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Updated: Jul 18, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Nasal valves--importance and surgical procedures
Helmut Fischer1, Wolfgang Gubisch
1Department of Facial Plastic Surgery, Marienhospital, Stuttgart, Germany.
Rhinoplasty surgeons face challenges in preserving nasal valve function. This review details anatomical structures and surgical techniques to ensure optimal nasal breathing post-surgery.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Nasal Anatomy
Background:
- Nasal valve compromise is a significant challenge in rhinoplasty.
- Nasal valves are critical for nasal breathing and airflow.
- Multiple anatomical structures influence nasal valve function.
Purpose of the Study:
- To review the anatomical components of the nasal valve area.
- To describe clinical examination methods for nasal valve assessment.
- To present surgical techniques for nasal valve reconstruction in rhinoplasty.
Main Methods:
- Literature review of anatomical structures and surgical techniques.
- Description of clinical examination protocols.
- Presentation of surgical methods with illustrations.
Main Results:
- Detailed explanation of the nasolabial angle, alae, internal nasal valve, septum, scroll area, and turbinates.
- Comprehensive overview of surgical techniques including septal grafts, tip suspension, spreader grafts, and alar batten grafts.
- Emphasis on the importance of structural support for nasal valve stability.
Conclusions:
- Reliable resolution and prevention of nasal valve compromise are key in rhinoplasty.
- Understanding nasal valve anatomy and employing appropriate surgical techniques are essential for functional outcomes.
- Various surgical grafts and techniques can restore and maintain nasal valve competence.
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