By Enrico Robotti, MD
Dr. Robotti performs six surgeries as part of the 2017 Live Surgery Open Rhinoplasty course. Each case includes full preoperative review of the patient’s presenting problem with clinical photos, CT scans, and 3D renderings; discussion of the surgical plan; and step-by-step operative technique from markings to closure and postop dressing. Viewers are sure to benefit from the Q&A between the surgeon and the audience, enhancing the educational value of this video collection.
Case 1: Primary 25-year-old female patient: functional issues, “bottom heavy” nose, narrow radix and cartilaginous vault, asymmetric nasal bones.
Case 2: Primary 26-year-old male patient: functional issues; previous trauma; “long and droopy” nose; excess width and length; asymmetric nasal bones; bulbous, hyperprojected, droopy tip.
Case 3: Crooked, postseptoplasty 50-year-old male patient: trauma in youth; severe functional issue; previous septoplasty; “asymmetrical, wide, and crooked” nose; wide radix; wide, asymmetric bony vault; hump + middle vault saddling; asymmetric boxy tip; cephalic malposition; columellar and alar retraction.
Case 4: Secondary 41-year-old female patient: previous trauma; two previous rhinoseptoplasties; “crooked, big, and flaccid” nose; bony and cartilaginous deviation; thick and redundant skin; asymmetric/convex lateral crura; supratip deformity.
Case 5: Primary 31-year-old female patient: thin skin, contour deformities, wide radix, narrow middle vault, asymmetry of lower laterals, misshapen infratip, excess of nasal height and projection.
Case 6: Secondary 29-year-old female patient: previous septoplasty and hump reduction; bottom heavy nose with big, undefined tip and contour irregularities; residual high radix; open roof deformity; wide and thick residual tip; middle vault saddling; functional issues.