Contemporary primary rhinoseptoplasty is becoming fascinatingly complex. The predictability of Structural techniques is being challenged by the only apparently easy Preservation concepts. Techniques are multiple and variations are many. Flexibility in intraoperative choices, attention to detail and mastery of multiple tips and tricks increasingly matter. The scenario is not simple, but the game is worth the challenge since results are better and better meet the expectations of patients who don’t want a copycat result but rather an individualized nose.
Hybrid Open Rhinoplasty combines Structural and Preservation concepts drawing the best of both. Piezo and Power tools can then well be combined together for different and complementary indications, regarding both the manipulation of nasal bones as well as a precise septoplasty.
This specific, intensive, course, in a classroomlike one-to-one format, will allow attendees to spend 3 days in HD connection with the operating room, as well as be exposed to lectures and videos on the many issues and current refinements I employ in hybrid primary open rhinoplasty. I will share my favorite techniques, in all their details and nuances on 5 cases of variable complexity. An EXTRA CASE on Secondary Rhinoplasty with finesse Rib Grafting will also be added, free of charge, on Wednesday morning for those who are interested. The official program will start on December 4, at 14.15, as per the original schedule, but the attendees who have the possibility of getting earlier to the course venue can watch an EXTRA CASE on Rib Grafting on December 4, starting at 08.30. The bus transfer from the city center to the course venue is scheduled at 13.30 on December 4, in connection with the official meeting program (please visit the page “How to arrive”).
It is my belief that this course will allow, due to its format and the limited number of attendees, a special and unique learning experience.
Enrico Robotti
Pre-op analysis, the relevance of cone beam CT scan and morphing
Access and its details, choosing the correct plane
Total vs partial subperichondral-subperiosteal dissection
Splitting the midvault along the “septal T”
Cartilaginous push-down and its modifications
Full symmetric and asymmetric let-down
Different Piezo osteotomies
Piezo-assisted septoplasty
Piezo-assisted turbinoplasty
Use of power tools for osteoplasty
Combination between Piezo and power tools
Trans-osseous suturing techniques
Correction of deviation
Avoiding step-offs at the keystone
Augmenting and lowering the radix
Using deep temporal fascia
Finessing the middle vault with spreaders and autospreaders
Use of perforated ethmoid plate
Debulking the skin in thick-skin patients
Managing the drooping and bulbous tip
Columellar struts and septal extension grafts
Tip sutures and their algorithm
Achieving a straight and properly oriented sidewall
The mini-transposition concept
Lateral crura struts and alar contour grafts
Alar wedges
Final camouflage and free diced cartilage
Preservation concepts applied to secondary rhinoplasty
Personal special instruments for refined rhinoplasty practice
Postop care and what matters practically
Power tools and piezo for osteoplasty and osteotomy: the perfect combination
Use of available residual septum and perforated ethmoid plate
Finesse reconstruction of dorsal L-strut and tip by rib laminations
Rib septal extension grafts, lateral crura struts, sidewall reshaping and else
Combined constructs with the residual septum
Trans-osseous suturing of the L-strut
Camoufage to the tip by perichondrium and else
Preservation concepts applied to secondary rhinoplasty
Personal special instruments for refned rhinoplasty practice
Postop care and what matters practically