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Updated: May 13, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Techniques for correction of the nasal dorsum]
1Hals-, Nasen-, Ohrenklinik, Kopf-, Hals-, Plastische Gesichtschirurgie, Städtisches Klinikum Karlsruhe, Lehrkrankenhaus der Albert-Ludwigs-Universität Freiburg i. Br., Moltkestr. 90, 76133 Karlsruhe, Germany. wheppt@web.de
Abstract:
Correction of the nasal dorsum ranks among the most common surgical procedures in rhinoplasty. Due to the involvement of nasal support structures such as septolateral cartilage and the K and scroll areas, these procedures have both aesthetic and functional impacts. In addition to spreader grafts and spreader flaps, the most important surgical methods currently include the split hump reduction technique, cartilage-fascia transplants and cartilage grafts from rib and ear. In addition to serving to correct deformities, the techniques described here help prevent complications such as inverted V, hourglass and saddle nose deformities, as well as nasal valve stenosis. The basic operative principle calls for reinforcement and reconstruction of the anatomical support structures, while avoiding overresection and mucosal lacerations.
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