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Surgical anatomy of the nose Dr. Chih- Yen Wei Depart. of Otolaryngology Chia-yi Christian Hospital
We want to do rhinoplasty
In doing rhinoplasty, we must have: ,[object Object],[object Object],[object Object],[object Object],[object Object]
The first step in rhinoplasty Anatomy
Anatomy of external nose
External nose Upper 1/3 (nasal bone) middle 1/3 (upper lateral  cartilage) lower 1/3 (lower lateral cartilage)
External nose
Lateral view Infratip lobule
Keystone area
Soft tissue of external nose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keystone area
Anatomy of nasal cavity
Nasal septum
Lateral wall of nasal cavity
Blood supply of nose
Blood supply of nasal area ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Blood supply of nasal area ,[object Object],[object Object],[object Object]
Blood supply of nasal septum
Nasal Tip
Factors affecting  shape & position of nasal tip ,[object Object],[object Object],[object Object]
Lateral crural complexes
Dome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dome
Tip-defining point
Tripod theory
Scroll area ,[object Object],[object Object]
Nasal valve ,[object Object]
Nasal valve ,[object Object]
Incision for rhinoplasty
Incision for rhinoplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trans-columellar incision
Incision for rhinoplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfixion inicision
Incision for rhinoplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infracartilage(marginal) incision
Incision for rhinoplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intercartilage & cartilage-splitting incision
Quick review
Alar   Alar groove Cephalic  radix tip columella Dorsum Caudal
Nasofrontal angle  Supratip break Tip-defining point Columellar-lobular angle Posterior Anterior
Photos of Chia-yi
Thanks for your attention!!

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Surgical Anatomy Of The Nose