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Updated: Apr 24, 2026
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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[Surgical approaches in rhinoplasty].
P S Nguyen1, J-B Duron2, J Bardot3
1Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France; Clinique Saint-Roch, 99, avenue Saint-Roch, 83000 Toulon, France.
Annales De Chirurgie Plastique Et Esthetique
|September 13, 2014
Summary
Rhinoplasty involves exposing the nasal framework using closed or external approaches. These techniques are complementary, not opposing, and surgeons should master both for optimal results.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Anatomy
Background:
- Rhinoplasty requires initial exposure of the nasal osteocartilaginous framework.
- Surgical approaches vary, influencing the subsequent steps of nasal modification.
Purpose of the Study:
- To describe the initial surgical approaches in rhinoplasty.
- To highlight the complementary nature of closed and external rhinoplasty techniques.
Main Methods:
- Discussion of surgical incisions and dissection planes for nasal framework exposure.
- Comparison of closed versus external rhinoplasty approaches.
Main Results:
- Exposure of the nasal pyramid is achieved through either a closed or an external approach.
- The choice between closed and external approaches is influenced by nasal characteristics and surgeon preference.
Conclusions:
- Closed and external rhinoplasty approaches are complementary, not mutually exclusive.
- Rhinoplasty surgeons should be proficient in both closed and external techniques for comprehensive patient care.
Keywords:
Closed approachExternal approachIncision intercartilagineuseIncision marginaleIncision transcartilagineuseIntercartilaginous incisionRhinoplastieRhinoplastyRim incisionSeptoplastieSeptoplastySubmucous resectionTranscartilaginous incisionVestibular approachVoie d’abord dissimuléeVoie d’abord externeVoie d’abord vestibulaire
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