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Updated: Jun 21, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Tip rhinoplasty--a modified delivery approach.

Rui Xavier1

  • 1Hospital da Arrábida, Porto, Portugal. rjxavier@iol.pt

Rhinology
|July 15, 2009
PubMed
Summary
This summary is machine-generated.

This study introduces a modified delivery approach for nasal tip surgery, simplifying cartilage delivery in patients with long alar cartilages. The technique enhances safety and ease for achieving desired nasal symmetry and size.

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Area of Science:

  • Rhinoplasty and Plastic Surgery
  • Surgical Techniques

Background:

  • Standard delivery approach in tip surgery can be challenging with long alar cartilages.
  • Difficulty in delivering alar cartilages may lead to twisting or tearing of the domes.
  • A modified approach offers a potentially easier solution for these cases.

Purpose of the Study:

  • To present a modified delivery approach for nasal tip surgery.
  • To address the challenges associated with long alar cartilages during delivery.
  • To evaluate the safety and efficacy of this modified technique.

Main Methods:

  • A transcartilaginous incision followed by cephalic resection of the alar cartilage.
  • A subsequent marginal incision allows for dissection and delivery of the remaining cartilage.
  • Comparison and further resection of alar cartilages for symmetry and size adjustment, with options for grafting or suturing.

Main Results:

  • The modified delivery approach has been utilized for five years without any technique-related complications.
  • Two patient cases demonstrating the application of this approach are presented.
  • The technique facilitates easier and safer manipulation of alar cartilages.

Conclusions:

  • The modified delivery approach is a valuable modification for nasal tip surgery.
  • It proves particularly beneficial for patients with long alar cartilages and a wide nasal tip.
  • This technique enhances the ease and safety of the delivery approach in specific patient populations.