From the Ear, Nose, and Throat Department, Hospital of Imola, Bologna,
In nasal surgery some surgical steps are done without the aid of direct
vision. In these situations, surgeons must use their experience and judgment.
I have adapted techniques used in endoscopic sinus surgery to perform some
of the surgical steps of functional and aesthetic rhinoplasty. Between September
1999 and February 2000, 11 patients underwent endoscopic-assisted septorhinoplasty,
and 18 patients underwent traditional closed rhinoplasty. The following parameters
were compared: surgical bleeding, postoperative edema and ecchymosis, dorsum
irregularity, and operative time for each technique. The following steps were
clearly visualized with the endoscope: raising the periosteum from the nasal
bone, resecting the nasal hump, and rasping the nasal bones. The use of endoscopic
instruments does not change the surgical steps required. Rather, it allows
direct vision of steps previously not viewable.
Tasca I. Endoscopy-Assisted Rhinoplasty. Arch Facial Plast Surg. 2002;4(3):190-193. doi: