Naslov
External rhinoplasty (decortication) - pros and cons

Autori
Bedeković, Vladimir ; Ivkić, Mirko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
Zbornik radova Drugog hrvatskog rinološkog kongresa / - , 2012, 33-33

Skup
Drugi hrvatski rinološki kongres

Mjesto i datum
Zagreb, Hrvatska, 23.02.2012. - 25.02.2012

Vrsta sudjelovanja
Poster

Vrsta recenzije
Podatak o recenziji nije dostupan

Ključne riječi
External rhinoplasty ; history ; advantages

Sažetak
The pioneer of aesthetic surgery of the nose, Jacques Joseph, performed his first operations using an external approach. This approach was not widely accepted until prof. Padovan introduced this approach in the United States in the 1970s. Since then, rhinoplasty surgeons have employed this approach in their everyday practice. The external approach had, at the beginning, a great number of opponents. Their main objections were that there is a scar on the collumela, that stability of the nasal tip is disturbed and that edema is much longer than in an internal approach, not to mention the prolonged operation time. However, those objections do not stand. On the contrary, the biggest advantage of this approach is in the stabilization of the nasal tip and the possibility of grafting, suturing and remodelling the nasal tip. Here we come to the main point which is remodelling, and sculpturing, not only operating. The most commonly used techniques in surgery of the nasal tip aim toward the narrowing of the nasal tip, but years after the healing process and scarring ends, the final result is a small, narrow but bulbous tip. Since the bony pyramid stabilizes and stays this way, inadequate surgery on the cartilaginous components results in disturbance of the harmony of the upper, middle and lower parts of the nose. Using an external approach, this negative scenario can be avoided and a long term result can be achieved. The external approach is just another approach to nasal structures and it provides possibilities for solving problems in a more adequate way. A rhinoplasty surgeon must be familiar with the external approach, not only the intranasal approach.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA