Rhinoplasty, Alar Cartilage Resection Workup

  • Author: Carl H Manstein, MD, MBA; Chief Editor: John R Taylor, MD, FRCSC, FACS   more...
 
Updated: Jan 6, 2011
 

Laboratory Studies

No laboratory studies are necessary.

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Imaging Studies

Take complete facial photographs of rhinoplasty patients preoperatively and postoperatively. Include front, profile, oblique, and "worm's eye" views. Many surgeons like to bring these photographs into the operating room as a reference guide.

Computer imaging is a new technology that is probably of more value as a marketing tool than as a serious learning device for the surgeon. Making hypothetical changes to the nose using the computer usually remains just hypothetical.

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Other Tests

Other than routine preanesthetic evaluation, no tests are necessary.

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Diagnostic Procedures

Most surgeons do not bother with nasal endoscopy when concentrating on the alar cartilages. A good direct visual examination with a nasal speculum and headlight usually is sufficient to determine most intranasal abnormalities.

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Contributor Information and Disclosures
Author

Carl H Manstein, MD, MBA  Private Practice, Manstein Plastic Surgical Association

Carl H Manstein, MD, MBA is a member of the following medical societies: American Society of Plastic Surgeons, Pennsylvania Medical Society, and Sigma Xi

Disclosure: Nothing to disclose.

Specialty Editor Board

Frederick J Menick, MD  Chief, Division of Plastic Surgery, St. Joseph's Hospital; Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Facial and Nasal Reconstructive Surgeon, Tucson, Arizona

Frederick J Menick, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons

Disclosure: none None None

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

George Peck, Jr, MD  Consulting Staff, Department of Plastic Surgery, St Barnabas Hospital of New Jersey

George Peck, Jr, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

John R Taylor, MD, FRCSC, FACS  Independent Practice, Ontario

John R Taylor, MD, FRCSC, FACS is a member of the following medical societies: American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Canadian Medical Association, and Canadian Society of Plastic Surgeons

Disclosure: Nothing to disclose.

References
  1. Sheen JH. Middle Crus: The Missing Link in Alar Cartilage Anatomy. Perspectives in Plastic Surgery. 1991;5:31-53.

  2. Tebbetts JB. Primary Rhinoplasty. In: A New Approach to the Logic and the Techniques. Mosby; 1998.

  3. Zide BM, Swift R. How to block and tackle the face. Plast Reconstr Surg. Mar 1998;101(3):840-51. [Medline].

  4. Rudolph Meyer, M.D., Ulrich K. Kesselring, M.D. Sculpturing and Reconstructive Procedures in Aesthetic and Functional Rhinoplasty. Clinics in Plastic Surgery. 1977;4:15-22.

  5. Yavuzer R, Jackson IT. Nasal packing in rhinoplasty and septorhinoplasty: it is wiser to avoid. Plast Reconstr Surg. Mar 1999;103(3):1081-2. [Medline].

  6. Rohrich RJ, Raniere J Jr, Ha RY. The alar contour graft: correction and prevention of alar rim deformities in rhinoplasty. Plast Reconstr Surg. Jun 2002;109(7):2495-505; discussion 2506-8. [Medline].

  7. Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg. Apr 1997;99(4):943-52; discussion 953-5. [Medline].

  8. Tardy ME Jr, Cheng EY, Jernstrom V. Misadventures in nasal tip surgery. Analysis and repair. Otolaryngol Clin North Am. Nov 1987;20(4):797-823. [Medline].

  9. Hatzis GP, Sherry SD, Hogan GM, Finn RA. Observations of the marginal incision and lateral crura alar cartilage asymmetry in rhinoplasty: a fixed cadaver study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Apr 2004;97(4):432-7. [Medline].

  10. Johnson CM, Toriumi DM. Open Structure Rhinoplasty. W B Saunders Co; 1990.

  11. Suzuki S, Muneuchi G, Kawai K, Naitoh M. Correction of atrophic nasal ala by sandwiching an auricular cartilage graft between para-alar and nasal floor retrogressive flaps. Ann Plast Surg. Nov 2003;51(5):513-6. [Medline].

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