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1. Describe the ideal nasal proportions. What are the ideal angles and measurements that we look for? Include chin position.
2. Describe the location of the nerves involved
that you need to anesthetize for a rhinoplasty. Where will you inject?
What solution will you use? What internal solutions are used to shrink
the mucous membranes? Do they work?
3. Describe the anatomy of the internal nasal
valve. Why is it important?
4. In what order should you do a rhinoplasty?
In what order do Peck, Sheen, and Gunter do their rhinoplasties?
5. Describe the various choices of incisions
to gain access to the lower lateral cartilage. What are the advantages
and diadvantages of each?
6. Describe the various methods to augment the
nasal tip. What are Sheen and Peck grafts?
7. What are the various methods of infracturing?
What different exposures can be used? Should you always do medial
osteotomies as well as lateral osteotomies? (PRS 1997; 99:1309)
Answer...
8. Describe the function and anatomy of the
turbinates. How do they contribute to nasal obstruction?
Answer...
9. Tell us about the deviated nasal septum.
Does it contribute to nasal obstruction? What are the various methods
for correcting it? How successful are they? (PRS 1996; 98:38)
Answer...
10. When and why should we use alar wedge excision?
Where does the incision go?
Answer...
11. Describe the common features of the black
nose and the techniques use to modify them.
Answer...
12. Describe the common features of the Asian,
Middle Eastern, and Mestizo nose. How is each area modified?
Answer...
13. Describe the supratip or polybeak deformity.
How can you prevent it? How do you treat it when doing a secondary
rhinoplasty?
Answer...
14. Your first rhinoplasty patient is to get
a supra performation after surgery. How will you fix it? What
symptoms will the patient have?
Answer...
15. What are the various alloplastic implants
that can be used for augmentation rhinoplasty? What are the advantages
and disadvantages of each? When would you use bone rather than alloplast?
16. What are the advantages and disadvantages
of external or open rhinoplasty?
17. Discuss the various possible dressings after
rhinoplasty. Include internal nasal splints. How long should
the nose be packed? What are the dangers of packing? How long
should the external dressing be worn?
18. Your rhinoplasty patient is very unhappy
two weeks after rhinoplasty cause her nose is not quite straight and the
tip is still boxey. What should you do?
19. Does insurance cover a rhinoplasty for an
old fracture? For a deviated septum with or without airway obstruction?
What if the patient has a deviated septum but you are also doing cosmetic
work on the tip? How do you code this and will insurance cover it?
20. Discuss nasal endoscopy. (PRS 1997;
99:1451)
21. When should lateral struts be used?
(PRS 1997; 99:943)
22. Is rhinoplasty successful in correcting
an ugly nose? (PRS 1996; 98:436)
23. Discuss the blood supply of the nose.
(PRS 1995; 95:795)