Often unappreciated in rhinoplasty is the alar–columellar complex. Patients may present with a preexisting hanging or retracted columella or abnormal alar rim or columellar shape and configuration. In the patient…
The use of rib grafting in rhinoplasty has revolutionized the ability to treat complex nasal deformities. Its can be helpful for both primary nasal deformities (including posttraumatic, cocaine induced, and…
Older reduction tip rhinoplasty techniques are effective in altering tip contour and definition, yet they depend on aggressive cartilage resection, morselization, and sacrifice of tip supports to achieve these goals….
The “pinched nasal tip” is a deformity caused primarily by collapse of the lateral crura of the lower lateral cartilages. Such collapse may be congenital due to inherent hypoplasia, weakening,…
Few concepts in rhinoplasty engender as much discussion and conflict as the use of alloplasts in the nose. Clear divisions within the specialty have developed, with some surgeons using alloplastic…
Abstract Endoscopic endonasal transplanum and transsellar approaches are frequently utilized to manage pituitary adenomas, craniopharyngiomas, and meningiomas. In addition to the intrinsic panoramic view from the endoscope, wide access using…
Abstract Although minimally invasive endoscopic frontal sinus surgery has become the mainstay of managing both chronic and in many cases neoplastic disease of the frontal sinus, open approaches to the…
Abstract Advances in endoscopic technology and technique have increased the diversity and size of skull base lesions amenable to an endoscopic resection. However, successful reconstruction of the resultant defect is…
Abstract Successful management of malignant pathology of the clivus and extending into the posterior fossa continues to be a formidable challenge to the skull base surgeon. While legends of surgery…
Abstract Endoscopic transsphenoid pituitary surgery is a straightforward form of skull base surgery. The approach and resection utilize a straight pathway through the nose and sphenoid sinuses. Appreciation of sphenoid…
