Mastering Revision Rhinoplasty [Hardcover]

Michael Evan Sachs (Author)

Book Description

ISBN-10: 0387989048 | ISBN-13: 978-0387989044 | Publication Date: March 2, 2006 | Edition: 1

This lavishly illustrated atlas will have wide appeal to the growing number of specialists who perform rhinoplasty (aesthetic and/or reconstructive surgery of the nose). In addition to plastic surgeons, ENT/otolaryngologists, head & neck surgeons, dermatologists and even oral surgeons are now incorporating rhinoplasties into their practices. Over 350,000 rhinoplasties were performed in 2003, and as the number of cases increases, so does the number of failed operations. Follow up surgeries to improve form or function are referred to as "revision" or "secondary" rhinoplasties. Michael Evan Sachs has perfected the art and science of revision rhinoplasty with thousands of case, and readers will learn not only how to repair a failed procedure but also how to prevent one in the first place.

Product Details

• Hardcover: 400 pages
• Publisher: Springer; 1 edition (March 2, 2006)
• Language: English
• ISBN-10: 0387989048
• ISBN-13: 978-0387989044
• Product Dimensions: 11.3 x 8.7 x 0.9 inches
• Shipping Weight: 2.9 pounds
• Average Customer Review: 3.0 out of 5 stars  See all reviews (1 customer review)
• Amazon Best Sellers Rank: #1,381,519 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews

1 of 1 people found the following review helpful:

3.0 out of 5 stars Okay, June 3, 2009

By 

nonmae "noname" (ct) - See all my reviews

This review is from: Mastering Revision Rhinoplasty (Hardcover)

This book taught me a couple of valuable techniques, but on the whole, I found it lacking. It focuses too heavily on reductive techniques to solve every cosmetic and functional problem. Grafts are rarely mentioned. I was interested in the "incision only tip refinement technique" and would use it, but aside from this, most of the other techniques are either not unique or overly reductive. I liked the "tissue clay" technique for filling slight irregularities, and although the titanium reconstruction is probably quite effective, I think it is a bit of an overkill, especially as he describes using it to rotate the nose in primary rhinoplasty patients.
To rotate the nose he advocates the antiquated technique of cephalic trim combined with resection of the caudal border of the upper lateral cartilage and relies on scar contracture to rotate the nose in the postoperative period. This technique is too unpredictable in my opinion, especially since collumelar struts and lateral crural overlay are more effective, less destructive, and do not rely on prediction.
Alternatively, he recommends titanium chain inserted through transfixion and transphenoidal incision when more rotation is needed. I think this is extreme, especially for a primary case.