Rhinoplasty is considered among the most challenging aesthetic operations because many variables have to be taken into consideration to achieve an optimal aesthetic and functional result. This implies that complications are always waiting around the corner. It is of prime importance to know the main minor and major complications related to the procedure to be able to prevent and treat them promptly when required. Septorhinoplasty is a delicate and difficult procedure, which requires accurate anatomical knowledge and important clinical experience. Nevertheless, complications can affect both inexperienced and expert surgeons. Thus, the most frequent complications of rhinoplasty should be known and adequately prevented when possible.
Part of the book: A Textbook of Advanced Oral and Maxillofacial Surgery
The saddle nose deformity is always associated to cartilaginous or bone defects. It could have congenital, traumatic, infectious or iatrogenic origin. Its correction consists not only in a camouflage, but also it is important to reconstruct the missing structure. In this chapter, we will discuss about all aspect of the saddle nose and we will propose a different therapeutical approach (septum, concha or costal grafts) in relation to the severity of the defects (with a personal classification). The classification is also based on the presence or absence of the nasal septum, which is a fundamental aspect that we must take into account when approaching nasal reconstruction. We will discuss the technical aspect of the rib graft harvesting and its use to reconstruct the nasal structure.
Part of the book: Contemporary Rhinoplasty