Part I Toward an understanding of structure/function interaction
- Chapter 1 The problem we face: The "compartmentalized" conventional view of facial/nasal anatomy
- Chapter 2 The invisible forces in our nasal airway: Air flow and cavity negative pressure
- Chapter 3 Nasal function and Sleep Disorders
- Chapter 4 The human facial skeleton: influence on the airway and aesthetics?
Part II Rhinoplasty Strategy and Tactics
- Chapter 5 A structural model to systematically understand nasal framework: The Rhinoplasty Compass
- Chapter 6 Modeling to evaluate conventional procedures
- Chapter 7 Rhinoplasty Strategy and Tactics using the Rhinoplasty Compass
- Chapter 8 Complementary procedures to the Framework Strategy (The Canopy Layer)
- Chapter 9 Strategies for addressing mouth-breathing treatment with an "Adequate" nose
- Chapter 10 Breaking the barriers between specialties: Toward a universal understanding of anatomy and function
This volume presents a novel logic-based, simplified understanding and approach to the external nose and face for aesthetics, airway, and sleep treatments that have mostly been under-recognized in the past. Key features of the text include an engineer's approach to simple rhinoplasty, (Release, Resize, Reposition, Reinforce) instead of the typical step-wise procedure algorithm. It also includes a logical explanation of how facial skeletal anatomy is the true cause of sleep apnea and aesthetic deformity with the physics and evidence of how this works, and a review of conventional rhinoplasty/facial structural treatments, with an analysis of why these are flawed and need improvement. Finally, rhinoplasty surgical strategy is discussed using a Rhinoplasty Compass(TM) diagram.
Rethinking Rhinoplasty and Facial Surgery appeals to the surgeon who has grown frustrated with the aesthetic and breathing results of the conventional treatment paradigm. It also appeals to the otolaryngologist, plastic or oral surgeon who avoids working on the external nose and nasal valve because of the perceived complexity of graft-style rhinoplasty or oversimplicity and limitations of basic septoplasty and turbinate reduction. This book provides a hybrid approach to the nose and face that provides more reliable and straightforward outcomes via an understanding of framework.
Howard D. Stupak, MD, Albert Einstein College of Medicine, Department of Otolaryngology/Head and Neck Surgery, Bronx, NY
Howard D. Stupak MD, an Associate Professor at the Albert Einstein College of Medicine in New York is a nationally recognized researcher on the nose and airway, and invented the Alar (TM) device sold by Medtronic Inc. He lectures and is published extensively nationally on the concepts presented in this book and clinically practices as the director of Otolaryngology and residency site director at Jacobi Medical Center, and in a private practice in Westport Connecticut.