Dissection Manual for Open Rhinoseptoplasty in a Silicone Nose Model

Open rhinoseptoplasty has been widely performed in the field of otorhinolaryngology. However, from the perspective of beginners, rhinoseptoplasty is a hard-to-learn surgery that involves a relatively steep learning curve. Therefore, practical guidance is essential to enhance the skills needed for ex...

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Bibliographic Details
Published in:Journal of Rhinology 2022, 29(1), , pp.1-12
Main Authors: Lee, Ki-Il, Won, Tae-Bin, Hyun, Sangmin, Song, Hyungmin, Jang, Yong Ju, Choi, Ji Yun, Hong, Seung-No, Kim, Hyo Yeol, Kim, Ji Sun, Kim, Soo Whan
Format: Article
Language:English
Subjects:
dissection
methods
nose
Review
rhinoplasty
silicones
이비인후과학
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Summary:Open rhinoseptoplasty has been widely performed in the field of otorhinolaryngology. However, from the perspective of beginners, rhinoseptoplasty is a hard-to-learn surgery that involves a relatively steep learning curve. Therefore, practical guidance is essential to enhance the skills needed for excellent surgical outcomes. Here, we provide a step-wise dissection manual using a commercialized silicone nose model designed for rhinoseptoplasty. The contents include general approaches with regard to transcolumellar inverted V incision, flap elevation, osteotomy, septoplasty, modification of the lower lateral cartilage for tip surgery, and dorsal augmentation using silicone implants. In addition, we introduce novel techniques such as dorsal augmentation using a ready-made mold with tissue glue applied to diced cartilage and polycaprolactone mesh for rhinoseptoplasty. The present study also provides photos of individual surgical procedures using a silicone nose model for actual guidance. The authors expect that this manual will help beginning rhinoseptoplasty surgeons improve their confidence.
ISSN:1229-1498
2384-4361
DOI:10.18787/jr.2021.00390