Lesson 1Dorsal hump reduction maneuvers: raspin', guarded osteotomy, component resection, preservation techniques (let-down/let-in)Dis section address dorsal hump reduction, comparin' raspin', guarded osteotomy, an' component resection wid preservation techniques such as let-down an' let-in, focusin' pon smooth dorsal lines an' prevention of open roof or inverted-V deformity.
Preoperative dorsal profile analysisRaspin' versus guarded osteotomy useComponent dorsal hump resection stepsLet-down an' let-in preservation conceptsAvoidin' open roof an' inverted-V deformityLesson 2Septoplasty operative steps: submucoperichondrial elevation, cartilage scor'in, septal pocketing, extracorporeal septoplasty principlesDis section outline stepwise septoplasty, emphasizin' submucoperichondrial elevation, cartilage scor'in an' reshapin', septal pocketing fi grafts, an' principles of extracorporeal septoplasty while preservin' L-strut integrity an' minimizin' mucosal injury.
Hemitransfixion an' Killian incision choicesSubmucoperichondrial flap elevationCartilage scor'in an' controlled weakenin'Septal pocketing an' graft stabilizationExtracorporeal septoplasty indications an' stepsLesson 3Turbinate reduction techniques: submucosal resection, outfracture, radiofrequency or microdebrider-assisted reductionDis section review turbinate reduction options, includin' submucosal resection, outfracture, an' radiofrequency or microdebrider-assisted techniques, emphasizin' mucosal preservation, bleedin' control, an' strategies to avoid empty nose syndrome.
Preoperative turbinate an' airway assessmentSubmucosal resection indications an' stepsOutfracture technique an' stabilizationRadiofrequency an' microdebrider methodsPreventin' overresection an' empty noseLesson 4Bony pyramid modification: lateral an' medial osteotomies, greenstick vs complete, preventin' an' managin' open roofDis section cover modification of di bony pyramid, includin' plannin' lateral an' medial osteotomies, choosin' greenstick versus complete fractures, controllin' fracture lines, an' preventin', recognizin', an' managin' open roof an' rocker deformities.
Preoperative analysis of bony vaultLateral osteotomy techniques an' toolsMedial osteotomies an' intermediate cutsGreenstick versus complete osteotomiesPrevention an' repair of open roof deformityLesson 5Closed rhinoplasty techniques: endonasal suture techniques, limitations, an' when to convert to openDis section review closed rhinoplasty approaches, detailin' endonasal access, suture techniques fi tip an' dorsum, case selection, technical limitations, an' criteria fi safely convertin' to an open approach when exposure or control is inadequate.
Endonasal incision design an' accessEndonasal tip suture techniquesEndonasal dorsal modification methodsRecognizin' limitations of closed approachIndications to convert to open rhinoplastyLesson 6Graft harvest an' handlin': septal cartilage harvest technique, septal preservation considerations, alternatives (conchal, costal)Dis section cover graft harvest an' handlin', detailin' safe septal cartilage harvest wid preservation of di L-strut, alternatives such as conchal an' costal cartilage, an' principles of carvin', contourin', storage, an' fixation to reduce warpin'.
Septal cartilage harvest an' L-strut safetyConchal cartilage harvest techniquesCostal cartilage harvest an' donor risksCarvin' an' contourin' to limit warpin'Graft storage, orientation, an' fixationLesson 7Open rhinoplasty exposure: transcolumellar an' marginal incisions, soft tissue handlin', an' flap elevationDis section detail open rhinoplasty exposure, includin' design of transcolumellar an' marginal incisions, atraumatic soft tissue handlin', flap elevation planes, an' strategies to preserve vascularity, minimize scarin', an' facilitate precise structural work.
Plannin' transcolumellar incision designMarginal incision placement an' executionElevation planes an' flap thickness controlProtectin' vascularity an' soft tissue envelopeClosure techniques to minimize visible scarsLesson 8Cartilage techniques fi tip refinement: cephalic trim, medial an' lateral crural sutures, interdomal an' transdomal suturesDis section explain cartilage-based maneuvers fi tip refinement, focusin' pon cephalic trim plannin', crural suture patterns, an' dome-shapin' strategies dat balance definition, support, an' airway preservation while minimizin' long-term deformities.
Plannin' an' limits of cephalic trimMedial crural sutures fi tip supportLateral crural sutures an' contour controlInterdomal sutures fi dome unificationTransdomal sutures fi tip definitionLesson 9Nasal valve procedures: spreader graft placement, butterfly grafts, lateral crural strut grafts, alar batten graftsDis section focus on nasal valve surgery, coverin' indications an' plannin' fi spreader grafts, butterfly grafts, lateral crural strut grafts, an' alar batten grafts to restore internal an' external valve competence widout over-widenin' di dorsum or tip.
Assessment of internal an' external nasal valvesSpreader graft sizin' an' fixation methodsButterfly graft indications an' placementLateral crural strut graft design an' pocketingAlar batten grafts fi external valve collapseLesson 10Tip rotation an' projection control: columellar strut graft, tongue-in-groove, tip sutures; effects on animationDis section explain operative control of tip rotation an' projection usin' columellar strut grafts, tongue-in-groove maneuvers, an' targeted tip sutures, highlightin' dem biomechanical effects, sequencin', an' impact on smile dynamics an' animation.
Analyzin' baseline rotation an' projectionColumellar strut graft design an' fixationTongue-in-groove technique an' variationsTip suture combinations fi fine-tunin'Assessin' tip behavior wid facial animation
