Lesson 1Dorsal hump reduction manoeuvres: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)This section addresses dorsal hump reduction, comparing rasping, guarded osteotomy, component resection with preservation like let-down/let-in, for smooth lines preventing open roof or inverted-V.
Preoperative dorsal profile analysisRasping versus guarded osteotomy useComponent dorsal hump resection stepsLet-down and let-in preservation conceptsAvoiding open roof and inverted-V deformityLesson 2Septoplasty operative steps: submucoperichondrial elevation, cartilage scoring, septal pocketing, extracorporeal septoplasty principlesThis section outlines step-by-step septoplasty, stressing submucoperichondrial elevation, cartilage scoring/reshaping, septal pocketing for grafts, extracorporeal principles preserving L-strut, minimising mucosal harm.
Hemitransfixion and Killian incision choicesSubmucoperichondrial flap elevationCartilage scoring and controlled weakeningSeptal pocketing and graft stabilizationExtracorporeal septoplasty indications and stepsLesson 3Turbinate reduction techniques: submucosal resection, outfracture, radiofrequency or microdebrider-assisted reductionThis section reviews turbinate reduction options like submucosal resection, outfracture, radiofrequency/microdebrider, stressing mucosal preservation, bleeding control, avoiding empty nose syndrome.
Preoperative turbinate and airway assessmentSubmucosal resection indications and stepsOutfracture technique and stabilizationRadiofrequency and microdebrider methodsPreventing overresection and empty noseLesson 4Bony pyramid modification: lateral and medial osteotomies, greenstick vs complete, preventing and managing open roofThis section covers bony pyramid changes, planning lateral/medial osteotomies, greenstick vs complete fractures, controlling lines, preventing/managing open roof and rocker deformities.
Preoperative analysis of bony vaultLateral osteotomy techniques and toolsMedial osteotomies and intermediate cutsGreenstick versus complete osteotomiesPrevention and repair of open roof deformityLesson 5Closed rhinoplasty techniques: endonasal suture techniques, limitations, and when to convert to openThis section reviews closed rhinoplasty, detailing endonasal access, tip/dorsum sutures, case selection, limits, criteria to switch to open for better exposure/control.
Endonasal incision design and accessEndonasal tip suture techniquesEndonasal dorsal modification methodsRecognizing limitations of closed approachIndications to convert to open rhinoplastyLesson 6Graft harvest and handling: septal cartilage harvest technique, septal preservation considerations, alternatives (conchal, costal)This section covers graft harvest/handling, safe septal cartilage with L-strut preservation, conchal/costal alternatives, carving, contouring, storage, fixation to avoid warping.
Septal cartilage harvest and L-strut safetyConchal cartilage harvest techniquesCostal cartilage harvest and donor risksCarving and contouring to limit warpingGraft storage, orientation, and fixationLesson 7Open rhinoplasty exposure: transcolumellar and marginal incisions, soft tissue handling, and flap elevationThis section details open rhinoplasty exposure, transcolumellar/marginal incisions, gentle soft tissue handling, flap planes, preserving blood supply, minimising scars for precise work.
Planning transcolumellar incision designMarginal incision placement and executionElevation planes and flap thickness controlProtecting vascularity and soft tissue envelopeClosure techniques to minimize visible scarsLesson 8Cartilage techniques for tip refinement: cephalic trim, medial and lateral crural sutures, interdomal and transdomal suturesThis section explains cartilage tip refinement, cephalic trim, crural sutures, dome-shaping for definition, support, airway, minimising long-term issues.
Planning and limits of cephalic trimMedial crural sutures for tip supportLateral crural sutures and contour controlInterdomal sutures for dome unificationTransdomal sutures for tip definitionLesson 9Nasal valve procedures: spreader graft placement, butterfly grafts, lateral crural strut grafts, alar batten graftsThis section focuses on nasal valve surgery, indications/placement for spreader, butterfly, lateral crural strut, alar batten grafts restoring valve without widening dorsum/tip.
Assessment of internal and external nasal valvesSpreader graft sizing and fixation methodsButterfly graft indications and placementLateral crural strut graft design and pocketingAlar batten grafts for external valve collapseLesson 10Tip rotation and projection control: columellar strut graft, tongue-in-groove, tip sutures; effects on animationThis section explains tip rotation/projection control using columellar struts, tongue-in-groove, tip sutures, their effects, sequencing, impact on smile dynamics.
Analyzing baseline rotation and projectionColumellar strut graft design and fixationTongue-in-groove technique and variationsTip suture combinations for fine-tuningAssessing tip behavior with facial animation
