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Rhinoplasty Dissection Manual » Chapter 5 – Incisions and Approaches

Chapter 5 – Incisions and Approaches

Incisions are methods of gaining access to the bony and cartilaginous structures of the nose and include trans-cartilaginous, inter-cartilaginous, marginal, and trans-columellar incisions. Approaches provide surgical exposure of the nasal structures including the nasal tip and include cartilage-splitting (trans-cartilaginous incision), retrograde (inter-cartilaginous incision with retrograde dissection), delivery approach (inter-cartilaginous, marginal incisions), and external (trans-columellar and marginal incisions). Based on an analysis of the individual patient’s anatomy, appropriate incisions, approaches, and tip-sculpturing techniques are selected (1) (Appendix E).

In this section, a trans-cartilaginous incision is performed on one side. Then an inter-cartilaginous and marginal incision is made on the other side to deliver that cartilage. Next, proceed with the external rhinoplasty approach. Following these instructions will allow an experience with several incisions and approaches in a single specimen.

Related Information:

  • Achieving Surgical Goals: Selected Options
  • Acknowledgements
  • Adjunctive Procedures
  • Aesthetic Analysis
  • Alar Base Resection
  • Alar Wedge Excision
  • Anatomy
  • Chapter 10 – Sliding Alar Flap
  • Chapter 11 – Caudal Extension Grafts
  • Chapter 13 – Placement Of Intranasal Packs, Nasal Splint
  • Chapter 13 – Postoperative Care
  • Chapter 5 – Incisions and Approaches
  • Cleft Lip Nasal Deformity
  • Closure of the Marginal
  • Delivery Approach
  • Deviated Caudal Septum
  • Foreward
  • Guide to Nasal Analysis
  • Harvesting Calvarial Bone
  • Harvesting Conchal Cartilage: Anterior Approach
  • Harvesting Ethmoid Bone
  • Harvesting Rib Graft
  • Indications For External Rhinoplasty Approach
  • Infiltrative Anesthesia Technique
  • Intermediate Osteotemies
  • Lab Exercise: Nasal Analysis
  • Landmarks For Analysis
  • Lateral Osteotoniies And Infracture
  • Appendix M – List of Selected Companies with Address/Phone Numbers
  • Medial Osteotoniies
  • Nasal Dissection: Septoplasty with Cartilage Harvest
  • Photography Setup (1)
  • Plumping Grafts
  • Preface
  • Rhinoplasty
  • Rhinoplasty Analysis
  • Rib Cartilage Graft Reconstruction of Saddle Deformity
  • Selected Complications of Rhinoplasty
  • Spreader Grafts
  • Suggested Surgical Instruments for Rhinoplasty
  • Surface Angles
  • Surface Angles, Planes, and Measurements
  • Surgery of the Nasal Tip
  • Tip Support, Incisions, and Approaches
  • Transcartilaginous or Cartilage-Splitting Approach
  • Tripod Concept

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