Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_4442_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •Foreword 1
- •Foreword 2
- •Preface
- •Contents
- •About the Author
- •Contributors
- •Introduction
- •Nasal Components
- •The Nasal Tip
- •Internal Nose
- •Nasal Aesthetic Subunits
- •The Nasal Columella
- •Cartilaginous Framework
- •Overlaying Soft Tissues
- •The Nasal Vestibule
- •The Nasal Septum
- •Overlying Mucosa
- •Internal Lateral Wall
- •Overlying Mucosa
- •The Nasal Floor
- •Nasal Systems
- •Vascular System
- •Nervous System
- •Musculoaponeurotic System
- •Nasal Superficial Musculo Aponeurotic System (SMAS)
- •Nasal Physiology
- •References
- •Introduction
- •The Unilateral Cleft Lip Nasal Deformity
- •The Bilateral Cleft Lip Nasal Deformity
- •Postoperative Nasal Conformers
- •Recent Advances
- •References
- •3: Classification
- •Introduction
- •Unilateral Complete Cleft Lip Nose
- •Bilateral Complete Cleft Lip Nose
- •The Cleft Code
- •Surgical Timing
- •Primary Cleft Rhinoplasty
- •Intermediate Cleft Rhinoplasty
- •Definitive Rhinoplasty
- •References
- •4: Presurgical Management
- •Introduction
- •Nonsurgical Orthopedics
- •Lip Taping
- •Alveolar Molding Using Plates
- •Surgical Orthopedics
- •Surgical Technique
- •The Nasoalveolar Molding (NAM)
- •The Three-Dimensional CAD-CAM Presurgical Orthopedics
- •Labial Component (Lip Taping)
- •Rhinoplasty Appliance System (RAS) Nasal Component
- •CAD CAM Workflow
- •Alveolar Component (SAAS)
- •Clinical Cases RAS
- •Associated Poor Outcomes and Complications
- •References
- •5: The Unilateral Cleft Lip Nose Deformity
- •Introduction
- •Surgical Protocol
- •References
- •Introduction
- •Presurgical Considerations
- •Preoperative Evaluation
- •Instruments
- •Anesthesia
- •Mc Comb Modified Technique
- •Surgical Technique
- •The Composite Rotational Flap Rhinoplasty
- •Surgical Technique
- •Markings
- •Nasal Septum
- •Nasal Tip Reconstruction
- •Nasal Floor
- •The V-Y-Z Cleft Rhinoplasty (Video 6.1)
- •Surgical Technique
- •Markings
- •Lateral Z Plasty Dissection
- •Nasal Septum
- •Nasal Tip Reconstruction
- •Nasal Floor
- •References
- •7: The Bilateral Cleft Lip Nose Deformity
- •Introduction
- •Surgical Protocol
- •References
- •Introduction
- •Presurgical Considerations
- •Preoperative Evaluation
- •Instruments
- •Anesthesia
- •Mc Comb Modified Technique
- •Surgical Technique
- •Surgical Technique
- •Markings
- •Nasal Floor
- •Nasal Septum
- •Nasal Tip Reconstruction
- •Surgical Technique
- •Markings
- •Lateral Z Plasty Dissection
- •Nasal Septum
- •Nasal Tip Reconstruction
- •Columellar Lateral Z Plasty
- •Nasal Floor
- •References
- •9: Postoperative Management
- •Introduction
- •Immediate Postoperative Care
- •PACU Monitoring
- •Wound Care
- •Feeding
- •Pain Management
- •Agitation Control
- •Short-Term Postoperative Care
- •Postoperative Nasal Conformers
- •Acrylic Custom-Made Nasal Stent
- •Three-Dimensional Printer Rhinoplasty Appliance System (RAS)
- •Orthonostric Appliance
- •Cases
- •References
- •Introduction
- •Nasal Bleeding
- •Associated Infections
- •Children’s Stress
- •Postoperative Bleeding
- •Hypertrophic Scarring
- •Postoperative Wound Infection
- •Granulomas
- •Foreign Body
- •Skin Necrosis
- •Suture Allergic Reaction
- •Dimples
- •Notching (Pinched nose)
- •Lateral Web
- •Nasal Tip
- •Nasal Ala
- •Columella
- •Nasal Sill: Wider Nasal Sill
- •Narrower Nasal Sill
- •Nasal Vestibule
- •Nasal Tip
- •Nasal Ala
- •Nasal Ala Asymmetry
- •Alar Nose Shortening
- •Columella
- •Short Columella
- •Wide Columella
- •Nasal Sill: Wider Nasal Sill
- •Narrower Nasal Sill
- •Nasal Vestibule
- •References
- •Index

6 Surgical Techniques forUnilateral Cleft Lip Nose Repair
Fig. 6.73 Case 1. A
1-year postoperative view
of the infant shown in
Fig.6.71 after undergoing
nasal repair using the VYZ
technique (worm eye
view). No presurgical
orthopedics and no
postoperative nasal stents
Fig. 6.74 Case 2.
Preoperative view of a
3-month-old infant with
complete unilateral cleft
lip (frontal view)
195

196
Fig. 6.75 Case 2.
One-year postoperative
view of the infant shown in
Fig.6.74 after undergoing
nasal repair using the VYZ
technique (frontal view).
No presurgical orthopedics
and no postoperative nasal
stents
Fig. 6.76 Case 2.
Preoperative view of a
3-month-old infant with
complete unilateral cleft
lip (worm eye view)
P. Rossell-Perry

6 Surgical Techniques forUnilateral Cleft Lip Nose Repair
Fig. 6.77 Case 2. A
1-year postoperative view
of the infant shown in
Fig.6.76 after undergoing
nasal repair using the VYZ
technique (worm eye
view). No presurgical
orthopedics and no
postoperative nasal stents
197
Fig. 6.78 Case 3.
Preoperative view of a
3-month-old infant with
complete unilateral cleft lip

198
Fig. 6.79 Case 3.
One-year postoperative
view of the infant shown in
Fig.6.78 after undergoing
nasal repair using the VYZ
technique. No presurgical
orthopedics and no
postoperative nasal stents
Fig. 6.80 Case 3.
Long-term (10years)
postoperative view of the
infant shown in Fig.6.78
after undergoing nasal
repair using the VYZ
technique
P. Rossell-Perry

6 Surgical Techniques forUnilateral Cleft Lip Nose Repair
Fig. 6.81 Case 4.
Preoperative view of a
3-month-old infant with
complete unilateral cleft
lip (frontal view)
Fig. 6.82 Case 4.
Preoperative view of a
3-month-old infant with
complete unilateral cleft
lip (worm eye view)
199

200
Fig. 6.83 Case 4.
One-year postoperative
view of the infant shown in
Fig.6.81 after undergoing
nasal repair using the VYZ
technique (frontal view)
Fig. 6.84 Case 4.
One-year postoperative
view of the infant shown in
Fig.6.81 after undergoing
nasal repair using the VYZ
technique (worm eye
view). No presurgical
orthopedics. Nasal
conformers used during
6months
P. Rossell-Perry

6 Surgical Techniques forUnilateral Cleft Lip Nose Repair
Fig. 6.85 Case 4.
Long-term (10years)
postoperative view of the
infant shown in Fig.6.81
after undergoing nasal
repair using the VYZ
technique (frontal view)
Fig. 6.86 Case 4.
Long-term (10years)
postoperative view of the
infant shown in Fig.6.81
after undergoing nasal
repair using the VYZ
technique (worm eye view)
201

202
Fig. 6.87 Case 4.
Long-term (8years)
postoperative view of the
maxillary arch of the
patient shown in Fig.6.81
after alveolar molding
effect of cleft lip repair
using modied Pool
technique
Fig. 6.88 Case 5.
Preoperative view of a
3-month-old infant with
complete unilateral cleft lip
P. Rossell-Perry

6 Surgical Techniques forUnilateral Cleft Lip Nose Repair
Fig. 6.89 Case 5. A
1-year postoperative view
of the infant shown in
Fig.6.88 after undergoing
nasal repair using the VYZ
technique (frontal view).
No presurgical orthopedics
and no postoperative nasal
stents
Fig. 6.90 Case 5.
Long-term (10years)
postoperative view of the
infant shown in Fig.6.86
after undergoing nasal
repair using the VYZ
technique (frontal view)
203

204
Fig. 6.91 Case 5.
Long-term (10years)
postoperative view of the
infant shown in Fig.6.88
after undergoing nasal
repair using the VYZ
technique (worm eye view)
Fig. 6.92 Case 5.
Long-term (9years)
postoperative view of the
maxillary arch of the
patient shown in Fig.6.88
after alveolar molding
effect of cleft lip repair
using modied Pool
technique
P. Rossell-Perry
References
1. Haddock N, McRae M, Cutting C.Long-term effect of primary cleft rhinoplasty on secondary cleft rhinoplasty in patients with unilateral cleft lip–cleft palate. Plast Reconstr Surg.
2012;129(3):740–8.
2. Salyer K.Early and late treatment of unilateral cleft nasal deformity. Cleft Palate Craniofac
J. 1992;29:556–69.
3. Salyer K, Genecov E, Genecov D.Unilateral cleft lip-nose repair: a 33-year experience. J
Craniofac Surg. 2003;14:549–58.
4. Mc Comb H.Treatment of the unilateral cleft lip. Plas Reconstr Surg. 1975;55(5):596–601.
Соседние файлы в папке Библиотека им академика М.И. Перельмана
