Closed Rhinoplasty The Next Generation
The traditional closed rhinoplasty procedure used to produce unstable results, including the “polly beak” deformity, and has largely been replaced by open rhinoplasty, which has now become the new standard. Nevertheless, the complete release of the
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Closed Rhinoplasty The Next Generation
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Closed Rhinoplasty
Paul J O’Keeffe
Closed Rhinoplasty The Next Generation
Paul J O’Keeffe Castlecrag Private Hospital, Castlecrag NSW, Australia Delmar Private Hospital, Dee Why NSW, Australia
ISBN 978-3-030-16851-3 ISBN 978-3-030-16852-0 (eBook) https://doi.org/10.1007/978-3-030-16852-0 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To my life’s partner, Marilyn, our children, Sally, James, Victoria and Michael and to my colleagues. Special thanks to my office team, Kelly, Dani, Taki and Kerry, for immense support and to my patients who did me the honour of being their surgeon. Paul J O’Keeffe
Foreword
Rhinoplasty is a commonly performed procedure, but it takes a special level of comprehension to achieve accurate patient assessment and to apply skilled techniques for surgical refinement of the nose. Only in this manner can the surgeon be assured of consistently good long-term results with happy patient outcomes. It is of interest how, over the decades, the techniques of rhinoplasty have evolved from conservative closed techniques, to ‘bucket handle’ delivery of tip cartilages, to full open approach, to endoscopic assisted and further instrument refinement including the use of piezoelectric techniques, and the more recently acclaimed ‘pushback’ procedure. One only has to visit a plastic surgery trade show to see the vast array of rhinoplasty instruments available to understand the complexity of procedures that have been propagated to surgically refine the nose—a real dilemma for the trainee or recently graduated rhinoplasty surgeon. Hence it is refreshing to read the Closed Rhinoplasty: The Next Ge
