Second Bergamo Open Rhinoplasty Course:

Transcript

1 Second Bergamo Open Rhinoplasty Course: aesthetics, function and managing complications March 11-13, 2010 Course Directors: E. Robotti, R. Mazzola Centro Congressi Giovanni XXIII Bergamo

2 Course Directors Enrico Robotti, Riccardo Mazzola Contents Live Surgery Videos Didactic lectures Case analyses Interactive panel discussions New breakthrough procedures Medical rhinoplasty panel Selected abstracts corner International Faculty Frédéric Braccini Nice, France Nazim Cerkes - Istanbul, Turkey Louis P. Dombard Bruxelles, Belgium Charles East - London, UK Hossam M.T. Foda Alexandria, Egypt Olivier Gerbault - Paris, France Wolfgang Gubisch Stuttgart, Germany Bahman Guyuron - Cleveland, USA Dirk Jan Menger - Amsterdam, Netherlands Italian Faculty G. Bernabei - Milano G. Botti - Salò R. Bracaglia - Roma S. Bruschi - Torino G. Giudice - Bari P. Gottarelli - Bologna S. Grappolini - Milano A. Grisotti - Milano F. Ingallina - Paris, France M. Klinger - Milano S. Mocella - Verona P. Palma - Milano M. Pelle Ceravolo - Roma S. Pompei - Roma L. Vaienti - Milano

3 Introduction Dear Colleague, It gives us great pleasure to invite you to the Second Bergamo Biennial Open Rhinoplasty Course, specifically devoted to open rhinoplasty, whose Faculty includes reputed masters who mainly or exclusively practice the open approach. This intensive symposium will be practical in nature, and will focus in detail on state-of-the-art primary and secondary open rhinoplasty techniques, with due emphasis on aesthetics and function, in a personal and approachable format. A limited enrolment will encourage and maximize exchange between participants and Faculty. The course is aimed to all physicians performing nasal surgery, mainly plastic, ENT and maxillo-facial surgeons. It will cover in depth both the basics of the open approach for the beginner, as well as serve as a refresher and address refinements and specific advanced details for the proficient rhinoplasty surgeon. Several presentations, including didactic lectures and videos (some being innovative 3D videos) will systematically analyze specific and sequential topics, with adequate time allotted for discussion with the audience and a maximal educational benefit. The personal approach to open rhinoplasty of each Faculty member will be emphasized, and interactive panel discussions and case analyses will add to a mutual learning experience. Live surgery, telecasted from the Ospedali Riuniti, will again be a highlight of the course due to its stimulating educational benefit, allowing a proper view of technical pearls and fine details, as well as continuous interaction with the audience. The First Bergamo Open Rhinoplasty Course, which was held on November 28-29, 2008 at the same location, counted a large international participation with attendees from 19 different countries, and enjoyed a positive response well beyond our expectations. In response to attendee requests and feedback from the evaluation forms, the Second Course will be even more comprehensive, being lengthened to two-and-a-half days in duration, and will include: - an expanded International Faculty - more topics - more videos, including 3-D videos and interactive videos commented by the author - live surgery - interactive panel discussions and case analyses - emphasis on tricks and tips - new breakthrough procedures - even greater opportunities for audience interaction with the Faculty Also, a specific panel will address the emerging but confusing topic of medical rhinoplasty, including the use of botulinum toxin to the tip and the correction of specific contour deformities by fillers. Finally, a selected abstracts corner will offer participants the opportunity to present chosen communications of obvious merit, with a prize awarded to the best presentation. The modern Congress Center is located at walking distance from the railway station, and can be reached in a few minutes from Bergamo/Milan s Orio Al Serio International airport which serves many international destinations, as well as directly from the motorway exit. In March the weather in Bergamo is usually mild, and should allow some sightseeing or leisure activities in our historical city or its equally interesting surroundings, including the lakes of Iseo and Garda. Before or after the meeting, you should surely take some time to visit Bergamo s renowned Città Alta, encircled by its Venetian ancient walls and by rolling green hills in front of the Alps, with its fascinating cobble-stoned alleys, the Cappella Colleoni, the Basilica di Santa Maria Maggiore and the Accademia Carrara museum. Should you wish to find out further information about Bergamo and its scheduled events, please consult the Key to Bergamo Tourist Magazine, on the web site We hope you will join us in Bergamo on March 11-13, 2010 and help us make this meeting a truly international event. Enrico Robotti and Riccardo Mazzola Course Directors

4 Program Thursday, March 11 12:00-13:00 13:00-13:10 13:10-13:40 13:40-14:00 14:00-14:10 14:10-14:20 14:20-14:30 14:30-15:00 15:00-15:30 15:30-16:00 16:00-16:10 16:10-16:30 16:30-16:45 16:45-17:00 17:00-17:20 17:20-17:35 17:35-17:45 17:45-17:50 Registration Welcome and introduction Open Anatomy : 3D video (cadaver) - L.P. Dombard Photography and computer imaging - N. Cerkes Facial analysis and preop clinical analysis of the nose - B. Guyuron The rhinoplasty consultation: evaluating the candidate (S.I.M.O.N. vs. S.Y.L.V.I.A.) - C. East Male and teenage rhinoplasty - C. East Rational sequence of open rhinoplasty (video) - B. Guyuron Basic steps of open rhinoplasty: 3D video - L.P. Dombard Open rhinoplasty technique (video) - N. Cerkes Coffee break Transition from closed to open rhinoplasty: why I changed - W. Gubisch Less : accomplishing more by doing less: why I didn t change - P. Palma Dynamics of rhinoplasty - B. Guyuron Minor rhinoplasty maneuvers with a Major impact - B. Guyuron Peri and post-operative management - D.J. Menger 17:50-18:05 18:05-18:20 18:20-18:35 18:35-18:50 18:50-19:20 19:20-19:30 19:30-19:40 19:40-19:50 20:00-21:00 The Tip (part I) Tip sutures indications/techniques - B. Guyuron Tip grafts - D.J. Menger Increasing and decreasing tip projection: the dynamic tripod concept - B. Guyuron Managing tip projection (video) - L.P. Dombard Tip surgery via the open approach: droopy tip, lateral, crural steal, overlay and tongue-in-groove (video) - H. Foda Transalar mattress sutures: aesthetic and functional value - O. Gerbault Follow-up on the cases of the First Course - G. Aiach, W. Gubisch, L.P. Dombard Cheese and Wine party Friday, March 12 07:30-07:45 07:45-08:00 08:00-08:15 08:15-08:25 08:25-08:35 08:35-08:50 08:50-09:05 09:05-09:15 The Tip (part II) Increasing and decreasing the length of the nose - W. Gubisch The short nose (video) - S. Bruschi Alar base and medial crura footplates surgery (video) - B. Guyuron Narrowing the nasal base: the combined alar base excision technique (video) - H. Foda Proper treatment of the nasolabial angle - M. Pelle Ceravolo Reshaping the tip - R. Mazzola Septal extension grafts and variations to stabilize the tip - E. Robotti

5 09:15-09:30 09:30-09:45 09:45-09:50 09:50-10:10 10:10-10:25 10:25-10:45 10:45-10:55 10:55-11:10 11:10-11:30 11:30-11:45 11: :55-12:10 12:10-12:30 12:30-12:50 12:50-13:00 13:00-14:00 14:00-14:30 14:30-14:45 14:45-15:15 15:15-15:35 15:35-15:50 15:50-16:00 16:00-16:15 16:15-16:30 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 17:40-18:25 18:25-18:50 18:50-19:20 19:20-19:30 19:30 20:30 The Dorsum Precision in dorsum alignment: incremental reduction (video) - H. Foda Contouring the nasal bridge and radix for a proper dorsum - D.J. Menger Coffee break Osteotomies (external / internal) - L.P. Dombard Dorsal aesthetic lines: spreader grafts and autospreaders - N. Cerkes Deviation and Function Functional considerations in rhinoplasty: septum, valves, turbinates - P. Palma Septal deformities and septal surgery - B. Guyuron Managing the nasal valves - W. Gubisch Managing the turbinates: Modified Inferior Turbinoplasty (video) - P. Gottarelli The crooked nose - H. Foda The deviated nose (video) - C. East Extracorporeal septoplasty (video) - W. Gubisch Lunch Secondary Rhinoplasty and common complications Principles of secondary rhinoplasty - B. Guyuron Complications: how to prevent them Avoiding the ten most common rhinoplasty flaws - B. Guyuron Complications: how to solve them Dorsum irregularities, Saddle nose, Overresection of lower lateral cartilages, Pollybeak, Osteotomy errors - W. Gubisch Secondary rhinoplasty (video) - O. Gerbault Revision Tip surgery - H. Foda Coffee break Diced Cartilage and Fascia in augmentation rhinoplasty (video) - O. Gerbault Auricular cartilage grafts in rhinoplasty - C. East Costal cartilage grafts in rhinoplasty - N. Cerkes Calvarial and mandibular grafts in rhinoplasty - R. Mazzola Camouflage techniques for rhinoplasty defects - O. Gerbault Management of external valve collapse and stenosis of the nasal vestibule - D.J. Menger Septal perforations repair (video) - S. Mocella PANEL The closed alternative, with shared concepts - G. Botti, M. Pelle Ceravolo, M. Klinger PANEL 2 cases in 5 minutes - A. Grisotti, G. Giudice, S. Grappolini, S. Pompei, L. Vaienti Selected Abstracts Corner Tomorrow s case: how I will do it - B. Guyuron, W. Gubisch, H. Foda Adjourn Gala Dinner

6 Saturday, March 13 07:50-08:00 08:00 10:00-10:30 10:10-10:30 10:30 12:30-13:30 12:40-13:00 13:00 14:40-15:00 15:00-15:15 15:15-15:30 15:30-15:45 15:45-15:55 15:55-16:05 16:05-16:20 16:20-16:30 16:30-16:35 16:35-16:45 16:45-16:50 16:50-17:00 16:30-17:00 17:00-17:30 17:30-18:00 18:00 Presentation of today s three cases how I will do it (taped yesterday) Live Surgery 1 - B. Guyuron Coffee station PANEL How would you do it? Clinical cases: analysis and solutions - R. Bracaglia, P. Gottarelli, S. Grappolini, S. Pompei Live Surgery 2 - W. Gubisch Lunch station PANEL How would you solve this? Complications: analysis and solutions - S. Bruschi, G. Giudice, A. Grisotti, L. Vaienti Live Surgery 3 - H. Foda Special issues in rhinoplasty The difficult skin (thick/thin) and softening irregularities through camouflage - C. East The aging nose - W. Gubisch Chin advancement in rhinoplasty (video) - B. Guyuron Ethnic rhinoplasty - B. Guyuron The middle eastern nose - H. Foda Three small useful tips in rhinoplasty - E. Robotti Cocaine-related nasal defects - B. Guyuron Fibrin glue in various modalities of augmenting the dorsum - R. Bracaglia Burring the alar cartilages; an alternative shaping method - G. Bernabei Finesse use of grafting at the end of an endonasal rhinoplasty - G. Botti Fat grafting as an adjunct to rhinoplasty - M. Klinger Coffee station Medical rhinoplasty PANEL (botox and fillers) Botulinum toxin to the tip of the nose and surroundings (video) - F. Ingallina Use of fillers to tip and dorsum (video) - F. Braccini Selected abstracts corner prize. Wrap-up and Adjournment Simultaneous translation will be available Italian ECM credits have been requested We will be updating the website with bilingual information at

7 Programma Giovedì, 11 marzo :00-13:00 13:00-13:10 13:10-13:40 13:40-14:00 14:00-14:10 14:10-14:20 14:20-14:30 14:30-15:00 15:00-15:30 15:30-16:00 16:00-16:10 16:10-16:30 16:30-16:45 16:45-17:00 17:00-17:20 17:20-17:35 17:35-17:45 17:45-17:50 17:50-18:05 18:05-18:20 18:20-18:35 18:35-18:50 18:50-19:20 19:20-19:30 19:30-19:40 19:40-19:50 20:00-21:00 Registrazione Presentazione e saluti Open Anatomy : video 3D (cadavere) - L.P. Dombard Fotografia e simulazione - N. Cerkes Analisi facciale e analisi clinica preoperatoria - B. Guyuron La visita: valutare correttamente il candidato (S.I.M.O.N. vs. S.Y.L.V.I.A.) - C. East Rinoplastica nel maschio e nell adolescente - C. East Sequenza logica della rinoplastica aperta (video) - B. Guyuron Basic steps della rinoplastica aperta: video 3D - L.P. Dombard Tecnica della rinoplastica aperta (video) - N. Cerkes Coffee break Passaggio dalla rinoplastica chiusa all aperta: perché ho cambiato - W. Gubisch Meno : ottenere di più facendo meno: perché non ho cambiato - P. Palma Dinamica della rinoplastica- B. Guyuron Manovre minime in rinoplastica a massimo impatto - B. Guyuron Management peri e postoperatorio: evitare le complicanze - D.J. Menger Punta (parte I) Suture - indicazioni / tecniche - B. Guyuron Innesti - D.J. Menger Aumentare e ridurre la proiezione della punta: il concetto di tripode dinamico - B. Guyuron Gestire la proiezione della punta (video) - L.P. Dombard Chirurgia in aperta della punta: droopy tip, lateral crural steal, overlay e tongue-in-groove (video) - H. Foda Suture a materasso transalari: effetto su estetica e funzione - O. Gerbault Follow-up sui casi del primo corso - G. Aiach, W. Gubisch, L.P. Dombard Cheese and Wine party Venerdì, 12 marzo :30-07:45 07:45-08:00 08:00-08:15 08:15-08:25 08:25-08:35 08:35-08:50 08:50-09:05 09:05-09:15 Punta (parte II) Aumentare e ridurre la lunghezza del naso - W. Gubisch Il naso corto (video) - S. Bruschi Chirurgia della base alare e delle crura mediali (video) - B. Guyuron Restringere la base nasale: la tecnica combinata di escissione alare (video) - H. Foda Corretto trattamento dell angolo naso-labiale - M. Pelle Ceravolo Conformare correttamente la punta - R. Mazzola Innesti di estensione settale e varianti per stabilizzare la punta - E. Robotti

8 09:15-09:30 09:30-09:45 09:45-09:50 09:50-10:10 10:10-10:25 10:25-10:45 10:45-10:55 10:55-11:10 11:10-11:30 11:30-11:45 11: :55-12:10 12:10-12:30 12:30-12:50 12:50-13:00 13:00-14:00 14:00-14:30 14:30-14:45 14:45-15:15 15:15-15:35 15:35-15:50 15:50-16:00 16:00-16:15 16:15-16:30 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 17:40-18:25 18:25-18:50 18:50-19:20 19:20-19:30 19:30 20:30 Dorso Precisione nell allineamento del dorso: la riduzione incrementale (video) - H. Foda Modellamento del gibbo e della glabella per un dorso corretto - D.J. Menger Coffee break Osteotomie esterne/interne - L.P. Dombard Linee estetiche del dorso: spreader grafts e autospreaders (video) - N. Cerkes Deviazione e Funzione Considerazioni funzionali in rinoplastica: setto, valvole, turbinati - P. Palma Deformità del setto e chirurgia settale - B. Guyuron Gestire correttamente le valvole nasali - W. Gubisch Chirurgia dei turbinati: Modified Inferior Turbinoplasty (video) - P. Gottarelli Il naso torto - H. Foda Il naso deviato (video) - C. East Settoplastica extracorporea (video) - W. Gubisch Lunch Rinoplastica secondaria e complicanze comuni Principi della rinoplastica secondaria - B. Guyuron Complicanze: come prevenirle Evitare i 10 errori più comuni in rinoplastica - B. Guyuron Complicanze: come risolverle Irregolarità del dorso, naso a sella, eccesso di riduzione delle alari, becco di corvo, errori nell osteotomia - W. Gubisch Rinoplastica secondaria (video) - O. Gerbault Chirurgia di revisione della punta - H. Foda Domande e riposte Coffee break Cartilagine frammentata e Fascia nella rinoplastica di aumento (video) - O. Gerbault Innesti di cartilagine auricolare in rinoplastica - C. East Innesti di cartilagine costale in rinoplastica - N. Cerkes Innesti di calvaria e di mandibola in rinoplastica - R. Mazzola Tecniche di camouflage - O. Gerbault Correzione del collasso della valvola nasale esterna e della stenosi vestibolare - D.J. Menger Riparazione delle perforazioni settali (video) - S. Mocella Domande e riposte PANEL L alternativa chiusa, con i concetti condivisi - G. Botti, M. Pelle Ceravolo, M. Klinger PANEL 2 casi in 5 minuti - A. Grisotti, G. Giudice, S. Grappolini, S. Pompei, L. Vaienti Selected Abstracts Corner I tre casi di domani: come lo farò - B. Guyuron, W. Gubisch, H. Foda Adjourn Cena Sociale

9 Sabato, 13 marzo :50-08:00 08:00 10:00-10:30 10:10-10:30 10:30 12:30-13:30 12:40-13:00 13:00 14:40-15:00 15:00-15:15 15:15-15:30 15:30-15:45 15:45-15:55 15:55-16:05 16:05-16:20 16:20-16:30 16:30-16:35 16:35-16:45 16:45-16:50 16:50-17:00 16:30-17:00 17:00-17:30 17:30-18:00 18:00 Presentazione dei tre casi di oggi: come lo farò (registrata) Live Surgery 1 - B. Guyuron Coffee station PANEL Come lo faresti? Casi clinici: analisi e soluzioni - R. Bracaglia, P. Gottarelli, S. Grappolini, S. Pompei Live Surgery 2 - W. Gubisch Lunch station PANEL Come risolveresti questo problema? Complicazioni: analisi e soluzioni - S. Bruschi, G. Giudice, A. Grisotti, L. Vaienti Live Surgery 3 - H. Foda Argomenti specifici in rinoplastica La cute difficile (sottile/spessa) e ridurre le irregolarità con il camouflage - C. East Il naso del paziente più anziano - W. Gubisch Avanzamento del mento in rinoplastica (video) - B. Guyuron La rinoplastica etnica - B. Guyuron Il naso medio-orientale - H. Foda Tre piccoli utili accorgimenti in rinoplastica - E. Robotti Correzione dei difetti nasali da cocaina - B. Guyuron La colla di fibrina nelle varie metodiche per l aumento del dorso - R. Bracaglia La fresatura delle cartilagini alari: metodo alternativo di modellamento - G. Bernabei Impiego di innesti al termine di una rinoplastica chiusa - G. Botti L innesto di grasso come complemento alla rinoplastica - M. Klinger Coffee station Rinoplastica non chirurgica (tossina botulinica e fillers) Tossina botulinica alla punta del naso e aree limitrofe (video) - F. Ingallina Uso dei fillers alla punta e al dorso (video) - F. Braccini Premiazione del Selected Abstracts Corner e chiusura del corso Disponibile traduzione simultanea Crediti ECM richiesti Aggiornamenti in inglese e italiano sul sito

10 Registration form Please complete and return to: CQ Travel srl Via Pagliano 3, Milano (Italy) fax Please print or type and make a copy for your own record. TO BE FILLED OUT IN CAPITAL LETTERS Surname Name Address Zip code Town Country Company / Institute Department Specialty Telephone Fax Only for italian participants: Partita IVA or codice fiscale REGISTRATION FEE The registration fee includes: admission to the scientific sessions, coffee breaks, lunches, cheese & wine party, abstract book and DVD including live surgery (the DVD will be sent to participants after the course). Early rate payment received BEFORE 15th JANUARY ,00 (vat included) Late rate payment received AFTER 16th JANUARY and ON SITE 1000,00 (vat included) Residents in training 450,00 (vat included) Social dinner 60,00 (vat included) Social programme (*): Friday, full day Minimum 8 participants 140,00 (vat included) Minimum 15 participants 110,00 (vat included) Saturday, half day Minimum 8 participants 70,00 (vat included) Minimum 15 participants 55,00 (vat included) (*) the final applicable rate will be confirmed one week before the beginning of the Course, according to the number of registered accompanying persons. PAYMENT BY Bank remittance addressed to CQ TRAVEL s.r.l. Banca Sella - Agenzia G8, Milano Swift code: SELBIT2BXXX - Iban: IT24W Credit Card Visa Mastercard American Express N Expiry date (month/year) Card holder s name (in capital letters) Signature CANCELLATION A penalty cancellation of 60 Euro will be made if notice of cancellation is received before 28th February Cancellations after this date will not be refunded.

11 Hotel accommodation form Please complete and return to: CQ Travel srl Via Pagliano 3, Milano (Italy) fax TO BE FILLED OUT IN CAPITAL LETTERS Surname Name Address Zip code Town Country Telephone Fax Only for italian participants: Partita IVA or codice fiscale HOTEL LIST Rates are in Euro and are per day, including breakfast and taxes. CHOICE DOUBLE ROOM Hotel Mercure Palazzo Dolci - V.le Papa Giovanni XXIII, (30 mt. from congress venue) Hotel Cappello D Oro - V.le Papa Giovanni XXIII, * (100 mt. from congress venue) Hotel NH Bergamo (30 mt. from congress venue) Hotel Arli (150 mt. from congress venue) Hotel Gourmet - Via S. Vigilio, (upper old town - car parking available free of charge) * standard room - Suppl. Superior room 10,00 daily - Suppl. Deluxe room 40,00 daily CAT DOUBLE SINGLE USE * Arrival date Departure date Total number of nights Signature Reservation deadline: 20th December After this date availability and rates will not be guaranteed and are to be reconfirmed, on request. TERMS OF PAYMENT To secure booking the full prepayment is requested. Euros x nights = Total Bank remittance addressed to CQ TRAVEL s.r.l. Banca Intesa San Paolo - Agenzia 4301, Milano Italy Swift code: BCITIT33XXX - Iban: IT27N Credit Card Visa Mastercard American Express N Expiry date (month/year) Card holder s name (in capital letters) Signature

12 Who should attend Surgeons who wish to enhance their skills in rhinoplasty at all levels of experience. After attending the meeting, the attendee should have the tools to achieve the best possible result when performing a rhinoplasty. Social Program See website Abstracts Deadline: January 15, 2010 Participants are invited to send abstracts on the subject of open rhinoplasty, concerning: - innovations and new techniques - selected cases of significant value Other topics will not be considered for acceptance. The best presented paper will receive an official prize at the end of the Course. For further information see website. Course Objectives At the end of the course, the attendees should be able to: 1. understand nasal anatomy and function 2. properly analyze common and less common rhinoplasty problems, correctly evaluate patients for surgery, and formulate a correct pre-surgical plan 3. appropriately perform the basic steps of open rhinoplasty, as well as a wide variety of modern techniques and modifications of varying complexity 4. select reproducible, predictable and appropriate techniques for specific problems in rhinoplasty 5. understand, prevent, recognize and correct complications Course Venue Congress Center Giovanni XXIII Viale Papa Giovanni XXIII, Bergamo (Italy) Organising Secretariat CQ Travel srl Via Pagliano, Milano (Italy) Tel Fax congress@cq-travel.com