wednesday, march 12 · 2014-03-06 · wednesday, march 12 07.30 registration / breakfast 08.00...

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Wednesday, March 12 07.30 Registration / Breakfast 08.00-08.05 08.05-08.30 Welcome and introduction from the Chairs A video from the RSE President: “Our recent concepts in correcting the dorsum” Gubisch 08.30-09.00 Guest Keynote lecture: My evolution of suture techniques for the nose Gruber

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Page 1: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Wednesday, March 12

07.30 Registration / Breakfast

08.00-08.05 08.05-08.30

Welcome and introduction from the Chairs A video from the RSE President: “Our recent concepts in correcting the dorsum”

Gubisch

08.30-09.00 Guest Keynote lecture: My evolution of suture techniques for the nose

Gruber

Page 2: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

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09.00-10.00 Special In-focus Presentations Chair: Gruber

09.00-09.10 09.10-09.20 09.20-09.30 09.30-09.40 09.40-09.50

Cartilage-sparing tip reshaping Benefits of the Septal Extension Graft The perichondrial-periosteal flap step-by-step Tips and tricks for harvesting cartilage grafts Rhinoplasty in the discrepant (redundant) skin sleeve

Gerbault Davis Cerkes Kuran Robotti

Q&A

10.00-10.15 Coffee break

10.15-12.20 Short Videos - Session I Facilitator: Gubisch

10.15-10.25 10.25-10.35 10.35-10.45 10.45-10.55 10.55-11.05 11.05-11.20 11.20-11.30 11.30-11.40 11.40-12.00 12.00-12.10 12.10-12.20

Where to place your incisions in open rhino Columella fixation to the caudal septum: the suspension sling Correcting an under-rotated tip “Joy-ride” stitch to stabilize tip position The lateral crura “Rein Flap”: a new technique for managing tip rotation Fixating the tip in the deviated septum Strut vs tongue-in-groove Different indications and variations of the strut: not only supporting the tip A new method of midline fixation of the septum to the nasal spine Tongue-in-groove setback for the over-sized caudal septum/nasal spine complex Lateral Crural Steal for simultaneous tip narrowing and projection Septal Extension Graft placement (end-to-end) for the wide tip Predictably managing my tip closed Addressing the long nose through an endonasal approach

Bruschi East RoweJones B. Preis Kuran Kuzanov Kuzanov Buttler Gottarelli Davis Davis Davis Klinger Harel

Q&A

12.20-13.20 Lunch (and RSE Business Meeting)

Page 3: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

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13.20-16.00 Short Videos - Session II Facilitator: Cerkes

13.20-13.30 13.30-13.40 13.40-13.50 13.50-14.00 14.00-14.15 14.15-14.25 14.25-14.35 14.35-14.45 14.45-14.55 14.55-15.05 15.05-15.15 15.15-15.25 15.25-15.40 15.40-15.50 15.50-16.00

Lateral crura strut grafts “Lateral Crural Extension Grafts” in nasal tip contouring Correcting the boxy/overhanging tip with relocation of lateral crura “Articulated” alar rim grafts “Lateral Crura Release” procedure Grafts to the soft triangle Designing and placing a shield graft “Auto-Rim Graft” technique to increase the size of the narrow facet polygon Placing spreader grafts easily and precisely Fashioning and positioning spreader grafts Spreader and flaring sutures to prevent collapse of the upper laterals Spreader flaps practical classification How to constantly spare the K area Perichondrial flap in hump resection Bridge graft for upper vault repair Closed hump removal and percutaneous osteotomies Ostectomy instead of osteotomy for closing the open roof

Calvert Wurm Shubailat Davis Buttler Buttler RoweJones Cakir Bracaglia Calvert Grappolini Kovacevic Gerbault Heppt Heppt Klinger Cakir

Q&A

16.10-16.20 Coffee break

16.20-18.20 Short Videos - Session III Facilitator: Robotti

16.20-16.30 16.30-16.40 16.40-16.50 16.50-17.00 17.00-17.10 17.10-17.20 17.20-17.30 17.30-17.40 17.40-17.50

17.50-18.00 18.00-18.10 18.10-18.20 18.20-18.30

Tips in dorsal resection, dorsal reconstruction and accurate closure Properly positioning the “Breathe Implant” Experience in extracorporeal septal reconstruction Saddle nose correction with “double conchal” graft RAFC (retroauricular fascial complex) and concha graft in dorsal lining after previous septoplasty Simplifying dorsal and alar rib grafts reconstruction Immediate DCF Reconstruction of the Failed Nasal Implant Rib graft and DCF in salvage secondary rhinoplasty The “designed” DCF dorsum DCF for dorsal augmentation through the endonasal approach “Magic box”: a device to better model your cartilage grafts İnternal taping with Pitanguy scroll ligament control the skin redrape (preventing supra- tip deformity ) “Liquid rhinoplasty” for the competent surgeon and the borderline case

Callan à Wengen Wurm Heppt Antohi Gottarelli Daniel Shubailat Robotti Harel B. Preis Cakir Bertossi

Q&A

18.40 Wrap-up and Adjournment

Page 4: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Course Directors Enrico Robotti, Riccardo Mazzola

Thursday, March 13

07.00 Registration / Breakfast

07.25 Welcome and Introduction

07.30-12.30 Refresher Course: The Basics Chairs: East, Robotti

07.30-08.00 08.00-08.20 08.20-08.40 08.40-09.00 09.00-09.35 09.35-09.55

The nasal anatomy that matters to form and function Nasal anatomy clarified in dissection Understanding “Open” anatomy: in 3D (video) Understanding the basic “Open” technique in 3D (video) The steps of open rhinoplasty (interactive video) Essential pearls of open rhinoplasty

Saban

Ingallina Dombard Dombard Robotti Celik

09.55-10.10 Coffee break/Exhibits

10.10-10.35 10.35-11.00 11.00-11.25 11.25-11.55

The steps of septoplasty (interactive video)

The essentials of grafting in rhinoplasty: when and how Analysing and planning your first rhinoplasties Photography, computer imaging and surgical planning

East Menger Calvert Davis

11.55-12.30 CLINICAL CASES Faculty Panel: Analysis Panelists: Calvert, Davis, Dombard, East, Menger, Shubailat

Moderator: Aiach

Page 5: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

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Advanced Masterclasses (Sala Alabastro) 07.30 -12.30

07.30-08.30 08.30-09.30 09.30-10.30 10.30-11.30 11.30-12.30

Tip grafting: when and how Advanced techniques in contouring and positioning the tip Adjusting tip projection and rotation A strong and elegant sidewall: what to do for alar cart malposition and else Osteotomy principles and techniques / crooked nose

Gerbault Davis Foda Celik Gruber

12.35-13.20 (Sala Alabastro)

Lunchtime Instructional Course: Office Management, Marketing, and Dealing with the Web

Calvert

13.20-13.30 Follow-up on the cases of the Third Course

13.30-13.45 The fascinating history of rhinoplasty Mazzola

13.45-14.15 Keynote lecture: My personal ongoing journey in rhinoplasty Aiach

14.15-16.00 Understanding the Procedure Chair: Aiach

14.15-14.30 14.30-14.55 14.55-15.15 15.15-15.35 15.35-15.50

How I analyze a nose Primary rhinoplasty interactive video

Primary rhinoplasty interactive video Real world rhinoplasty: 14 consecutive primary rhinos and their follow-up When simplicity becomes an asset in aesthetic rhinoplasty

Gruber Aiach Cerkes Daniel/Kosins Bruschi

Q&A

16.00-20.00 The Tip I Chairs: Cerkes, Davis

Commentator: Gruber

16.00-16.30 16.30-16.55

Sutures and Grafts: the interplay and the algorithm Structural tip grafting

Gruber Cerkes

12.30-13.20 Lunch/Exhibits

Page 6: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

3

16.55-17.10 Coffee break/Exhibits

17.10-17.25 17.25-17.45 17.45-18.00 18.00-18.05 18.05-18.20 18.20-18.35 18.35-18.50

Achieving the proper tip projection and rotation (video) My preferred technique for increasing and decreasing projection My preferred technique for increasing and decreasing length 5 min Videofocus: Lateral crural steal & Lateral crural overlay NEW ISSUE: Reducing the cephalic trim NEW ISSUE: Preserving specific structures in open dissection The overhanging and overprojected nose

Daniel/Kosins Gruber Calvert Foda 1) Davis 2) Gerbault Pshenisnov Shubailat

Q&A

18.55-19.25 WHEN AND HOW Faculty Panel: which works best for you in positioning the tip: Strut, Tongue-in-Groove, Septal Extension Graft? Panelists: Cerkes, Davis, Foda, Gruber, Gubisch

Moderator: Robotti

19.25-19.40 19.40-19.55 19.55-20.05

My tip refinement algorithm Tip Refinement – When Sutures are not Enough (TRG grafts) The Cranial Tip Suture: options and technique (video)

Davis Daniel/Kosins Kovacevic

Q&A

20.10-21.10 Welcome cocktail

Night Owl: viewing narrated DVDs

(sala Stucchi) 21.10-23.00

21.10 21.40 21.55 22.10 23.00

1 Surgical correction of a crooked nose 2 A crooked nose with DC graft to maxilla 3 A secondary nose with alar deformity 4 A primary open rhinoplasty 5 A primary open rhinoplasty

Celik Daniel/Kosins Robotti Shubailat East

Page 7: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

4

Friday, March 14

06.30 Breakfast

06.45-09.40 The Tip II and Alae Chairs: Foda, Gubisch

Commentator: Davis

06.45-07.00 07.00-07.15 07.15-07.25 07.25-07.35

NEW ISSUE: Step-by-step tip surgery: the polygon concept (video) Shaping the nostril rim Stabilizing the latera crura by cartilage duplication (video) Concave malformations of the LLCs: surgical strategies for treatment

Cakir Gruber Dacho Haack

Q&A

08.05-08.15 08.15-08.20 08.20-08.35 08.35-08.40 08.40-09.00

Alar base surgery (videos) Videofocus: Nasal Base Narrowing Premaxillary augmentation: options and hazards Videofocus: Premaxillary augmentation A personal wrap-up: my Decalogue in tip surgery

East Foda v. Gregory Foda Robotti

Q&A

09.10-09.40 CLINICAL CASES Faculty Panel: Tip Panelists: Calvert, East, Mazzola, Menger, Shubailat

Moderator: Cerkes

07.35-08.05 WHEN AND HOW Faculty Panel: What to do for alar cartilages malposition: transpose or else? Panelists: Davis, Gerbault, Kovacevic, Celik, Dombard

Moderator: Gruber

Page 8: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

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09.40-11.40 Deviation, Septum and Function Chair: East

09.40-09.50 09.50-10.10

Crooked nose (video) Managing the deviated nose: the role of septal surgery

Daniel/Kosins Foda

10.10-10.25 Coffee break/Exhibits

10.25-10.50 10.50-11.05 11.05-11.15 11.15-11.25 11.25-11.35

Extracorporeal septoplasty (video) Endoscopic approach to nasal deviations Managing the inferior and middle turbinates The nasal valve demystified : the four planes of the valve Nasal valve surgery: objective measurements of outcome

Gubisch Bussi East East Menger

Q&A

11.40-17.00 The Dorsum Chairs: Cerkes, Gerbault

Commentator: Calvert

11.40-12.00 12.00-12.20 12.20-12.30 12.30-12.40

Achieving the natural dorsum and proper dorsal aesthetic lines (NEW ISSUE / VIDEO: The perichondro-periosteal flap) Methods of bony hump resection (with videos) Radix augmentation Radix reduction

Cerkes Celik Cerkes Dombard

Q&A

Advanced Masterclasses (Sala Alabastro) 07.30 -12.30

07.30-08.30 08.30-09.30 09.30-10.30 10.30-11.30 11.30-12.30

Working with rib: tricks and tips Extracorporeal septoplasty Gaining a proper dorsumand correcting deviation: autospreaders, spreaders and else Managing the frontonasal angle Nostrils, alar base and columellar refinements

Calvert Gubisch Cerkes Dombard Gruber

12.45-13.30 Lunch/Exhibits

12.45-13.30 (Sala Alabastro)

Lunchtime Industry Instructional Course: Computer Imaging Practical Training

Chekerylla

Page 9: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

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13.30-13.45 Power tools for the dorsum Davis

14.15-14.30 14.30-14.40 14.40-14.50 14.50-15.00 15.00-15.05 15.05-15.25 15.25-15.30

Nasal osteotomies: choice and logic Different types of osteotomies (video) New approach to the dorsum and selection of osteotomies Patient-specific osteotomies: rethinking logic, finessing options 5 min Videofocus :Open/Close-book osteotomies for asymmetric bones Osteotomies and bone reshaping in rhinoplasty: 1) a new breakthrough in technology 2) a paradigm shift in osteotomies design 5 min Videofocus :Narrowing the wide nose without bony excision

Gruber Dombard Daniel/Kosins Palma East Gerbault Daniel/Kosins

Q&A

15.40-15.55 Dorsal augmentation and the versatility of fascia / DCF Calvert

16.15-16.30 Coffee break/Exhibits

13.45-14.15 WHEN AND HOW Faculty Panel: Spreader flaps and variations Panelists: Celik, Cerkes, Davis, Kovacevic

Moderator: Gruber

15.55-16.15 WHEN AND HOW Faculty Panel: Augmenting the primary dorsum Panelists: Calvert, Gerbault, Gruber, Robotti

Moderator: Gubisch

16.30-17.00 WHEN AND HOW Faculty Panel: Dealing with thick skin → thin or restructure? Panelists: Celik, Davis, Foda, Gerbault

Moderator: Calvert

Page 10: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

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17.00-17.30 Rhino Spots Chair: Mazzola

17.00-17.15 17.15-17.25 17.25-17.30

Retroauricular fascial complex in dorsal nasal refinemnts Other external approach than Rethi in Rhinoplasty 5 min Videofocus : Widening of pinched nasal tip

Antohi Duron Foda

17.30-20.15 Secondary Rhinoplasty and Complications Chair:Gubisch

17.30-17.50

17.50-18.10 18.10-18.30 18.30-18.45 18.45-19.00 19.00-19.10 19.10-19.25

Secondary rhinoplasty principles

Secondary rhinoplasty (interactive video) Reconstruction of overresected nose and DCF grafts How I currently use rib in secondary rhino Cocaine induced midline lesions: options for reconstruction Complete septal reconstruction with a double layered conchal L-strut (video) “Reversal rhinoplasty”: reverting: secondary patients back to their ethnicity

Gruber Cerkes Cerkes Gubisch Bussi Haack Matti

Q&A

19.30-20.00 CLINICAL CASES Faculty Panel: Secondary rhinoplasty Panelists: Aiach, Calvert, East, Foda, Robotti, Shubailat

Moderator: Gubisch

20.00 Adjourn

21.00 Gala dinner

Page 11: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

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Saturday, March 15 06.45 Breakfast

Early Bird Video

07.10-07.30 07.30-07.50

Primary Rhinoplasty Secondary Rhinoplasty

Mazzola Robotti

07.50-08.00 Presentation of today’s cases: “How I will do it” (taped)

10.00-12.00 Coffee station

Room 1

08.00-10.30 12.30-15.00

Live Surgery 1 (commented by Robotti) Live surgery 2 (commented by East)

Gruber Davis

Narrated Video : Rhinoplasty Suture Techniques step-by-step A videoclip catalogue of useful manoeuvres in secondary rhinoplasty Presentation: Introducing the Bergamo 3D Rhinoplasty Software

Daniel/Kosins Aiach Robotti

Room 2

09.30-11.30 13.30-17.00

Live Surgery 1 (commented by Gerbault) Live Surgery 2 (commented by Calvert)

Cerkes Gubisch

13.00-14.30 Lunch station

17.00-17.20 Selected Abstracts Corner

16.00-17.30 Coffee station

Page 12: Wednesday, March 12 · 2014-03-06 · Wednesday, March 12 07.30 Registration / Breakfast 08.00 -08.05 08.05 -08.30 Welcome an d introduction from the Chairs A video from the RSE President:

Fourth Bergamo Open Rhinoplasty Course

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17.20-17.50 Bonus Video: Aesthetic Reconstructive Rhinoplasty (cocaine nose and complex rib/ composite reconstruction)

Daniel/Kosins

Coffee station

17.50-18.50 Medical Rhinoplasty Chair: Celik

17.50-18.20 18.20-18.50

Medical rhinoplasty: anatomy and practice A safe “medical rhinoplasty” by use of fillers (video demonstration)

Ingallina Braccini

Q&A

18.50 Selected Abstracts Corner Prize

Wrap-up and Adjournment