Description

In this BoardsCast episode, we finish Tobias Chapter 99 — Nasal Planum, Nasal Cavity, and Sinuses by reframing the most stressful moment in nasal disease:

When surgery enters the nose, you’re not fighting the incision — you’re fighting the chaos inside.

Nasal surgery is notorious for three unavoidable realities: extreme vascularity, complex anatomy in a tiny space, and predictable post-op complications. If you don’t plan for all three, the case fails before you touch the lesion.

You’ll learn:

• Why hemorrhage is guaranteed (and why electrocautery rarely saves you)
• The cribriform plate risk: a thin barrier between nose and brain (the landmine)
• The #1 non-negotiable: airway protection (cuffed tube + pharyngeal packing + sponge counts)
• Why “slow and meticulous” can be the wrong instinct (time = blood loss = blindness)
• The four approaches and what each is for: dorsal, ventral, lateral, rostral/alveolar
• Post-op expectations: ongoing epistaxis, subcutaneous emphysema, chronic discharge, aspiration risk

Key takeaway: Nasal surgery is a planning and airway game first — the lesion is second.

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Listen On: Spotify | Apple Podcasts | Amazon Music