Rhinoplasty and Your Smile: Alexis Furze, MD: Otolaryngology

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

Rhinoplasty techniques are explained in the ancient Indian text by Sushruta, where a nose is reconstructed by utilizing a flap of skin from the cheek. Throughout the Roman Empire (27 BC 476 ADVERTISEMENT) the encyclopaedist Aulus Cornelius Celsus (c. 25 BC 50 AD) released the 8-tome (On Medicine, c. 14 AD), which explained cosmetic surgery methods and treatments for the correction and the reconstruction of the nose and other body parts.

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320400 ADVERTISEMENT) released the 70-volume Synagogue Medicae (Medical Compilations, fourth century advertisement), which explained facial-defect restorations that included loose sutures that permitted a surgical injury to recover without misshaping the facial flesh; how to clean the bone exposed in an injury; debridement, how to get rid of broken tissue to forestall infection and so speed up recovery of the injury; and how to utilize autologous skin flaps to repair damaged cheeks, eyebrows, lips, and nose, to bring back the patient's regular visage.

The illustrations included a re-attachment rhinoplasty using a biceps muscle pedicle flap; the graft attached at 3-weeks post-procedure; which, at 2-weeks post-attachment, the surgeon then shaped into a nose. In Great Britain, Joseph Constantine Carpue (17641846) released the descriptions of 2 nose jobs: the restoration of a battle-wounded nose, and the repair of an arsenic-damaged nose.

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Carpue's operation). Artificial nose, made from plated metal, 17th18th century Europe. This would have been used as an option to nose job. In Germany, rhinoplastic strategy was improved by surgeons such as the Berlin University teacher of surgery Karl Ferdinand von Grfe (17871840), who published Rhinoplastik (Restoring the Nose, 1818) wherein he explained 55 historic cosmetic surgery procedures, and his technically innovative free-graft nasal reconstruction (with a tissue-flap collected from the patient's arm), and surgical approaches to eyelid, cleft lip, and cleft taste buds corrections.