The Problem Cephalic malpositioning of lateral crura. The Background Tip refinement is one of the most demanding aspects of rhinoplasty. The tip is a tripod-like structure, of which the left and right lateral crura are the main two pillars. Lower…
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The Problem Reductive techniques have become a mainstay in aesthetic rhinoplasty. Most commonly, reduction techniques are applied to the bony and cartilaginous dorsum, septum, and lower lateral cartilages. In this chapter we will discuss specifically reductive techniques to assist with…
The Problem Droopy tip with crowding of upper lip and elongated nose. The Background A droopy tip is one of the most common motivations for an aesthetic rhinoplasty. Drooping may be defined as a nasolabial angle of less than 90…
The Problem 1. Caudal septal deviation 2. Excess columellar show 3. Ptotic nasal tip The Background The tongue-in-groove (TIG) maneuver is an adaptation of previously described techniques. In 1934, Rethi described elevation of the septal membranes along the septal angle…
The Problem Elongation of the short nose adds to the complexity of the rhinoplasty. Presented in this chapter is an extremely reliable technique of nose elongation with or without alteration of the projection. The Background Many techniques have been introduced…
The Problem A deprojected and superiorly rotated nasal tip complex with nasal valve collapse. The small or overresected nose. The Background Arden and Crumley described the history of structural grafting in rhinoplasty. In 1951, Foman et al. described a columellar…
Introduction Conjoined twins are amongst the most uncommon, complex, and uniquely challenging patients to be cared for by plastic and reconstructive surgeons. A multidisciplinary team approach is paramount in the care of conjoined twins, and plastic surgery involvement is critical…
Synopsis ■ Congenital masses: ■ Branchial cleft anomalies are congenital remnants of the branchial arches, pouches, or grooves found in the cervical region. ■ Dermoid cysts are present from birth and consist of both ectoderm and endoderm. They commonly arise…
Access video content for this chapter online at Elsevier eBooks+ Introduction Pediatric chest and trunk wall abnormalities are oftentimes congenital in nature, however a significant portion of our expertise as plastic and reconstructive surgeons is utilized to solve problems that…