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Related Experiment Video

Updated: Nov 29, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Combined Functional and Preservation Rhinoplasty.

Priyesh N Patel¹, Mohamed Abdelwahab², Sam P Most³

¹Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, 1215 21st Avenue, South Suite 7209 Medical Center East, South Tower, Nashville, TN 37232, USA.

Facial Plastic Surgery Clinics of North America

|November 22, 2020

Summary

Dorsal preservation rhinoplasty offers aesthetic benefits and preserves nasal structure. While patient-reported breathing outcomes are positive, further research is needed to confirm functional results.

Keywords:

Dorsal preservation rhinoplasty Nasal obstruction Patient-reported outcome measures Septoplasty

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Area of Science:

Plastic Surgery
Otolaryngology
Facial Plastic Surgery

Background:

Conventional hump takedown rhinoplasty can disrupt nasal structure.
Dorsal preservation rhinoplasty treats the nasal vault en bloc, maintaining the internal nasal valve angle.
This approach avoids the need for midvault reconstruction.

Purpose of the Study:

To review the techniques and outcomes of dorsal preservation rhinoplasty.
To compare aesthetic and functional results with conventional rhinoplasty.

Main Methods:

Review of dorsal preservation rhinoplasty techniques, including bony vault management (let-down, push-down) and septal management.
Analysis of available patient-reported outcome data, particularly concerning nasal breathing.

Main Results:

Dorsal preservation rhinoplasty demonstrates aesthetic advantages.
Patient-reported outcomes suggest positive effects on nasal breathing.
Specific techniques for bony vault and septal management vary.

Conclusions:

Dorsal preservation rhinoplasty is a viable alternative to conventional techniques.
Positive patient-reported breathing outcomes warrant further investigation.
More robust data are required to definitively establish functional benefits and compare outcomes.