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Updated: May 4, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Armando Boccieri1, Tito M Marianetti
1Department of Maxillo-Facial Surgery, S. Camillo Hospital, Rome, Italy.
This article presents a surgical method for subtotal septal reconstruction using auricular conchal grafts. The approach involves harvesting cartilage from the auricular concha and shaping it to replace a missing septum. The method uses figure-eight sutures to secure the graft and ensure structural integrity. The study demonstrates that this technique can restore both the aesthetic and functional aspects of the nasal septum without requiring more invasive procedures. The authors conclude that this method is a viable solution for subtotal septal defects, offering a reliable alternative to traditional reconstructive techniques.
Area of Science:
Background:
Nasal septum defects are a common issue in nasal surgery, often resulting from trauma, infection, or prior surgical interventions. These defects can lead to both functional and aesthetic challenges. Established knowledge indicates that auricular cartilage is frequently used in reconstructive surgery due to its availability and structural properties. However, a gap remains in how to effectively transform auricular cartilage to mimic the structural and functional characteristics of the nasal septum. Prior research has shown that auricular cartilage can serve as a graft material, but no prior work had resolved how to best shape and support it for septal reconstruction. This uncertainty drove the need for a method that could replicate the septum's rigidity and straightness. The article addresses this need by proposing a specific surgical approach. It was already known that auricular cartilage is pliable, but its adaptability for septal reconstruction was not fully explored. No prior work had resolved how to achieve the necessary morphofunctional transformation. This gap motivated the development of a subtotal septal reconstruction technique using conchal grafts.
Purpose Of The Study:
The aim of this study is to present a surgical method for subtotal septal reconstruction using auricular conchal grafts. The specific problem addressed is how to replace a missing septum with a graft that can provide both structural support and functional integrity. The motivation stems from the limitations of current reconstructive techniques, which often require more invasive procedures. The authors propose using auricular cartilage due to its availability and ease of harvesting. The goal is to transform this cartilage into a form that mimics the septum's rigidity and straightness. The study focuses on achieving this transformation through specific surgical techniques. The authors aim to demonstrate that auricular cartilage can be effectively used for septal reconstruction without additional invasive interventions. This approach seeks to solve the morphofunctional challenges associated with septal defects.
Main Methods:
The study outlines a surgical procedure involving the use of auricular conchal grafts. The method includes harvesting cartilage from the auricular concha and shaping it to match the septum's structural requirements. A key component of the method is the use of figure-eight sutures to secure the graft in place. The surgical approach emphasizes replicating the septum's straightness and rigidity through precise graft placement. The authors describe the steps involved in preparing and positioning the graft material. The procedure avoids more invasive techniques by relying on the conchal cartilage's inherent properties. The method also includes techniques for ensuring the graft's stability and integration with surrounding tissues. The study provides a detailed account of each phase of the surgical process.
Main Results:
The use of auricular conchal grafts proved effective in subtotal septal reconstruction. The grafts provided the necessary structural strength and straightness required for septal support. The figure-eight suturing technique facilitated secure graft placement and integration. The method allowed for the transformation of auricular cartilage into a functional septal substitute. The results demonstrated that the reconstructed septum could restore both aesthetic and functional outcomes. The procedure minimized the need for additional invasive interventions. The authors observed successful morphofunctional transformation in reconstructed cases. The study confirms the viability of conchal grafts for subtotal septal reconstruction.
Conclusions:
The authors conclude that auricular conchal grafts offer a viable solution for subtotal septal reconstruction. The method described allows for the transformation of auricular cartilage into a functional septal substitute. The use of figure-eight sutures enhances graft stability and integration. The study supports the effectiveness of this approach in restoring both structural and functional integrity. The authors propose that this method is suitable for cases requiring subtotal septal reconstruction. The findings suggest that auricular cartilage can be effectively adapted for septal replacement. The study confirms that the described technique addresses the morphofunctional challenges of septal defects. The authors state that this approach avoids the need for more invasive procedures.
The main outcome is the successful replacement of missing septal tissue with a graft that provides structural strength and straightness.
The auricular concha is chosen because it provides cartilage that is readily available and can be shaped to mimic the septum's structural properties.
Figure-eight sutures are used to secure the graft in place, ensuring its stability and integration with surrounding tissues.
The method uses auricular cartilage and precise graft placement, eliminating the need for additional surgical interventions.
Morphofunctional transformation refers to adapting the graft to restore both the shape and function of the nasal septum.
The authors propose that the method is effective for subtotal septal reconstruction, restoring both structural and functional outcomes.