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The Endonasal Delivery Flap Approach to Primary Cosmetic Rhinoplasty - Catalog 1093

Recorded On: 01/01/2019

The endonasal delivery flap approach to a primary cosmetic rhinoplasty will be shown on a young 20-year-old female patient. The patient has some ethnic characteristics with slightly thick skin. She desired cosmetic improvement in the profile with hump reduction and refinement of the nasal tip. The preoperative analysis of her nose is presented by the surgeon, pointing out the anatomical and cosmetic issues shown on the preoperative photographs. The procedure begins with the endonasal delivery flap approach to the tip-alar cartilages. The caudal septal approach to the septum and harvesting cartilage is demonstrated. The "non" tongue-in-groove technique for managing cephalic tip rotation is shown clearly with management of tip projection. Sequential hump reduction followed by medial and lateral osteotomies is shown in detail. Fine tuning the result with nostril narrowing and a rim graft completes the procedure. Post- operative dressings are also shown.

Stephen W. Perkins

MD

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The Endonasal Delivery Flap Approach to Primary Cosmetic Rhinoplasty, Stephen W. Perkins, MD
Recorded 01/01/2019
Recorded 01/01/2019 The endonasal delivery flap approach to a primary cosmetic rhinoplasty will be shown on a young 20-year-old female patient. The patient has some ethnic characteristics with slightly thick skin. She desired cosmetic improvement in the profile with hump reduction and refinement of the nasal tip. The preoperative analysis of her nose is presented by the surgeon, pointing out the anatomical and cosmetic issues shown on the preoperative photographs. The procedure begins with the endonasal delivery flap approach to the tip-alar cartilages. The caudal septal approach to the septum and harvesting cartilage is demonstrated. The "non" tongue-in-groove technique for managing cephalic tip rotation is shown clearly with management of tip projection. Sequential hump reduction followed by medial and lateral osteotomies is shown in detail. Fine tuning the result with nostril narrowing and a rim graft completes the procedure. Post- operative dressings are also shown.
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