Simini Boards Cast
The Simini Boards-Cast is the go-to audio study tool for small animal surgery residents prepping for board exams.
Each episode simplifies high-yield surgical content from trusted sources — built to help you pass faster and with less stress.
🎧 Audio-based learning for passive study
✂️ Practical relevance for surgical application
🧠 Flashcard-style recaps + board-style questions
📈 Designed with resident + program director input
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Simini Boards Cast
Chapter 99 - Part E: When Surgery Enters the Nose
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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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