Download Functional Reconstructive Nasal Surgery by Bert Huizing, Johan de Groot PDF

By Bert Huizing, Johan de Groot

Univ. of Utrecht, The Netherlands. textual content bargains a entire review of the sensible elements of reconstructive rhinosurgery. offers step by step information on quite a lot of surgeries highlighted via greater than 800 halftone and colour illustrations. Discusses such issues as anatomy, histology, body structure, and diagnostic recommendations.

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Nowadays, we call it the valve area (Kern 1978). As the narrowest region of the 16 1 Basics Fig. 37 Septolateral cartilage consisting of the cartilaginous septum and the two triangular cartilages. Fig. 38 Perpendicular plate of the ethmoid bone and the vomer. internal nose, it causes the most resistance to breathing. The valve area is bounded: 1883) in the 19th century in contrast to “ostium externum” (naris, nostril). Isthmus: narrowest area of the nasal cavity (= valve area). Limen nasi: lower margin of the triangular cartilage (= valve).

Consequently, a posterior (subperiosteal) tunnel can be easily elevated from an anterior−superior (subperichondrial) tunnel. Chondrovomeral Junction The pear-shaped posterocaudal margin of the cartilaginous septum is fixed into a groove of the vomer. The junction is characterized by a very narrow gap with connective-tissue fibers that are organized in a similar way as in the chondropremaxillary junction. There are relatively more crossing fibers, however, which may explain why a mucosal tear may occur more easily during surgery at the chondrovomeral junction.

Vomer (1); sphenoidal process with its perichondral envelope (2). Vomeral Crest Vomeral crests generally occur at the more posterior parts of the anterior septum. They usually consist of a bony (vomeral) and a cartilaginous part. 69 c, d. They often end in a spur. Vomeral Spur Fig. 69 e Vomeral spur (coronal section at the posterior part, MC staging). Perpendicular plate (1); vomer (2); dislocated sphenoidal process of cartilaginous septum (3); impression in the inferior turbinate (4). Vomeral spurs or spines may occur at the junction of the cranial margin of the vomer, the caudal margin of the perpendicular plate, and the posterior border of the cartilaginous septum.

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