The Plastic Surgery Room

Episode 26: Osteoma and Benign Skull Tumours — The Lump Nobody Takes Seriously Until It Isn't Benign

10 min · 6 mei 2026
aflevering Episode 26: Osteoma and Benign Skull Tumours — The Lump Nobody Takes Seriously Until It Isn't Benign artwork

Beschrijving

It feels like a lump. It looks like a lump. It has been there for years. And then the CT comes back and it isn't what you thought. Differential diagnosis of the hard skull lump, CT bone windows, osteoma excision technique, frontal sinus involvement, mucocele formation, and the missed malignancy that no imaging could have predicted. Episode 26 — osteoma and benign skull tumours, from the GP referral to the burr on the outer table.

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aflevering Episode 38: Rhinoplasty — Anatomy, Grafts, Valves, and Everything the Resident Must Know Before Scrubbing In artwork

Episode 38: Rhinoplasty — Anatomy, Grafts, Valves, and Everything the Resident Must Know Before Scrubbing In

The nose is not one structure. It is three vaults, two valves, six grafts, and one artery that becomes the entire tip blood supply the moment the columellar incision is made. The keystone area and why hump reduction opens the roof, the L-strut and why violating it produces a saddle nose, the spreader graft that simultaneously corrects valve collapse, the inverted-V, and the open roof, the septal extension graft that functions as the steering wheel of the tip, the lateral osteotomy that must stop below the medial canthus, and the empty nose syndrome that cannot be undone. Episode 38 — rhinoplasty anatomy and grafts, from the three vaults to the one graft that does three things.

23 jun 202646 min