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Augmentation Rhinoplasty in Plastic Surgery Workup

  • Author: Luis Humberto Macias, MD; Chief Editor: Mark S Granick, MD, FACS  more...
 
Updated: Nov 19, 2012
 

Laboratory Studies

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  • Any patients older than 50 years must have an appropriate preoperative anesthesia workup, including ECG, chest radiography, CBC count, basic metabolic panel, coagulation studies, and any other studies deemed necessary by the anesthesiologist.
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Imaging Studies

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  • If any sinus disease is suspected based on findings from the initial workup, a CT scan may be of value.
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Diagnostic Procedures

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  • During the initial consultation for augmentation rhinoplasty, any history of recurrent sinus disease must be sought. If the patient has a history of allergic disorders or sinus disease, appropriate allergy screening may be necessary. In addition, nasal endoscopy may be necessary to evaluate for any sinus disease.
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Contributor Information and Disclosures
Author

Luis Humberto Macias, MD Fellow, Division of Plastic Surgery, University of Pennsylvania School of Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Dean Fardo, MD Private Practice, Atlanta

Dean Fardo, MD is a member of the following medical societies: Alpha Omega Alpha

Disclosure: Nothing to disclose.

James E Zins, MD Chairman, Department of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation

James E Zins, MD is a member of the following medical societies: American Society of Plastic Surgeons, American Cleft Palate-Craniofacial Association, American Medical Association, American Society of Maxillofacial Surgeons, Ohio State Medical Association, Sigma Xi

Disclosure: Nothing to disclose.

Peter A Kreymerman, MD Plastic and Reconstructive Surgeon, Carolinas Center for Surgery, Carteret General Hospital

Disclosure: Nothing to disclose.

Heather Lucas MPAS, PA-C, Department of Surgery, Division of Plastic Surgery, Mayo Clinic Arizona

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

George Peck, MD 

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

Disclosure: Nothing to disclose.

Chief Editor

Mark S Granick, MD, FACS Professor of Surgery, Chief, Division of Plastic Surgery, Rutgers New Jersey Medical School

Mark S Granick, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society of Plastic Surgeons, Phi Beta Kappa, Northeastern Society of Plastic Surgeons, New Jersey Society of Plastic Surgeons

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Waterjel, Inc.; Reconstat, LLC; DSM<br/>Serve(d) as a speaker or a member of a speakers bureau for: Novadaq<br/>Received none from Waterjel Inc. for board membership; Received none from Reconstat LLC for board membership; Received none from Open Science Co., LLC for board membership.

Additional Contributors

Frederick J Menick, MD 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 Society of Maxillofacial Surgeons, Canadian Society of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Acknowledgements

The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous authors C Coleman Brown, MD, Shashidhar Kusuma, MD, and Francis A Papay, MD to the development and writing of this article.

References
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Young boy with bilateral cleft lip and palate who also has midface hypoplasia and requires nasal augmentation.
Young boy (same patient as in previous image) with bilateral cleft lip and palate who also had midface hypoplasia and required nasal augmentation, shown after dorsal nasal augmentation was accomplished using autologous rib grafts. It was fashioned slightly larger than needed to account for the patient's future facial growth.
Woman with a subtype of midline granulomatous disease that caused nasal collapse. Augmentation was required.
Woman (same patient as in previous image) with a subtype of midline granulomatous disease that caused nasal collapse, shown after augmentation with both autologous rib and cartilage grafts. AlloDerm was also used for additional augmentation.
 
 
 
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