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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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A Combined Approach To Crooked Nose Deformity
Selcuk Inanli1, Adem Binnetoglu2
1Otorhinolaryngology Head&Neck Surgery Department, Marmara University Pendik Training and Research Hospital, Fevzi Cakmak Mahallesi, Mimar Sinan Caddesi No: 41, Pendik, Istanbul, Turkey.
Aesthetic Plastic Surgery
|March 4, 2016
Summary
This study presents an effective new surgical technique for correcting crooked nose deformity. The innovative approach utilizes piezoelectric ultrasonic surgery and specialized cartilage grafting for improved nasal structure alignment.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstruction
Background:
- Crooked nose deformity presents significant anatomical challenges in surgical repair.
- Existing techniques for correction often face limitations.
Purpose of the Study:
- To introduce and evaluate a novel surgical technique for correcting crooked nose deformity.
- To address the complexity and challenges associated with nasal asymmetry.
Main Methods:
- Open rhinoplasty technique applied to 22 patients.
- Involves asymmetric medial oblique osteotomy with piezoelectric ultrasonic surgery and double lateral osteotomies.
- Septoplasty with L-strut preservation and batten cartilage grafting, followed by overlapping cruroplasty.
Main Results:
- The described technique demonstrated effectiveness in treating crooked nose deformity.
- Successful correction of nasal asymmetry and tip deviation was achieved.
Conclusions:
- The novel technique, incorporating K-stone batten plasty with delivery to the face and overlapping cruroplasty, offers a viable solution.
- This method may prove to be an effective surgical strategy for crooked nose deformity.

