Basic Open Rhinoplasty Workup

  • Author: Jugpal S Arneja, MD, FRCSC; Chief Editor: John R Taylor, MD, FRCSC, FACS   more...
 
Updated: Aug 10, 2011
 

Laboratory Studies

  • Obtain routine complete blood cell counts, a serum chemistry profiles, and coagulation profiles.
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Imaging Studies

  • No specific imaging studies are obtained unless indicated for assessment of related pathology (ie, CT scan for posttraumatic deformities).
  • Obtain a routine chest radiograph and electrocardiogram for patients older than 50 years.
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Contributor Information and Disclosures
Author

Jugpal S Arneja, MD, FRCSC  Assistant Professor, Division of Plastic Surgery, University of British Columbia; Attending Staff, Division of Plastic Surgery, British Columbia Children's Hospital

Jugpal S Arneja, MD, FRCSC is a member of the following medical societies: American Academy of Pediatrics, American Burn Association, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Canadian Medical Association, Canadian Society of Plastic Surgeons, and Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

Coauthor(s)

G Balbir Singh, FRCSC  Head, Section of Plastic Surgery, St Boniface Hospital; Associate Professor, Department of Surgery, University of Manitoba

G Balbir Singh, FRCSC is a member of the following medical societies: American College of Surgeons, Canadian Medical Association, and International College of Surgeons

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: Nothing to disclose.

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

Disclosure: Medscape Salary Employment

R Edward Newsome†, MD  Former Program Director and Chief of Plastic Surgery, Henderson Chair in Surgery, Former Assistant Dean for Graduate Medical Education, Tulane University School of Medicine

R Edward Newsome†, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society of Plastic and Reconstructive Surgery, American Society of Plastic Surgeons, and Louisiana State Medical Society

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. Rethi A. Operation to shorten an excessively long nose. Rev Chir Plast. 1934;2:85.

  2. Goodman WS, Charles DA. Technique of external rhinoplasty. J Otolaryngol. Feb 1978;7(1):13-7. [Medline].

  3. Gunter JP. The merits of the open approach in rhinoplasty. Plast Reconstr Surg. Mar 1997;99(3):863-7. [Medline].

  4. Aiach G. Atlas of Rhinoplasty: Open and Endonasal Approaches, Second Edition. Plast Reconstr Surg. May 2005;115(6):1778-9.

  5. Sheen JH. Closed versus open rhinoplasty--and the debate goes on. Plast Reconstr Surg. Mar 1997;99(3):859-62. [Medline].

  6. DeFatta RJ, Ducic Y, Adelson RT, Sabatini PR. Comparison of closed reduction alone versus primary open repair of acute nasoseptal fractures. J Otolaryngol Head Neck Surg. Aug 2008;37(4):502-6. [Medline].

  7. Anderson JR. The future of open rhinoplasty. Facial Plast Surg. Winter 1988;5(2):189-90. [Medline].

  8. Daniel RK. Secondary rhinoplasty following open rhinoplasty. Plast Reconstr Surg. Dec 1995;96(7):1539-46. [Medline].

  9. Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty. Plast Reconstr Surg. Aug 1987;80(2):161-74. [Medline].

  10. Friedman GD, Gruber RP. A fresh look at the open rhinoplasty technique. Plast Reconstr Surg. Dec 1988;82(6):973-82. [Medline].

  11. Gruber RP. Open rhinoplasty. Clin Plast Surg. Jan 1988;15(1):95-114. [Medline].

  12. Teichgraeber JF, Russo RC, Riley WR. External rhinoplasty technique. Ann Plast Surg. Nov 1990;25(5):388-96. [Medline].

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Local infiltration of anesthesia.
Endonasal 4% cocaine packings.
Iodine preparation of the operative field.
Location of incision.
Incision.
Exposure.
Septoplasty.
Septoplasty.
Alar cartilage resection.
Alar cartilage resection.
Nasal tip modification.
Nasal tip.
Osteotomies.
Nasal dorsum.
Nasal dorsum.
Graft harvest.
Graft harvest.
Graft harvest.
Cartilage crushing.
Crushed cartilage.
Graft placement.
Closure.
Closure.
Packing and splinting.
 
 
 
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