INTRODUCTION
This book on rhinoplastic surgery was initiated by the Dutch ENT society because
of the increasing interest of ENT surgeons not only in functional, but also in aesthetic
surgery of the nose. This interest has been stimulated by a growing demand for aesthetic
surgery.
In many cases there is a combined functional-aesthetic problem, which
can be corrected in a one-stage operative procedure. The fast development of more
atraumatic and refined operatíve techniques in the last decade, and the importance of
good long-term results and dwindling mishaps in nasal surgery, emphasize the need for an
up-to-date, step-by step operatíve guide. Although there are many good books on the
subject of rhinoplasty, there is a lack of practical guides covering surgical anatomy,
pre- and postoperative management and Basic techniques for septal-, tip- and
osseocartilaginous vauit surgery, especially for the less experienced rhinosurgeon.
This book is divided into three parts: the Basic knowledge needed for
rhinoplastic surgery (part I), the different operatíve techniques (part II), and capita
selecta of special problems (part III), written by internationally renowned authorities on
rhinoplasty.
We hope that this practical guide will be of use to many surgeons by
helping them to perform one of the most challenging aspects of fadal plastic surgery:
rhinoplasty.
Gilbert J. Nolst Trenité
Second enlarged edition
It is with great pleasure that I present the second enlarged edition
of Rhinoplasty: A Practical Guide to Functional and Aesthetic Surgery of the Nose.
The first edition was sold to all parts of the world, from Japan to
Colombia in South America. The reviews in leading journals were overwhelmingly positive.
Any small points of constructive criticism acted as a stimulus to improve the second
edition. The book has been considerably extended and now contains 300, rather than 200,
pages, not to mention about 200 extra full-color illustrations and three new chapters:
`External rhinoplasty, the benefits and the pitfalls', `Nasal vestibular stenoses' and
`Guidelines for cadaver dissection'. The purpose of the Tast mentioned (a unicum in
textbooks on rhinoplasty) is to stimulate neophyte rhinoplastic surgeons to start
practising modern rhinoplasty techniques on cadaver specimens before proceeding to
patients. A fourth new chapter, `Surgical management of large septal perforations' by R.
Meyer, on the very challenging treatment of septal perforations, replaces his earlier
contribution `Tip columella and ala'.
Moreover, a completely new teaching tool has been developed with the
help of ETI (Expert Center of Taxonomic Identification) at the University of Amsterdam: An
inter active CD-ROM with live-surgery video coverage of the different surgical procedures
linked to the corresponding chapters, which enables the user to observe the surgery in
combinadon with the techniques described.
I sincerely hope that this second enlarged edition, combined with its
specific inter active CD-ROM, will contribute to shortening the learning process in one of
the most difficult aspects of fadal plastic surgery: that of rhinoplasty.
Gilbert J. Nolst Trenité
Third edition with interactive DVD
After the first edition, which was published in 1993, and the second edition with interactive CD ROM, published in 1998, this third edition is even more extensive, containing six new chapters: Septal surgery basic techniques; New concepts in reconstructive septoplasty; Developments in the open rhinoplasty approach; Ethnic rhinoplasty; Batten grafts for nasal valve collapse; and Nasal reconstruction.
Moreover, a sophisticated new interactive DVD has been developed in cooperation with the Audio Visual Center at the University of Amsterdam. Its goal is to provide a practical guide with the maximum impact on teaching. The DVD contains more than two and a half hours of live surgery and there are short video clips on specific surgical techniques to complement the various chapters.
The many positive reactions from all parts of the world regarding this practical guide to functional and aesthetic surgery of the nose, which has helped colleagues improve their surgical skills, have been a huge stimulus.
Once again, I sincerely hope that this third edition, with its interactive DVD that explicitly shows most of the modern techniques in rhinoplasty, will be of benefit to surgeons who wish to improve their skills in rhinoplasty, which today still remains the most challenging and difficult surgical procedure in plastic surgery of the face.
Gilbert J. Nolst Trenité