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Updated: May 17, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Rhinoplasty and young's operation in atrophic rhinitis
Swapan Kr Ghosh1, Asok Kr Saha, Rakesh Ranjan
1Department of ENT, Medical College and Hospital, Kolkata.
Summary
Rhinoplasty presents challenges in atrophic rhinitis due to skin adherence and infection risk. This study details surgical techniques in 25 patients, favoring conchal cartilage grafts over bone to improve outcomes.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinitis Research
Background:
- Atrophic rhinitis complicates rhinoplasty due to adhered dorsal skin.
- Increased risk of postoperative infection is a concern in these patients.
Purpose of the Study:
- To present surgical experiences with various rhinoplasty techniques in patients with atrophic rhinitis.
- To evaluate the efficacy and safety of different grafting materials and procedures.
Main Methods:
- Surgical rhinoplasty was performed on 25 patients (age 16-35) with atrophic rhinitis.
- Procedures often utilized local anesthesia and conchal cartilage grafts.
- Young's operation (skin layer only) was combined with rhinoplasty in 10 patients.
Main Results:
- Conchal cartilage was the most frequently used graft material.
- Bone grafts were avoided due to high absorption rates in atrophic rhinitis.
- Combination with Young's operation was performed in a subset of patients.
Conclusions:
- Rhinoplasty in atrophic rhinitis requires tailored surgical approaches.
- Conchal cartilage appears to be a suitable graft material, while bone grafts are less favorable.
- Combined procedures may offer additional benefits in select cases.
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