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Updated: Mar 26, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Extracorporeal Septoplasty: External and Endonasal Techniques
Peter S Wu1, Grant S Hamilton1
1Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota.
Extracorporeal septoplasty (ES), or subtotal septal reconstruction, addresses severe nasal septum deformities by removing the original septum and rebuilding it. This technique offers a solution for complex cases challenging rhinoplasty surgeons.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstructive Surgery
Background:
- Severe septal deformities present significant challenges in rhinoplasty.
- Existing techniques for septal reconstruction have limitations.
Purpose of the Study:
- To provide an overview of Extracorporeal Septoplasty (ES).
- To discuss pertinent anatomical structures and deformities relevant to ES.
- To compare external and endonasal approaches for ES.
Main Methods:
- Review of Extracorporeal Septoplasty (ES) techniques.
- Discussion of anatomical considerations in septal reconstruction.
- Description of surgical approaches (external vs. endonasal).
Main Results:
- Extracorporeal septoplasty (ES) involves complete septum removal and reconstruction.
- Various techniques and approaches exist for ES.
- The study outlines specific techniques employed by the authors.
Conclusions:
- Extracorporeal septoplasty (ES) is a viable option for severe septal deformities.
- Understanding anatomy and approach is crucial for successful ES.
- The authors present their preferred techniques for neoseptum reconstruction.
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