Rhinoplasty - OHSU

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History [modify] Treatments for the plastic repair of a broken nose are first pointed out in the Edwin Smith Papyrus, a transcription of text dated to the Old Kingdom from 3000 to 2500 BCE. The (c. 1550 BC), an Ancient Egyptian medical papyrus, explains nose job as the plastic surgical operation for rebuilding a nose destroyed by rhinectomy.

Nose surgery methods are described in the ancient Indian text by Sushruta, where a nose is reconstructed by utilizing a flap of skin from the cheek. During the Roman Empire (27 BC 476 ADVERTISEMENT) the encyclopaedist Aulus Cornelius Celsus (c. 25 BC 50 ADVERTISEMENT) published the 8-tome (On Medicine, c. 14 ADVERTISEMENT), which described plastic surgical treatment strategies and procedures for the correction and the restoration of the nose and other body parts.

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320400 ADVERTISEMENT) released the 70-volume Synagogue Medicae (Medical Compilations, fourth century AD), which explained facial-defect reconstructions that included loose sutures that permitted a surgical injury to recover without distorting the facial flesh; how to clean the bone exposed in a wound; debridement, how to eliminate damaged tissue to prevent infection and so accelerate recovery of the injury; and how to utilize autologous skin flaps to fix broken cheeks, eyebrows, lips, and nose, to bring back the client's normal visage.

The illustrations included a re-attachment nose job utilizing a biceps muscle pedicle flap; the graft attached at 3-weeks post-procedure; which, at 2-weeks post-attachment, the cosmetic surgeon then formed into a nose. In Great Britain, Joseph Constantine Carpue (17641846) published the descriptions of 2 rhinoplasties: the reconstruction of a battle-wounded nose, and the repair of an arsenic-harmed nose.

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Carpue's operation).  This Author , made of plated metal, 17th18th century Europe. This would have been worn as an option to rhinoplasty. In Germany, rhinoplastic technique was refined by surgeons such as the Berlin University teacher of surgery Karl Ferdinand von Grfe (17871840), who released Rhinoplastik (Rebuilding the Nose, 1818) in which he explained 55 historical plastic surgical treatment treatments, and his technically innovative free-graft nasal reconstruction (with a tissue-flap gathered from the client's arm), and surgical methods to eyelid, cleft lip, and cleft palate corrections.