Aralin 1Dorsal hump reduction maneuvers: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)Ang seksyong ito ay tumutugon sa dorsal hump reduction, nagkukumpara ng rasping, guarded osteotomy, at component resection sa preservation techniques tulad ng let-down at let-in, na nakatuon sa smooth dorsal lines at pag-iwas sa open roof o inverted-V deformity.
Preoperative dorsal profile analysisRasping versus guarded osteotomy useComponent dorsal hump resection stepsLet-down and let-in preservation conceptsAvoiding open roof and inverted-V deformityAralin 2Septoplasty operative steps: submucoperichondrial elevation, cartilage scoring, septal pocketing, extracorporeal septoplasty principlesAng seksyong ito ay naglalahad ng stepwise septoplasty, na nagbibigay-diin sa submucoperichondrial elevation, cartilage scoring at reshaping, septal pocketing para sa grafts, at principles ng extracorporeal septoplasty habang pinoprotektahan ang L-strut integrity at binabawasan ang mucosal injury.
Hemitransfixion and Killian incision choicesSubmucoperichondrial flap elevationCartilage scoring and controlled weakeningSeptal pocketing and graft stabilizationExtracorporeal septoplasty indications and stepsAralin 3Turbinate reduction techniques: submucosal resection, outfracture, radiofrequency or microdebrider-assisted reductionAng seksyong ito ay sumusuri sa turbinate reduction options, kabilang ang submucosal resection, outfracture, at radiofrequency o microdebrider-assisted techniques, na nagbibigay-diin sa mucosal preservation, bleeding control, at estratehiya upang iwasan ang empty nose syndrome.
Preoperative turbinate and airway assessmentSubmucosal resection indications and stepsOutfracture technique and stabilizationRadiofrequency and microdebrider methodsPreventing overresection and empty noseAralin 4Bony pyramid modification: lateral and medial osteotomies, greenstick vs complete, preventing and managing open roofAng seksyong ito ay tumutukoy sa modification ng bony pyramid, kabilang ang planning ng lateral at medial osteotomies, pagpili ng greenstick versus complete fractures, control ng fracture lines, at pag-iwas, pagkilala, at pamamahala sa open roof at rocker deformities.
Preoperative analysis of bony vaultLateral osteotomy techniques and toolsMedial osteotomies and intermediate cutsGreenstick versus complete osteotomiesPrevention and repair of open roof deformityAralin 5Closed rhinoplasty techniques: endonasal suture techniques, limitations, and when to convert to openAng seksyong ito ay sumusuri sa closed rhinoplasty approaches, nagdedetalye ng endonasal access, suture techniques para sa tip at dorsum, case selection, technical limitations, at criteria para sa safe conversion sa open approach kapag hindi sapat ang exposure o control.
Endonasal incision design and accessEndonasal tip suture techniquesEndonasal dorsal modification methodsRecognizing limitations of closed approachIndications to convert to open rhinoplastyAralin 6Graft harvest and handling: septal cartilage harvest technique, septal preservation considerations, alternatives (conchal, costal)Ang seksyong ito ay tumutukoy sa graft harvest at handling, nagdedetalye ng safe septal cartilage harvest na may preservation ng L-strut, alternatives tulad ng conchal at costal cartilage, at principles ng carving, contouring, storage, at fixation upang mabawasan ang warping.
Septal cartilage harvest and L-strut safetyConchal cartilage harvest techniquesCostal cartilage harvest and donor risksCarving and contouring to limit warpingGraft storage, orientation, and fixationAralin 7Open rhinoplasty exposure: transcolumellar and marginal incisions, soft tissue handling, and flap elevationAng seksyong ito ay nagdedetalye ng open rhinoplasty exposure, kabilang ang design ng transcolumellar at marginal incisions, atraumatic soft tissue handling, flap elevation planes, at estratehiya upang maprotektahan ang vascularity, mabawasan ang scarring, at madaliin ang precise structural work.
Planning transcolumellar incision designMarginal incision placement and executionElevation planes and flap thickness controlProtecting vascularity and soft tissue envelopeClosure techniques to minimize visible scarsAralin 8Cartilage techniques for tip refinement: cephalic trim, medial and lateral crural sutures, interdomal and transdomal suturesAng seksyong ito ay nagpapaliwanag ng cartilage-based maneuvers para sa tip refinement, na nakatuon sa cephalic trim planning, crural suture patterns, at dome-shaping strategies na nagbabalanse ng definition, support, at airway preservation habang binabawasan ang long-term deformities.
Planning and limits of cephalic trimMedial crural sutures for tip supportLateral crural sutures and contour controlInterdomal sutures for dome unificationTransdomal sutures for tip definitionAralin 9Nasal valve procedures: spreader graft placement, butterfly grafts, lateral crural strut grafts, alar batten graftsAng seksyong ito ay nakatuon sa nasal valve surgery, tumutukoy sa indikasyon at planning para sa spreader grafts, butterfly grafts, lateral crural strut grafts, at alar batten grafts upang ibalik ang internal at external valve competence nang hindi sobrang paglapad ng dorsum o tip.
Assessment of internal and external nasal valvesSpreader graft sizing and fixation methodsButterfly graft indications and placementLateral crural strut graft design and pocketingAlar batten grafts for external valve collapseAralin 10Tip rotation and projection control: columellar strut graft, tongue-in-groove, tip sutures; effects on animationAng seksyong ito ay nagpapaliwanag ng operative control ng tip rotation at projection gamit ang columellar strut grafts, tongue-in-groove maneuvers, at targeted tip sutures, na nagbibigay-diin sa kanilang biomechanical effects, sequencing, at impact sa smile dynamics at animation.
Analyzing baseline rotation and projectionColumellar strut graft design and fixationTongue-in-groove technique and variationsTip suture combinations for fine-tuningAssessing tip behavior with facial animation
