Tuesday, July 1, 2014

Rhinoplasty – origin and its development over the years

The history of rhinoplasty goes to the ancient times. Experts believe that it originated in ancient India and ancient Egypt. In India, this surgery was developed by the Ayurveda physician Sushruta. In ‘Sushruta Samhita’, he described the process of reconstructing a broken nose. He described free graft Indian rhinoplasty as the Nasikasandhana.

This plastic surgery was first mentioned in a transcription of Egyptian medical text ‘Edwin Smith Papyrus’ from 3000 to 2500 BC. An ancient Egyptian medical papyrus called Ebers Papyrus also described the procedure of rhinoplasty.

A roman encyclopaedist named Aulus Cornelius Celsus mentioned the various techniques of plastic surgery in his medical treatise called De Medicina. He published it in during the Roman Empire, which was from 27 BC to AD 476. He described reconstruction of different body parts as well as of nose.

Oribasius, who was personal physician of Roman emperor Julian the Apostate published 70-volume ‘Synagogue Medicae’. In it, he described about the surgery and how to repair different body parts such as nose, lips and eyebrows by using autologous skin flaps.

Arab physician Ibn Abi Usaibia translated Sushruta Samhita from Sanskrit to Arabic in 11th century. Medieval physician Serafeddin Sabuncuoğlu authored Cerrahiyyetu'l-Haniyye describing surgical techniques. In Anglo-Saxon physician’s manual ‘Bald's Leechbook’, which was an old english medical text, cleft lip plastic surgery was mentioned.

In 1597, Italian surgeon Gaspare Tagliacozzi published his book ‘De Curtorum Chirurgia per Insitionem’. He was a professor of surgery and anatomy at the University of Bologna. In this book, he described the procedures of repair of wounds in soldier. He also described a procedure in which surgeon did a rhinoplasty to reshape nose. He used biceps muscle pedicle flap to re attach.

Thomas Cruso and James Findlay were two surgeons who re found the technique of rhinoplasty in India. They were surgeons for the East India Company during the Third Anglo–Mysore War from 1789 to 1792. They published the photos of procedure of this process in Madras Gazette. They also published a report in the Gentleman's Magazine of London, 1794 issue.

An English surgeon Joseph Constantine Carpue published ‘Account of Two Successful Operations for Restoring a Lost Nose from the Integument of the Forehead’ in 1815. He wrote about the process of reconstructing a nose by using a flap of skin that was taken from the forehead. It was famous in Europe as Carpue's operation.

German surgeon Karl Ferdinand von Grafe wrote book Rhinoplastik in 1818, in which he told about fifty-five procedures of plastic surgery. Many other people wrote about this procedure. Today every rhinoplasty specialist in NYC or in all other cities, are taking advantages from these books.