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Intro
Foreword
Contents
About the Author
My Journey
1: How to Start Journey of Rhinoplasty for Beginners
2: An Overview of the Anthropological Perspective of Indian Noses and Its Implications for Rhinoplasty
2.1 Effect of Migration
2.2 Effect of Climate
2.3 Interregional Variations of Some Nasal Parameters
2.4 Nasal Index
2.4.1 Nasal Index (Doddi et al.)
3: Evaluation of Rhinoplasty Patients
3.1 During Patient's First Visit
3.1.1 Patient's Approach to Surgery
3.1.2 Surgeon's Approach to Surgery
3.1.3 Examination

3.1.3.1 General Examination
3.1.3.2 Examination of the Nose
3.1.4 Diagnostic Nasal Endoscopy
3.2 Evaluation During Second Detailed Visit of the Patient
3.2.1 Patients' Expectations
3.2.2 Psychological Assessment
3.2.2.1 Body Dysmorphic Syndrome
3.2.2.2 Questionnaire
3.2.3 Background and Ethnicity of the Patient
3.2.4 Functional Assessment
3.2.5 Analysis of Facial Aesthetics
3.2.6 Analysis of the Nose
3.2.6.1 Pre-operative Clinical Correlation
3.2.6.2 Internal Nasal Valve (Fig. 3.18)

3.2.6.3 Analysis of Artistic or Aesthetic Beauty of the Face
3.2.6.4 Facial Asymmetry (Figs. 3.21, 3.22 and 3.23)
3.2.6.5 Photography
3.2.6.6 Medical Photography (Figs. 3.33, 3.34, 3.35, 3.36 and 3.37)
3.2.6.7 Rhinomanometry (Fig. 3.38)
3.2.6.8 3D Software Analysis and Reconstruction (Fig. 3.39)
4: Basic Rhinoplasty Surgery
4.1 Operative Planning
4.1.1 Anaesthesia
4.1.2 Incision (Figs. 4.7, 4.8, 4.9 and 4.10)
4.1.3 Dissection (Figs. 4.11, 4.12, 4.13 and 4.14)
4.1.4 Approach to the Septum (Figs. 4.15, 4.16, 4.17, 4.18 and 4.19)
4.1.5 Septoplasty

4.1.6 Osteotomy (Figs. 4.28, 4.29, 4.30, 4.31 and 4.32)
4.1.7 Surgery of Middle One-Third of the Nose
4.1.8 Surgery of Lower One-Third of the Nose
4.1.9 Closure
4.1.10 Alaplasty (Explained in Detail in Chap. 9)
4.2 Post-Operative Care
4.2.1 Immediate Post-op Care
4.2.2 Late Post-op Care
4.3 Documentation
4.4 Note on Piezoelectric Device
5: Nasal Septum
5.1 Internal Nasal Valve Area (Fig. 5.2)
5.2 Acoustic Rhinometry
5.3 Etiology of Nasal Septal Deviations
5.3.1 Classification of Nasal Septal Deviations
5.3.2 Examination of the Patient

5.4 Steps of Septoplasty
5.5 Paediatric Septorhinoplasty
6: Saddle Nose Deformity: Augmentation Rhinoplasty
6.1 Modified Classification for Indian Patients
6.2 Skin Thickness
6.3 Classification
6.4 Salient Features of Commonly Used Augmentation Techniques
6.5 Structural Grafting
6.6 Spreader Grafts
6.7 Extended Spreader Graft
6.8 Grafts
6.9 Post-Operative Period
6.10 Complication
6.11 Conclusion
7: Dorsal Nasal Hump Deformity: Reduction Rhinoplasty
7.1 Cartilaginous Hump
7.1.1 Treatment
7.2 Bony and Cartilaginous Hump

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