Physiologic function of nose must have preserve
This is most important proposition of Rhino plasty and imperative paricular
Nose have so many kind of physiologic function for make warm up air and humidification and purification and filtration not only breathing. if rhinoplasty make impact on physiologic function is should make so many uncomfortable, So rhinoplasty must have human body friendly for physiologic function of nose
Rhinoplasty for functional aspect
If rhinoplasty have only beauty aspect, it should lost the most important functional aspect of nose. Nose is a part of important respiratory organ for respiration, humidification, filtration, sensory. So rhinoplasty must have preserve the physiologic function for don’t ruin nose function.
have a part in breath important structure of nose pictures
1) External valve
External valve is structure of nostril is composed nosewing and inner cartilago alaris and nostril basement. If external valve have damage it will become easily curved alar with difficult to breath
2) Internal valve
Internal valve is a part of the regular movement inside and outside by nasal muscle and cartilage structure. So internal valve is need to preserve for breath. When preserve internal valve, use by spreader graft, crural strut graft(announcement by Dr. Park in 2006 American Society for Aesthetic Plastic Surgery, 2014 Beijing International Aesthetic Plastic Surgery Symposium) for maintain function
3) Lateral nasal wall
4) Nasal septaum Nasal septum is structure for divide nasal cavity into two and composed with cartilage and bones. If nasal septum is crooked, it’s should become obstacle to air flow so must fix it is principle.
5) Turbinate
Turbinates compose most of the mucosal tissue of the nose and are required for functional respiration. The turbinates are covered with airflow pressure and temperature-sensing nerve receptors, allowing for tremendous erectile capabilities of nasal congestion and decongestion, in response to the weather conditions and changing needs of the body. The flow of blood to the nasal mucosa, the three venous plexus of the conchae in particular is regulated by the pterygopalatine ganglion and heats or cools the air in the nose.
pre-surgery examination
1) physical examination
Check function of internal valve and have breath examination when after & before surgery
2) endoscope examination
3) radiographic inspection
Anesthesia
1) Asian rhinoplasty is usually go into effect with fix for low nose so may use with topical anesthesia or intravenous narcosis. Popularly when anesthesia use local anesthetic mixed 0.5% indocaine with epiepinephri of 1:80,000~100,000 to surgical site with the purpose of prevent bleeding
2) In nowadays Asian have big nose when they nose well developed with highest percentage, and has fairly high probability of broken bone rhinoplasty because of injuries, and increased of re-operation so increase in general anesthesia
3) general anesthesia
X-Ray Before and After
What is refreshing Rhinoplasty?
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