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Basic Open Rhinoplasty Workup

  • Author: Jugpal S Arneja, MD, MBA, FRCSC; Chief Editor: Mark S Granick, MD, FACS  more...
 
Updated: Apr 09, 2015
 

Laboratory Studies

See the list below:

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

See the list below:

  • 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, MBA, FRCSC Associate Clinical Professor, Division of Plastic Surgery, University of British Columbia

Jugpal S Arneja, MD, MBA, 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, Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

Coauthor(s)

G Balbir Singh, MD, FRCS Head, Section of Plastic Surgery, St Boniface Hospital; Associate Professor, Department of Surgery, University of Manitoba Faculty of Medicine, Canada

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

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.

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.

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. 1978 Feb. 7(1):13-7. [Medline].

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

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

  5. Sheen JH. Closed versus open rhinoplasty--and the debate goes on. Plast Reconstr Surg. 1997 Mar. 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. 2008 Aug. 37(4):502-6. [Medline].

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

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

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

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

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

  12. Bitik O, Uzun H, Kamburoglu HO, et al. Revisiting the role of columellar strut graft in primary open approach rhinoplasty. Plast Reconstr Surg. 2015 Apr. 135(4):987-97. [Medline].

  13. Bertossi D, Walter C, Nocini PF. The pull-up spreader high (PUSH) technique for nasal tip support. Aesthet Surg J. 2014 Nov. 34(8):1153-61. [Medline].

  14. Teichgraeber JF, Russo RC, Riley WR. External rhinoplasty technique. Ann Plast Surg. 1990 Nov. 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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