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Updated: Nov 24, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Powered Rhinoplasty: A Simple Step-by-Step Approach
Emmanuel Racy1, Amanda Fanous1, Nadia Benmoussa1
1From the Fondation Saint Jean de Dieu; the Department of Otolaryngology-Head and Neck Surgery, Adolphe-Rotschild Fondation; the Department of Otolaryngology-Head and Neck Surgery, Kremlin-Bicêtre AP-HP University Hospital; the Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, McGill University; and the Department of Head and Neck Oncology, Gustave Roussy Institut.
Summary:
Reduction of a nasal hump and nasal base narrowing are very common steps during a primary rhinoplasty procedure. The greatest difficulty is to obtain stable fracture lines, a natural appearance, beautiful dorsal aesthetic lines, and the absence of palpable or visible irregularities, especially in the long term. The surgeon strives for a reproducible technique, which seems to be more feasible with mechanical osteotomies (powered or piezoelectric) than with traditional manual osteotomies. The aim of this article is to describe powered osteotomy in a step-by-step fashion to provide a clear guideline for rhinoplasty surgeons.
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