:51–80.
  45. Supratip deformity: A Closer Look. Plast Reconstr Surg 2000;105:1140–51.
  46. The tension nose: Open structure rhinoplasty approach. Plast Reconstr Surg 1995;95:43–45.
  47. Aspects of facial correction and reconstruction by using transplants (composite grafts and implants) with special reference to surgical membrane implants. Otolaryngol Head Neck Surg 1994;110(6):524–29.
  48. Turn-in folding of the cephalic portion of the lateral crus to support the alar rim in rhinoplasty. Aesthetic Plast Surg 2007;31(3):306–10.
  49. Surgical techniques for the treatment of nasal valve collapse: A systematic review. Laryngoscope 2009;119(7):1281–90.
  50. Use of alar batten grafts for correction of nasal valve collapse. Arch Otolaryngol Head Neck Surg 1997;123(8):802–08.
  51. Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures, Part II: clinical results. Plast Reconstr Surg 2005;115(2):595–608.
  52. The M-Arch model: A new concept of Nasal Tip Dynamics. Arch Facial Plast Surg 2006;8(1):16–25.
  53. New concepts in nasal tip contouring. Arch Facial Plast Surg 2006;8(3):156–85.
  54. Applications of GORETEX Implants in Rhinoplasty Re-examined After 17 years. Arch Facial Plast Surg 2008;10(04):224–31.
  55. Lateral crural setback with cephalic turn-in flap: A method to treat the drooping nose. Arch Facial Plast Surg 2010;12(6):427–30.
  56. Lateral Crural Turn-in Flap in Functional Rhinoplasty. Arch Facial Plast Surg 2012:14(2):93–96.
  57. Dor sal Approa ch R h i nopla st y. Int J Otorhinolaryngol Clin 2013;5(1):1–23.
  58. (Unpublished) Dorsal Approach Rhinoplasty: A Radical Approach to the Rigid Nose. First presented at AAFPRS (COSM) Spring Meeting, Palm Desert, California, April 13, 1992.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.