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Extracorporeal septoplasty with paramarginal incision.

F D'Andrea¹, S Brongo, C Rubino

¹Institute of Plastic Surgery, Second University School of Medicine, Naples, Italy. francescodandrea@unina2.it

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery

|October 30, 2001

Summary

For severe nasal septum deviation, the extended paramarginal incision in rhinoplasty is superior to the traditional open approach. This technique avoids problematic transcolumellar scars and yields better patient outcomes.

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Area of Science:

Otolaryngology
Plastic Surgery
Rhinologic Surgery

Background:

Severe nasoseptal deviation often requires septal reconstruction.
Traditional open rhinoplasty with a transcolumellar incision provides wide access but can result in scar complications.

Purpose of the Study:

To compare the outcomes of traditional open rhinoplasty versus an extended paramarginal incision for septal reconstruction.
To evaluate the incidence of scar-related complications between the two surgical approaches.

Main Methods:

A comparative study involving two surgical techniques for septal reconstruction.
Eight patients underwent traditional open rhinoplasty; 19 patients were treated with an extended paramarginal incision.

Main Results:

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Two out of eight patients (25%) using the open rhinoplasty technique developed unsatisfactory transcolumellar scars.
None of the 19 patients (0%) who underwent the paramarginal incision technique experienced late scar problems.

Conclusions:

The extended paramarginal incision is a superior technique for septal reconstruction in cases of severe nasoseptal deviation.
This approach offers comparable functional results to open rhinoplasty while significantly reducing the risk of problematic scarring.