The Hybrid & Rib Edition
BERGAMO | ITALY
LIVE SURGERY FULL IMMERSION COURSE
Primary Hybrid Rhinoplasty
- Combining Preservation and Structural
- Combining Piezo and Power Tools
Rib Grafting in Secondary Rhinoplasty
- From A to Z
Contemporary Primary and Secondary 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 meeting the expectations of patients who don’t want a copycat result but rather an individualized nose.
Primary Hybrid Rhinoplasty combines Preservation and Structural 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.
Rib Grafting in Secondary Rhinoplasty, when performed with a clear algorithm, attention to detail and mastery of numerous tips and tricks, allows a true difference in results. Mastery of finesse autologous rib grafting is indispensable for those who want to actively practice revision rhinoplasty.
This specific, intensive, course, in a classroom like 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 open rhinoplasty. I will share my favorite techniques, in all their details and nuances on 6 cases of variable complexity, 3 primary and 3 secondary cases.
The former will show different deformities in males and females and include structural, preservation and hybrid techniques while the latter will involve finesse rib reconstruction with its tips and tricks. 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
ITEMS WHICH WILL BE COVERED
PRE-OP ANALYSIS, CONE BEAM CT SCAN AND MORPHING
PRIMARY
- ACCESS AND ITS DETAILS, CHOOSING THE CORRECT PLANE
- SPLITTING THE MIDVAULT ALONG THE “SEPTAL T”
- CARTILAGINOUS PUSH-DOWN AND ITS MODIFICATIONS
- FULL SYMMETRIC AND ASYMMETRIC LET-DOWN
- PIEZO OSTEOTOMIES AND PIEZO-ASSISTED SEPTOPLASTY-TURBINOPLASTY
- POWER TOOLS FOR OSTEOPLASTY
- PIEZO AND POWER COMBINATION: WHERE AND WHY
- TRANS-OSSEOUS SUTURING TECHNIQUES
- CORRECTION OF DEVIATION
- AUGMENTING AND LOWERING THE RADIX
- FINESSING THE MIDDLE VAULT : SPREADERS AND AUTOSPREADERS
- SEPTOPLASTY AND USE OF PERFORATED ETHMOID PLATE
- COLUMELLAR STRUTS AND SEPTAL EXTENSION GRAFTS
- TIP SUTURES AND THEIR ALGORITHM
- ACHIEVING A STRAIGHT AND PROPERLY ORIENTED SIDEWALL
- LATERAL CRURA STRUTS AND ALAR CONTOUR GRAFTS
- ALAR WEDGES
- USING DEEP TEMPORAL FASCIA
- FINAL CAMOUFLAGE AND FREE DICED CARTILAGE
- MANAGING THICK-SKIN PATIENTS
SECONDARY
- RIB HARVESTING
- HARVESTING PERICHONDRIUM AND RECTUS FASCIA
- RIB SHAPING AND LAMINATING
- CURRENT VARIATIONS OF DCF: THE ROBOTTI SPF (SANDWICH PERICHONDRIUM – FASCIA) AND SPLF TECHNIQUE (SANDWICH PERICHONDRIUM – RIB LAMINA – FASCIA CONSTRUCT)
- SPLF VARIATIONS AND “RIB CARTILAGE PLASTER”
- PROPER DISSECTION IN DIFFICULT PLANES
- CORRECTING THE OVERGRAFTED NOSE AND AVOIDING EXCESSIVE BULK
- POWER TOOLS AND PIEZO FOR OSTEOPLASTY AND OSTEOTOMY: THE PERFECT COMBINATION
- USE OF AVAILABLE RESIDUAL SEPTUM AND ETHMOID PLATE
- FINESSE RECONSTRUCTION OF DORSAL L-STRUT AND TIP BY RIB LAMINATIONS
- L-STRUT FIXATION-STABILIZATION
- RIB SEPTAL EXTENSION GRAFTS, LATERAL CRURA STRUTS, SIDEWALL RESHAPING AND ELSE
- COMBINED CONSTRUCTS WITH THE RESIDUAL SEPTUM
- FINESSE RECONSTRUCTION OF LATERAL CRURA
- CAMOUFLAGE TO THE TIP BY PERICHONDRIUM AND ELSE
- PRESERVATION CONCEPTS APPLIED TO SECONDARY RHINOPLASTY
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