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Updated: Mar 13, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Reshaping of the Anterior Nasal Spine: An Important Step in Rhinoplasty
Tito M Marianetti1, Armando Boccieri1, Michele Pascali1
1Department of Maxillo-Facial Surgery, Chieti Hospital, Chieti, Italy; Department of Maxillo-Facial Surgery, Nostra Signora della Mercede Clinic, Rome, Italy; and Department of Plastic and Reconstructive Surgery, University of Tor Vergata, Rome, Italy.
Abstract:
The importance of analysis of the nasal spine should not be underestimated in the correct planning of rhinoplasty. Deformations in position with respect to the midline and/or in size are often present, and their correction to ensure harmony between the spine and the other components of the nasal pyramid constitutes a key step in rhinoplasty that can lead to excellent results.
Methods:
The study includes 160 patients who underwent surgical treatment of the anterior nasal spine with or without other techniques of nasal reshaping. Eighty-seven of these patients presented with hyperplasia of the nasal spine, 43 with hypoplasia, and 30 with deviation. A combination of deviation and hyperplasia was present in 15 cases.
Results:
No patients developed postoperative complications. Five patients who underwent anterior nasal spine reduction reported postoperative numbness in the premaxillary area, but sensitivity was fully regained within 4 months after surgery in these patients. All the patients reported postoperative improvement of nasal airflow. A total of 142 patients considered their postoperative aesthetic result as excellent and 18 as good.
Conclusion:
The simplicity of the surgical procedures performed on the nasal spine and the marked aesthetic improvements thus achieved suggest that greater attention should be paid to this anatomical region.
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