eMedicine Specialties > Plastic Surgery > Facial Augmentation
Nasal Implants: Multimedia
Updated: Jan 28, 2009
Multimedia
 | Media file 1: Reproduction of plate from Susruta showing style of nasal reconstruction. Note that support for the nasal bridge is absent. The intrinsic rigidity of the dermis was relied upon for structural support. (Susruta, An English Translation of the Susrita Samhita, based on original Sanskrit text. Edited and published by Kaniraj Kunjabal Blushagratna. Calcutta: Bose, 1916). |
 | Media file 2: Reproduction of plate from Tagliocozzi as depicted by Gnudi and Webster. Skin of the inner upper arm has minimal intrinsic rigidity and always requires internal structural support. |
 | Media file 3: Reproduction of plate from Carpue manuscript. Note refinements in flap design. |
 | Media file 4: Rib cartilage graft and Proplast bridge graft. A 46-year-old woman with a congenital deficiency of the nasal bridge underwent a series of reconstruction attempts using septal and conchal cartilage grafts. Front view. |
 | Media file 5: Rib cartilage graft and Proplast bridge graft. A 46-year-old woman with a congenital deficiency of the nasal bridge underwent a series of reconstruction attempts using septal and conchal cartilage grafts. Right side view. |
 | Media file 6: Rib cartilage graft and Proplast bridge graft. A 46-year-old woman with a congenital deficiency of the nasal bridge underwent a series of reconstruction attempts using septal and conchal cartilage grafts. Harvesting of the rib graft. |
 | Media file 7: Rib cartilage graft and Proplast bridge graft. A 46-year-old woman with a congenital deficiency of the nasal bridge underwent a series of reconstruction attempts using septal and conchal cartilage grafts. Postoperative right side view. |
 | Media file 8: Rib cartilage graft and Proplast bridge graft. A 46-year-old woman with a congenital deficiency of the nasal bridge underwent a series of reconstruction attempts using septal and conchal cartilage grafts. Removal of deformed rib cartilage 6 years after reconstruction. |
 | Media file 9: Rib cartilage graft and Proplast bridge graft. A 46-year-old woman with a congenital deficiency of the nasal bridge underwent a series of reconstruction attempts using septal and conchal cartilage grafts. Tailored carved Proplast bridge graft to replace deformed rib cartilage. |
 | Media file 10: Rib cartilage graft and Proplast bridge graft. A 46-year-old woman with a congenital deficiency of the nasal bridge underwent a series of reconstruction attempts using septal and conchal cartilage grafts. Postoperative right side view 4 years after Proplast bridge graft. |
 | Media file 11: Calvarial bone graft and auricular conchal cartilage. A 61-year-old man required a subtotal nasal reconstruction of a septal squamous cell carcinoma and left cervical radical lymphadenectomy. Reconstruction began with a forehead flap of tissue expanded skin. Right lateral view. |
 | Media file 12: Calvarial bone graft and auricular conchal cartilage. A 61-year-old man required a subtotal nasal reconstruction of a septal squamous cell carcinoma and left cervical radical lymphadenectomy. Reconstruction began with a forehead flap of tissue expanded skin. Calvarial bone graft harvest site. |
 | Media file 13: Calvarial bone graft and auricular conchal cartilage. A 61-year-old man required a subtotal nasal reconstruction of a septal squamous cell carcinoma and left cervical radical lymphadenectomy. Reconstruction began with a forehead flap of tissue expanded skin. Sculpted calvarial bone graft. |
 | Media file 14: Calvarial bone graft and auricular conchal cartilage. A 61-year-old man required a subtotal nasal reconstruction of a septal squamous cell carcinoma and left cervical radical lymphadenectomy. Reconstruction began with a forehead flap of tissue expanded skin. Calvarial bone graft in place and anchored to glabellar area of frontal bone. |
 | Media file 15: Calvarial bone graft and auricular conchal cartilage. Harvest of auricular conchal cartilage graft from anterior approach. A 61-year-old man required a subtotal nasal reconstruction of a septal squamous cell carcinoma and left cervical radical lymphadenectomy. Reconstruction began with a forehead flap of tissue expanded skin. |
 | Media file 16: Calvarial bone graft and auricular conchal cartilage. A 61-year-old man required a subtotal nasal reconstruction of a septal squamous cell carcinoma and left cervical radical lymphadenectomy. Reconstruction began with a forehead flap of tissue expanded skin. Sculpted conchal cartilage graft on nasal tip. |
 | Media file 17: Calvarial bone graft and auricular conchal cartilage. Postoperative frontal view at 1 year. A 61-year-old man required a subtotal nasal reconstruction of a septal squamous cell carcinoma and left cervical radical lymphadenectomy. Reconstruction began with a forehead flap of tissue expanded skin. |
 | Media file 18: Silastic graft and rib bone graft. Preoperative frontal view. A 37-year-old woman presented 10 years following reconstruction of an unreduced naso-orbitoethmoid fracture with silastic H-shaped graft. |
 | Media file 19: Silastic graft and rib bone graft. Preoperative oblique view demonstrating the distortion of the silastic graft secondary to scar tissue. A 37-year-old woman presented 10 years following reconstruction of an unreduced naso-orbitoethmoid fracture with silastic H-shaped graft. |
 | Media file 20: Silastic graft and rib bone graft. Harvest of the rib bone graft. A 37-year-old woman presented 10 years following reconstruction of an unreduced naso-orbitoethmoid fracture with silastic H-shaped graft. |
 | Media file 21: Silastic graft and rib bone graft. A 37-year-old woman presented 10 years following reconstruction of an unreduced naso-orbitoethmoid fracture with silastic H-shaped graft. Fabrication of the osseous H-shaped graft. Removed silastic graft serves as a pattern. |
 | Media file 22: Silastic graft and rib bone graft. A 37-year-old woman presented 10 years following reconstruction of an unreduced naso-orbito-ethmoid fracture with silastic H-shaped graft. Postoperative frontal view at 10.5 years postreconstruction. |
 | Media file 23: Silastic graft and rib bone graft. A 37-year-old woman presented 10 years following reconstruction of an unreduced naso-orbitoethmoid fracture with silastic H-shaped graft. Postoperative side view at 10.5 years postreconstruction. |
 | Media file 24: Fascial grafts. A 55-year-old woman sought improvement of radix and upper nasal bridge following an aesthetic rhinoplasty. Preoperative side view. Note the shallow glabella. |
 | Media file 25: Fascial grafts. A 55-year-old woman sought improvement of radix and upper nasal bridge following an aesthetic rhinoplasty. Temporal fascial graft prior to placement. |
 | Media file 26: Fascial grafts. A 55-year-old woman sought improvement of radix and upper nasal bridge following an aesthetic rhinoplasty. Right temporal donor site closure. |
 | Media file 27: Fascial grafts. A 55-year-old woman sought improvement of radix and upper nasal bridge following an aesthetic rhinoplasty. Postoperative side view at 3 months. |
 | Media file 28: Proplast nasal grafts. A 20-year-old man with a posttraumatic nasal deformity with septal collapse. Preoperative side view. |
 | Media file 29: Proplast nasal grafts. A 20-year-old man with a posttraumatic nasal deformity with septal collapse. Carved Proplast graft prior to insertion. |
 | Media file 30: Proplast nasal grafts. A 20-year-old man with a posttraumatic nasal deformity with septal collapse. Postoperative side view. |
 | Media file 31: Proplast nasal grafts. A 20-year-old man with a posttraumatic nasal deformity with septal collapse. Carved Proplast graft to place on alveolar ridge to augment the columellar base. |
 | Media file 32: Proplast nasal grafts. A 20-year-old man with a posttraumatic nasal deformity with septal collapse. Proplast alveolar graft in place. |
More on Nasal Implants |
| Overview: Nasal Implants |
| Workup: Nasal Implants |
| Treatment: Nasal Implants |
| Follow-up: Nasal Implants |
 Multimedia: Nasal Implants |
| References |
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References
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Further Reading
Keywords
nasal implant, nasal implants, nose implants, nose deformities, nasal deformities, nasal reconstruction, nasal surgery, nose surgery, nose reconstruction
