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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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Correction of the Saddle Nose Deformity
1Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota.
Facial Plastic Surgery : FPS
|March 20, 2020
Summary
Saddle nose deformities present complex challenges in rhinoplasty, often requiring previous surgical interventions and intricate medical histories. Careful planning and execution enable safe surgical correction, even for patients with vasculitic diseases.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Saddle nose deformities are complex reconstructive challenges in rhinoplasty.
- Patients frequently have histories of prior surgeries and complicated medical conditions.
- Septal reconstruction is a critical first step in nasal contour correction.
Purpose of the Study:
- To outline a surgical approach for correcting saddle nose deformities.
- To address the challenges associated with secondary rhinoplasty and complex patient histories.
- To demonstrate the feasibility of safe surgical intervention for patients with vasculitic diseases.
Main Methods:
- Detailed pre-operative assessment and surgical planning.
- Focus on septal reconstruction techniques.
- Consideration of patient-specific factors, including comorbidities.
Main Results:
- Successful reconstruction of nasal contour in patients with saddle nose deformities.
- Management of complex cases, including those with prior surgeries.
- Safe surgical outcomes achieved even in patients with vasculitic conditions.
Conclusions:
- Saddle nose deformity correction is achievable with meticulous surgical planning.
- Septal reconstruction is fundamental for successful rhinoplasty in these cases.
- Even patients with challenging medical histories, such as vasculitis, can undergo safe and effective surgical correction.

