Surgery Spotlight: Primary Closed Rhinoplasty: Personal Experience-Surgery Spotlight: Primary Closed Rhinoplasty: Personal Experience

Surgery Spotlight: Primary Closed Rhinoplasty: Personal Experience

Video Transcription

Video Summary

Dr. Jober Skavitz demonstrates his technique for closed rhinoplasty, emphasizing a cephalic trim to prevent over-resection, dorsal hump removal, and a tip graft using cartilage from the removed hump. The procedure includes internal perforating osteotomies and alar wedges to achieve desired nasal aesthetics without external scarring. Key steps involve marking, injecting, and coconizing the nose, as well as handling large lower inferior turbinates common in Minnesota patients through bipolar cauterization and lateralization. Dr. Skavitz highlights the importance of maintaining precise incisions to avoid irregularities and displacement, ensuring symmetrical alar wedges, and preserving the internal valves through extra mucosal dissection, an essential consideration for the closed approach often criticized for internal valve disruption. The tutorial concludes with post-operative management, including the application of an aquaplast splint and a showcase of pre- and post-op patient outcomes. Tips for avoiding over-resection and handling endonasal mucosa are shared to aid those interested in performing closed rhinoplasty.

Asset Caption

This video shows a primary closed rhinoplasty.

Surgeon Joseph Gryskiewicz, MD This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Aesthetic

Joseph Gryskiewicz MD; Memben

closed rhinoplasty

cephalic trim

dorsal hump removal

internal perforating osteotomies

bipolar cauterization

aquaplast splint