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Updated: Jul 19, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Nasal trauma, two prior rhinoplasties
Scott B Roofe1, Craig S Murakami
1Department of Otolaryngology, Madigan Army Medical Center, Building 9040, Fitzsimmons Drive, Tacoma, WA 98431, USA. scottroofe@hotmail.com
Facial Plastic Surgery Clinics of North America
|November 8, 2006
Summary
This case review details correcting complex nasal deformities after childhood trauma and multiple rhinoplasties. It highlights surgical techniques like cartilage grafts and osteotomies for nasal reconstruction.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstructive Surgery
Background:
- Childhood nasal trauma can lead to significant nasal deformities.
- Previous rhinoplasties may not fully correct or can exacerbate nasal asymmetry and structural issues.
Observation:
- A case study of a female patient with nasal deformity after childhood trauma and two prior rhinoplasties.
- Detailed review of surgical correction methods for complex nasal deformities.
Findings:
- The article discusses various surgical techniques including tip dome grafts, shield and cap grafts, cartilage onlay grafts (superior and inferior), spreader grafts, columellar struts, and lateral osteotomies.
- Pre- and postoperative visual documentation (photographs, diagrams, schematics) supports the surgical approach.
Implications:
- Demonstrates a comprehensive surgical strategy for correcting challenging secondary rhinoplasty cases.
- Provides valuable insights for surgeons managing post-traumatic and post-surgical nasal deformities.
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