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Subject Index

A Abbe-Estlander flap 364,367

acne rosacea 398 acrylic 178

aesthetic judgement 3 aging nose 355-359 Aiaeh, bilateral transposition flap 154

air flow 16 - measurement 18 ala - collapsing 112

- hanging (hooding) alar-nasal crease, lowering 307,308 excision of a strip oflining 307

marginal resection 295-305 trimming the caudal border of the lateral crus 306

trimming the cephalic portion the lateral crus 306

- retracted 369 - rim, lowering 309-318

alar notches 319 alloplastic material 178-183

- button 213 - long-term rejection phenomena 180

aluminium 178

anatomy - blood supply 13,14 - bone 11

- cartilages 11, 12 - muscle 12, 13 - nerve supply 14 anesthesia - general remarks 23,24 - local 28 - technique 24-28

angle - nasofrontal 68-70

- - secondary correction 70

- nasolabial 275-281

- - too acute 276,277 anosmia / altered sense of smell 34

approach - Caldwell-Lue 338,341

- endoscopic 347

- transnasal 344

- transpalatal 345 - transseptal 344

Aquaplast 403 arhinia - embryology 438,439

primary surgery performed by Dr.

Baraka 439 - treatment in Lausanne 439-444 Artecoll 178,179 artery

angular artery 13 - lateral nasal artery 13

- sphenopalatine artery 14 aspiration phenomen 110

atresia - choanal 344-347 - - endoscopic approach 347

- - membraneous 346 - nasopharyngeal! palatopharyngeal

348-350 atropine 24

B balanced cross section 172

Baraka, primary surgery of arhinia 439

basal resection 204

beak - duck 71 - Parrot's / polly 42,78,79 benzodiazepine 23 Berson's method 250,251 bifidi, and broad nose 59 Binder's syndrome 168, 176, 252, 254, 361 Blair's method 368 bleeding 29, 30 blindness, resulting from arterial occlu-

sion 33 blood supply 13,14

body image 4 bone grafting 176-178

- complications 177 bone - anatomy 11

- deformities (see there) bony spur, removal 199 Brauer and Foerster

- incision 406

- reverse V-Y plasty 388,389 broad nose, and slight bifidity 59 bulldog deformities 155

Burget, technique 435-437 Burian and Millard, technique 385

Burrow's triangle excision 357 butterfly technique, Ponti 100-102

C

cacosmia 340 calcium hydroxyapatite paste with fib-

rin glue 182

Caldwell-Lue approach 338,341 carcinoma, septum 212, 424 carotid system, internal 14 cartilages 11, 12

- alar cartilages false shaping 83-90 trimming the caudal border of the lateral crus 306

trimming the cephalic portion the lateral crus 306

cartilage-splitting method 95 cartilaginous framework, residual de-

formity 71-90 caucasoid nose 183

ceramic, tricalcium phosphate 182 Chapta nose 183 children, rhinoplasty 361,362 chondrocyte activity 190 ciliary epithelium 17 Cinelli, collapse probe test 109

cleft lip repair 363 cleft palate 350 CO2 laser 400

cocaine 235,236 collapse probe test, Cinelli 109

columella - balanced 247-249

- broad 268-270

- concave 273 - depressed 274

- elongation 251 - hanging 267

- hidden 256

488 Subject Index

iatrogenic 257

- oblique 271-274 - retraction 192

- short 76,179 - too-long 249 - too-short 250-256

columellaplasty 247

complications 29-34 composite autograft 320,321

- auricular 333 computer 20

coryza 348 Cottle - push-down technique 46,215,217 - tunnels 191

Craig forceps 192,194

Cronin procedure 385 crooked nose 203-209 - straighteningwith correction of

mandibular deformity 206

- traumatic 65 cryosurgery 208

C-shape deformity 255

cyalit solution 173 cycle, nasal 15,16

cyst 34

D Dacron 179

Daley, inverted suture 275 decortication 89

- Rethi technique 373 deformity - ala, residual 295-318

- - alar rim, lowering 309-318

- - hanging ala 295-308 - bony, residual - - after rhinoplasty 37 - - order of operative steps 35 - bulldog deformity 155

- C-shape 255 - cartilaginous framework, residual

71-90 caudal edge of the septal cartilage 72-74 supratip (see there)

- columella 247-274

- - general remarks 247-249 - dorsum, residual 165-187

- - non-caucasian 183-187 - - saddle nose 155,162,165-183

- inner part of the nose 189-197 - open roof deformity (wide flat dor-

sum) 44,54-61 - open vault deformity 44 - skin 393-401 - unpredictable secondary 3 degloving maneuver, Rogers 145

delivery technique 83-85

Demodex folliculorum 398 depressor muscle, resection 191

dermabrasion 395 deviation - bony 62-68

correction in two ways 63

- - and hump 64 - - traumatic 66

- caudal anterior 203

- dorsocolumellar 194

dimples 395-397 Dingman and Walter procedure 150 diphteria 348 diseases (see syndromes) dish face 255 dissatisfaction 3 double cross plasty 336 drawings and sketches 19

dressing 403 dysmorphophobia 5 dysplasia, maxillonasal (Binder's syn­

drome) 168,176,179,252,254,361

E edema 30,31 Eitner's method, mucoperichondral dis-

section 39 Emeri, open procedure 91-93 endoscopy - choanal atresia 347 - intranasal, treated by D. Simmen

199-202 epistaxis 212,245,246

Erich's listing seagull incision 373,376 etruscan nose 68,69

evaluation, preoperative 19,20

eversion method 37,87,95 extramucosal technique 38-43,117,

145,146,196,205,214,216,227

F face with two vertical axes 66

fibrin tissue glue 30,172,195,197 filtration, nose 17 flap - Abbe-Estlander flap 364,367

- arm 238,421,444 - bilateral 169 - bilateral labial mucosa 226

bilateral transposition flap, Aiach 154

- bipedicular 112

- buccal mucosal 228

- cheek 238, 421

- chondromucosal transposition flap 216

- chondroplastic of Lipsett 85,86 - compound buccal 233

- compound forehead island 410,

426-430

- extramucosal 154

- forehead 178,435-437 - fronto-parieto-retroauricular, Meyer I

Galvao 431-434

- frontotemporal, Schmid 239,410,

416-421,423 - gingivobuccal 229,231

- island 325,326,328,333,382 - labial flap 368 - lateral crural 87

- lip-advancement 364 - mucoperichondrial 158,163

- mucoperiosteal 158,163

- mucosal 336 - myocutaneous 325,328 - nasal mucosal 213 - oblique forehead flap 410

- paranasal 382

- paranasal transposition 325 - pedicle 382

- pendulum flap, Kapetansky 364

- philtral 385 - rectangular temporal 421

- rhomboid 410 - septal chondromucosal 150

- septal mucosal rotating 214

sliding 370 - spoon-shaped 229 - square 261

- superciliary carrier 238

- Tipton-Hinderer 154

- tongue 238 - - cartilage-supported, Schmid 421

- transposition 368

- trapdoor 214

- triangular 321,410 - two labial mucosa 154 - V-shaped 91 flying wing operation 169 Fomon - dissection technique 39 - rotation technique 356 - transnasalsutures 56 forceps - Craig 192,194

- Kazanjian 47 - Levignac 191

- Luc 191

- Rowland 40,41 Takahashi 200

- Walsham 51,54 forehead island flap 426 fracture, green stick 205

function, nose 15

furrows 395-397 - iatrogenic, correction 396

G Galvao, fronto-parieto-retroauricular

flap 431-434 general considerations 3-6

Gillies and Kilner, method 368 glabella-nasion area, deepening 68

Gore-tex 178,182

graft - alar graft 381 - bone grafting 176-178

- boomerang-shaped 172 - butterfly cartilage 111

- cartilage 170-176,180,444

- composite graft 320,321,333,414 - cup-shaped cartilage 129 - dermal 178

discoid cartilage 131

fascia graft 180 - helical composite 411

- iliac bone 167,176

- L-shaped 147,152,155-157,163,170,

172,177 - misplaced 76

- mucosal 348 - onlay 96,102,103

- posterior septal 147 - rectangular septal cartilage 111

- Sheen's lobule tip 96

- skin 178,325

- Skoog graft 120

- skull graft, Tessier 168 - split-skull 176

- spreader graft 111 - straight 147

- tile graft technique, Planas 105 - umbrella graft 127 greek nose 68,69

growth, nasal 362 gummy smile 283-285

H harelip nose 363-392 - bilateral 385-392 - correction with auricular triangular

fossa 388 - unilateral 367-384 Hayeks's disease 211,218,221 hemangioma - cavernous 388 - treatment 406

Hinderer, silicone implant 276

history of rhinoplasty 1,2

hump - and bony deviation 64

- dorsal, resection 91-93

- removal excessive 44-46 extramucosal technique 38-43

insufficient 37,38

- - without correction of the tip-col-umella complex 247

hydro dissection 191

hydroxyapatite 178 hypertelorism 361

- and platyrhinia 58

iliac bone graft 167,176 implant - dynamic 181

- misplaced 76 - Poliamide mesh 179

- silastic 181

- silicone 180

- - used by Hinderer 276 - silicone block 158

incision 35 - Brauer and Foerster 406 - cartilage-splitting 87 - elephant trunk 88 - external,jigure 36 - glabellar skin 174 - hemitransfixion 190 - intercartilaginous 76,83

- intracartilaginous 87

- listing seagull, Erich's 373,376

- M-shaped 352

- Rethi 87-90,95,205,224,226

- secondary tip procedure 95-104

- T -incision 344, 346 - transcartilaginous 87 - transfixion 190

- vertical 204 infection 31

infolding method 333,335 infracturing 54 intracranial injuries 33 inverted suture, Daley 275 iradiation 172 irritants, mucosal 212 island flap 328 - compound forehead 410,426-430 - myocutaneous 328

- paranasal 325, 326, 333 Ivalon 179 ivory 178

jurisprudence 9

K Kapetansky, pendulum flap 364 Kazanjian - forceps 47

- method 349 Kiesselbach's area 212,245

Killian, radical septal resection 190

Subject Index 489

L lacrimal apparatus, injury 33

Lapidot's method 120, 121

laryngeal mask 25-27

laser, CO2 400 Le Fort I osteotomy 364 leading thread, transcutaneous 96

lengthening, nose 146

leprosy 348 leptorhinia 186

Levignac forceps 191 ligament, dermo-cartilaginous of Pitan-

guy 76 lip, upper - shortening 280, 281

- tethered 282-290

- too-prominent 276 Lippsett - chondroplastic flap 85,86

- depression, septal cartilage 74,105 listing seagull incision, Erich's 373,376

L-shaped graft 147,152,155,156,163,

170,172,177 - open procedure, rib cartilage graft

157 Luc forceps 191

lupus erythematodes 327

luxation technique 83-85,95

M Marlex 178 mattress suture, transnasal 56

maxillary crest 11 maxillonasal dysplasia (Binder's syn-

drome) 168,176,179,252,254,361 mesorhinia 186

methylmethacrylate 178 Meyer - fronto-parieto-retroauricular flap

431 - suction elevator 38 midazolam 24 middle third of the nose, correction

95-107 Millard's method 435-437 mobilization, bones 53,54 mongoloid nose 183 motivation, patient 3 mucociliary clearance, nasal 17 mucoperichondral dissection - Eitner's method 39

- Fornon's technique 39

mucosal hypertrophy 208 muscle - depressor alae 13

- depressor septi 13 levator labii superioris alaeque nasi 13

- nasalis muscle 12

490 Subject Index

N narrow nasal cavities 338,339,342 nasal-airway pressure mask, nocturnal

352 nasal cavities - narrow 338,339 - narrowing 342 nasal spine - resection 191

- too-prominent 275

nasal valve, collapse 109-125

- actual therapy 112-125 - etiology 110

- history of treatment 110-112

- pathology 110

negroid nose 183 - with platyrhinia 17 nerve - anterior ethmoidal nerve 14 - infraorbital nerve 14

- nasal nerve 14

- spheno-palatine nerve 14

neurotics, two basic types 5 non-caucasian nose 183-187 - complications 186

nostril, deformities 83-90

Nylon 179,180

o olecranon 176 one piece removal, Planas 189

open flap rhinoplasty 357 open procedure 90

- as used by Dr. Emeri 91-93

open roof deformity (wide flat dorsum) 44,54-61

open vault deformity 44 opioid 24 oriental 186 Osler's disease 197 Osler-Weber-Rendu disease 245 osteotome 41 - curved 52,68,69 osteotomy - lateral 48-51 - mobilization of bones 53,54

- paramedian 47

- transcutaneous 49

- transverse 49,51-53 outfracturing 54

over-and-over suture 302,303

ozena 173, 228, 336 - correction 340-343

P packing 403 palpation 19 paraffin 178 Parrot's beak 42

pemphigus 348 perforation, septum 34 - closure with buccal flap 228

- etiology 211, 212

iatrogenic, prevention 212

- treatment 213 large, closure 228-237

medium-sized, closure 216-227

by obturation 213 septocolumellar reconstruction 238-244 small perforation, closure 214-216

surgical 213, 214

Pedon 179

Peterson, upper resection 359 physiology 15-18

pig snout nose 145-164 pinched nose 131-134

Pinocchio nose 95-99 plan, preoperative 9 Planas - one piece removal 189 - tile graft technique 105

Plaster 403 plastics, injectable 179

Platic-Pore 180

platinum 178 platyrhinia 186

- and hypertelorism 58

- negroid nose 17 - Tarnaud's (see ozena) - with short columella 179 pneumotachometer 18

Poliamide mesh implant 179

polly beak 42,43 - correction 78,79 polyethylene 179 - porous (Plastic-Pore) 180

polyposis 34 Ponti, butterfly technique 100-102 porcelain 178 postoperative care 28-34

Potter method 378,385,387 premedication 24 Proplast 178-180

propofol 23-27 prosthesis, septal flanged 213

Pseudomonas 31

psychiatric syndrome 4 push back technique 217

push-down technique, Cottle 46,215,

217 pyramid, bony - broad 60 - deviation and hump 64

R reconstruction, nose 409-444 - composite grafts 410-437

- total external and internal cionstruc-tion, arhinia 438-444

recovery 27

rejection phenomena, long-term 180

resection - basal resection 204

depressor muscle 191

- dorsal hump 91-93 - excessive - - of intranasal lining 75

- - of the lower lateral cartilage 75, 76

- Killian, radical septal resection 190 - strip resection, inferior septal bor-

der 73 Restilane 178, 179 Rethi - decortication technique 373

- incision 87-90,95,205,224,226 rhinitis - chronic 207 - chronic atrophic 340

rhinomanometry 18

rhinomyosis 87

rhinophyma 398-400 rhinopoiesis 410

rhinorrhea, cerebrospinal fluid 33

rhinoscleroma 348 rhinotomy, lateral 246,405 roatation technique, Farnan and Bell

356 Rogers, degloving maneuver 145 Rowland forceps 40, 41

S saddle nose 155,162,165-183

alloplastic material 178-183

- bone grafting 176-178 - cartilage graft 170-176 - true I pseudo 165 Saunder's plasty 197 Schmid - cartilage-supported tongue flap 421 - frontotemporal flap 239,410,

416-421,423 Schulz-Colon procedure 216

sebaceous nose 393-395 secretion, nose 17

septocolumellar reconstruction 238-244

septocolumellar reconstruction 421-425

septoplasty 189,338 septorhinoplasty 189

- secondary 403 septum - carcinoma 2l2, 424 - cartilage, regeneration 190 - lowering, insufficient 74,75 - perforation (see there)

- radical resection, Killian 190 - septal cartilage, deformities

of caudal edge 71-74

Lipsett's depression 74,105

supratip (see there) tip and nostril (see there) trimming 73> 75

- spur 189

- straightening 195

Sheen - spreader technique 105

- lobule tip graft 96

short nose 142,145-164

Silastic 178,181

silicone 179

- block 158

- extrusion 181

- implant used by Hinderer sill, too prominent vestibular Simmen, intranasal endoscopy skin

276

279 199-202

- complications 31-33

- elasticity 400

- excision, buffalo-horn shaped 281

- inherent thickness 76, 77

- thick 393-395 - thin 400,401

Skoog - graft 120

- technique 45

sleep apnea 352,353

smallpox 348

snoring 352,353

sociology 7

soft tissue, flaccidity 356

spoon-shaped flap 229

spreader technique, Sheen 105 Staphylococcus aureus 31

stenosis - narrow nasal cavities 338,339

- vestibular 319-337 - - paranasal flap 325

stenosis, lacrimal sac 33

step, lateral osteotomy 50,51 straight needle, trans columellar suture

86

Strauch, Z-plasty 336 Streptococus pyogenes 31

strip resection, inferior septal border

73 stuffy nose in childhood 362

subcutaneous tissue, inherent thickness 76,77

subluxation, septal 204

submucosal cautery 208

subunit, Burget and Menick 409 suction elevator - Meyer's 38

- TTI!lat 38,309,310

Supramid 178

supratip deformities 74-83

- depression, emphasing 78

- excessive resection of intranasal lin-ing I of the lower lateral cartilage 75,76

- fibrous tissue, enormous hard 82

- insufficient lowering of the septum 74,75

- insufficient trimming, dorsal border I septal mucosa 75

- misplaced grafts I implants 76

- rounded and tipless thick tip 83

- short columella 76

- skin I subcutaneous tissue, inherent thickness 76, 77

- thickening, after posttraumatic cor-rection 81

surgical nose 6 suture - inverted, Daley 275

- over-and-over suture 302,303

- trans columellar 86

- transnasal, Formon 56 swinging-door effect 71,189,192

synchondroses 190

syndromes I diseases (names only) - Binder's syndrome 168,176,179,252,

254,361 - Hayeks's disease 211,218,221

- Osler's disease 197

- Osler-Weber-Rendu disease 245

syringe pump 27

T Takahashi forceps 200

Tarnaud's platyrhinia (see ozena) tears 191

Teflon 178-180

telescoped nose, traumatic 160

tension nose 291-293 Tessier, skull graft 168

timing 21

tip - bifid I cleft 129,130

bulbous 154 - deformities 83-90

- fibrous prominent 135-143 - pointed narrow 127,128

- secondary tip procedures, incisions 95-104

- snub 154 - too-broad 100-104

tip-ala-columellar complex, sagging 355

- correction 358

tip-columellar complex - ptosis 357 - support with rolled ear cartilage 260

Tipton-Hinderer flap 154

Subject Index 491

toxic shock syndrome 31

transcollumellar suture, straight needle 86

transnasal approach 344

transpalatal approach 345

transseptal approach 344

TreIat elevator 38,309,310

tricalcium phosphate ceramic 182

tumor, plastic procedures 405-407

turbinate reduction - conventional procedure 207, 208

- endoscopic procedure 208,209

turbinectomy 207

two-pocket procedure 77

U unit, Gonzales-Ulloa 409

uvulopalatopharyngoplasty 353

V valve, technique for amplifying 124

valvular incompetence - anterior 112-116

- posterior 116-125

velopharyngoplasty 350-352

vestibule, stenoses 319-338

vomer 11

- deviated 194

V-Y advancement procedure 251,252,

261,265,320

V-Y plasty 186,361,378

- reverse, Brauer and Foerster 388, 389,406

- vertical 364

W Walsham forceps Washio method

51,54

431

weak triangle of converse 75

wedge resection alar base combined with marginal alar resection 303

- with thinning the thick ala 303

Weinlechner's method 399

wide flat dorsum (open roof) 44,54-61 written cons ens 9

x Xomed 403

Z

Zaufal's nose (see ozena) Z-plasty 363,368

- alar skin 320

bilateral 351

- of Strauch 336 three dimensional 321, 324

- velopharyngeal 350