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Before surgery all important landmarks and reference points must be identified and marked. Important landmarks are the hairline, frown lines, location of the supratrochlear vessels, outline of the defect, nasal and lip subunits. [1] Then templates are made using the intact side of the nose to make a precise symmetric reconstruction of the nose.
The endonasal rhinoplasty was the usual approach to nose surgery until the 1970s, when Padovan presented his technical refinements, advocating the open rhinoplasty approach; he was seconded by Wilfred S. Goodman in the later 1970s, and by Jack P. Gunter in the 1990s.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
as a haemostat; replace tonsil artery forceps; ligature will not slip due to curve tip. St. Clair Thompson adenoid curette with cage and guard: used in adenoid surgery.held in dagger holding fashion and passed behind soft palate. Yankauer's nasopharyngoscope: for a direct access or look at the nasopharynx: Yankauer suction tip
[1] [2] The procedure fills in depressed areas on the nose, lifting the angle of the tip or smoothing the appearance of bumps on the bridge. [3] Non surgical rhinoplasty is an augmentation procedure, so it cannot reduce the size of someone's nose.
Temporary numbness of the front upper teeth after surgery is common. [5] Sometimes the numbness extends to the upper jaw and the tip of the nose. This almost always resolves within several months. The nasal tissues should mostly stabilize within 3-6 months post-surgery, although shifting is still possible for up to and over a year afterwards. [6]
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The SAC procedure is completed within two to three minutes. In that timeframe, the tip of the nose is cut open, the greater alar cartilage is manipulated to preserve the scroll area, providing strength and structure, then the incision is sutured back up. [12] This simple technique creates tip definition while maintaining airway function.