Video Standards for Rhinoplasty Education: A Review and Recommended Guidelines

Hakimi AA, Prasad KR, Hong EM, Standiford L, Chang E, Cobo R, Jang YJ, Wong BJF.

What this paper says

A review of 114 public and proprietary rhinoplasty videos found wide variation in camera angles, with the upward angle most used and endoscopic view least, and many angles obstructed or unable to show deep or three-dimensional structures.

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.

Summary written by rhinoplasty.cc from the abstract, 2026-09-08; not medical advice. The authors' own abstract follows.

From the abstract

“Intraoperative videography is widely used to record rhinoplasty procedures, yet little is known about the optimal surgical vantage points at critical procedural steps. Objective: To assess commonly used camera angles in public and proprietary intraoperative rhinoplasty videos and discuss approaches to obtaining these…”

Excerpt; the full abstract is on PubMed.