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Updated: Jun 15, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Surgical treatment of the crooked nose
David Stepnick1, Bahman Guyuron
1Department of Plastic and Reconstructive Surgery, Case Western Reserve University, Cleveland, OH 44106, USA. David.Stepnick@uhhospitals.org
Abstract:
One-stage septorhinoplasty has become a surgical standard of care because many surgeons in the mid-twentieth century recognized that septal surgery played an essential role in the management of the crooked nose and therefore combined septoplasty and rhinoplasty into a single operation. Definitive predictable correction of the crooked nose is one of the most exigent aspects of this operation. The surgeon should methodically analyze the anatomy and aesthetics of a patient's nose, as a unique structure and as part of the overall face, and must have an understanding of the interrelationships of the structural components of the nose and of the dynamics of change that result from altering these various structures. This article discusses the general principles and the surgical details of septorhinoplasty.
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