29 YEARS OF BLOCKED NOSE. UNILATERAL CHOANAL ATRESIA IN A YOUNG ADULT.

Failure of the posterior opening of the Right nasal cavity to canalize during development in this young adult left her nose completely blocked on the Right side. The opening created with controlled and safe technique allowed normal airway. It is quite interesting that three decades of blockage to the nasal secretion pathway did not lead to sinusitis. You can see maxillary sinus lining showing a degree of mucosal hypertrophy on the blocked right side.
RIGHT                                                          LEFT
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RHINOPLASTY BEFORE AND AFTER PICTURES : BASAL VIEW IS THE KEY

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Basal view of the nose is the key view while comparing the Before and After results in Rhinoplasty & Septo-Rhinoplasty. This view is not generally visible to the onlooker but it indicates that the principles of sound rhinoplasty techniques have been adhered to, successfully. It confirms the midline position of the central structure – the Septum, the symmetry and harmony of the nasal tip components and the nostrils.

THE NOSE CLINIC
RHINOPLASTY.IE
MUNISH SHANDILYA
OUR FOUR CLINICS
DUBLIN SOUTH COUNTY BLACKROCK

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DUBLIN SOUTH, BEACON HOSPITAL SANDYFORD

 

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DUBLIN NORTH, BON SECOURS HOSPITAL, GLASNEVIN
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WATERFORD, WHITFIELD CLINIC, MAIN OFFICE

ADVANCES IN RHINOPLASTY: LESSONS FROM CHICAGO

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LESSONS FROM CHICAGO
 
Conchal cartilage as Alar support grafts … too weak …makes sense

 

Turkish Delight makes way for Sausages & Swiss rolls ! Abel-Jan Tasman’s trick … the best presentation of a new technique … will it work sans fascia … or perhaps lay some fascia over the graft … 
The elephant in the room … Injectables were not mentioned over four days ! hmmm …  
Microdermabraision for columellar & Alar base scars … quiet again …
Rib cartilage grafts … indications and refined use … Dean Toriyumi’s masterclass
Did I notice a wee step back towards the “close”approach ? …Pastorek, Bobby Simon & Pietro Palma beckon …
Gilbert Nolst Trenite demonstrated the deprojection techniques beautifully … I have had the priviledge of observing and assisting him on several occasions during my fellowship with him …
Pre and Post pictures still lacking standardization … even at this level !!!