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Updated: May 18, 2026

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

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Rhinoplasty in atrophic rhinitis.

Swapan K Ghosh¹

¹Department of ENT, NRS Medical College and Hospital, Kolkata 700014.

Journal of the Indian Medical Association

|October 3, 2012

Summary

Rhinoplasty in atrophic rhinitis presents surgical challenges due to skin adherence and infection risk. This study details various rhinoplasty techniques in 15 patients, focusing on cartilage grafts and avoiding bone grafts.

Area of Science:

Plastic Surgery
Otolaryngology
Rhinology

Background:

Atrophic rhinitis poses unique surgical challenges for rhinoplasty, including dorsal skin adherence and increased infection risk.
Limited research exists on surgical outcomes for rhinoplasty in patients with atrophic rhinitis.

Purpose of the Study:

To present the experience and outcomes of various rhinoplasty techniques performed on patients diagnosed with atrophic rhinitis.
To evaluate the efficacy and safety of different grafting materials and surgical approaches in this specific patient cohort.

Main Methods:

Retrospective analysis of 15 patients (age 17-35) who underwent rhinoplasty for atrophic rhinitis.
Surgical procedures included various rhinoplasty techniques, with a focus on conchal cartilage grafts.

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Young's operation was performed in 5 patients, utilizing a skin-only layer approach.

Main Results:

Conchal cartilage was the most frequently used graft material.
Bone grafts were intentionally avoided due to high absorption rates in atrophic rhinitis.
Young's operation was successfully combined with rhinoplasty in select cases, using a skin flap.

Conclusions:

Rhinoplasty in atrophic rhinitis requires tailored surgical strategies, prioritizing cartilage grafts over bone.
Careful technique selection, including consideration of Young's operation, can yield positive outcomes in this challenging patient group.
Minimizing infection risk and managing dorsal skin adherence are critical for successful rhinoplasty in atrophic rhinitis.