Video Standards for Rhinoplasty Education: A Review and Recommended Guidelines

Overview

Surgical video is widely used to teach rhinoplasty, but nobody had assessed which camera positions work at key steps. The authors categorised videos by procedure type, area of focus and camera angle at critical steps, then judged the angles for field visualisation against their own recording experience.

Sections of note

• 114 videos: 49 full open rhinoplasties, 20 full endonasal, 17 tip techniques, 8 opening techniques, 7 graft fashioning, 7 osteotomies, 6 cartilage harvests.
• Upward camera angle was most common; endoscopic view least.
• Many angles were judged insufficient: obstruction by staff, inability to see deep structures, difficulty capturing 3D framework.
• The authors propose a guide to optimal viewing angles per step.

What it means for a patient

• Surgical videos, including those patients see online, often do not show what the surgeon actually sees.
• This affects surgeon education more than patient decisions.

Why this paper matters

It is a first attempt at standards for rhinoplasty surgical video. Limits: subjective assessment by the authors, no test of learning outcomes.

Terms

• Intraoperative videography: recording surgery as it happens.
• Endoscopic view: footage from a camera inside the nose.
• Open versus endonasal rhinoplasty: external columellar incision versus incisions inside the nostrils.
• Osteotomy: a bone cut to reposition the nasal bones.