Tap-tap! Learning Nasal Osteotomy Technique on 3D Printed Models

Saturday, October 11, 2025

1:00 PM - 2:00 PM EDT

Location: Simulation Pavilion 2

PROGRAM DESCRIPTION: Rhinoplasty is one of the most popular surgeries in the world and the third most common plastic surgery procedure in the United States with approximately 200,000 completed per year. Rhinoplasty is performed for functional and cosmetic purposes, and is a complex procedure adjusted based on a patient’s goals and nasal anatomy.
Nasal osteotomy is one of the key steps in rhinoplasty, frequently performed to alter the width of the bony nasal period, straighten a deviated nose, or close an open roof deformity. Nasal osteotomies are not only technically challenging to perform but can be associated with post-operative complications such as nasal obstruction from excessive narrowing, hemorrhage, asymmetry, and aesthetic deformity. A study published in 2019 in Plastic and Reconstructive Surgery established nasal osteotomy as one of the steps in rhinoplasty that residents find most difficult and have the least confidence in performing. The same study identified a hands-on simulation as a method to improve competency. At each year’s session, we welcome attendings, fellows, and trainees to learn about nasal osteotomy technique, discuss different approaches with experts in the field, and gain hands-on practice.
We have developed a low cost, 3D printed nasal osteotomy model to allow attendings and residents to practice this procedure and gain tactile, interactive experience. In this simulation session, participants will first undergo a small didactic portion of the course. After discussing the risks and benefits of medial and lateral nasal osteotomies, the correct approach and technique will be demonstrated. The floor will be opened to questions and discussion. Lastly, participants will have the opportunity to practice medial and lateral osteotomies on a 3D model and receive feedback from the presenters.

OUTCOME OBJECTIVE 1: Identify the relevant anatomy and indications for nasal osteotomy

OUTCOME OBJECTIVE 2: Explain the risk and benefits for medial and lateral nasal osteotomy

OUTCOME OBJECTIVE 3: Demonstrate the correct approach and technique for medial and lateral osteotomy

BACKGROUND STATEMENT: This session will allow participants to gain hands-on experience in a technically challenging step of rhinoplasty. By providing this opportunity, the AAO is helping members to better serve their communities. Additionally, this year rhinoplasty technique is a promoted gap.

Lead Instructor(s)

Lauren E. Schlegel, MD

Resident Physician
Department of Otolaryngology - Head & Neck Surgery, Beth Israel Deaconess Medical Center
Boston, MA, United States

Disclosure information not submitted.

Instructor(s)

Gabriella A. Ojeda-Badillo, MD

Resident
Beth Israel Deaconess Medical Center/Harvard Medical School
Boston, Massachusetts, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
David A. Shaye, MD, MPH, FACS

Associate Professor of Otolaryngology–Head and Neck Surgery
Massachusetts Eye & Ear, Harvard Medical School
Boston, MA, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
Tsung-yen Hsieh, MD

Assistant Professor
University of Southern California, Children's Hospital Los Angeles
Los Angeles, CA, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
EB

Eric Barbarite, MD

Thomas Jefferson Hospital Department of Otolaryngology-Head and Neck Surgery, USA

Disclosure information not submitted.
RM

Roxana Moayer, MD

Resident Physician
University of California, Los Angeles
Los Angeles, California, United States

Disclosure information not submitted.
Michelle S. Hwang, MD

Assistant Professor
Medical University of South Carolina
Charleston, SC, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
SG

Shekhar K. Gadkaree, MD

Fellow Physician
University of Minnesota, United States

Disclosure information not submitted.