Introduction and Epidemiology It has been more than three decades since Herndon and colleagues' first manuscript on inhalation injury was published. It was initially reported in 1985 that inhalation injury was a major determinant of mortality in severely burned patients.…
Introduction Structure and Function of the Skin Skin, the body's largest organ, is incredibly complex. Functionally, there are two layers with a highly specialized and effective bonding mechanism. Numerous appendages traverse the skin, and a rich and reactive capillary network…
History The first skin autograft was described by Reverdin in 1871, and the use of allograft skin as a clinical method for wound coverage soon followed. In 1874, Thiersch published a report about a small series of patients on whom…
Introduction Continuous improvement in burn care since World War II has resulted in a steady increase in the rate of survival after large burn injury. These improvements have been attributed to aggressive fluid resuscitation, early excision and grafting of burn…
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The Problem Irregular and overresected dorsum Tip bulbosity The Background Excessive hump resections may cause a concave dorsal profile with or without palpable and visible irregularities. Correction of this iatrogenic deformity is challenging, as many patients are critical due to…
The Problem The saddle nose previously corrected with carved costal cartilage, after 4 years was bent and subtotally resorbed. After removal of the remaining costal cartilage graft, a severe saddleback dorsum was evident. The Background In 1996, Skoog reported using…
The Problem Primary rhinoplasty typically has no grafting issues because grafting material is abundantly present. However, in secondary cases with overresection, providing adequate material for grafting has been an issue of concern. Sufficient cartilage is necessary to provide form and…
The Problem Overresection of the lower lateral cartilages occurring as sequalae of an effort to create decreased tip volume and improved tip contour is a common complication seen in patients seeking revision rhinoplasty. Deformities that arise from aggressive reductive techniques…
The Problem A low nasal dorsum and overrotated nasal tip. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here