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Updated: Aug 28, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Functional Considerations in Reconstruction of the Nasal Ala
Matthew I Saleem1, McKenna Hawthorne2, Tristan Tham1
1Department of Otolaryngology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, USA.
Abstract:
We present the case of a 33-year-old female referred with a 13x10 mm surgical defect immediately after Mohs micrographic surgery for excision of basal cell carcinoma. Functional considerations for the external nasal valve were accounted for using free alar rim cartilage graft, soft tissue tunnels, and pre-auricular full-thickness skin grafts. Our post-operative experience demonstrates excellent nasal valve integrity and acceptable aesthetic outcomes for the patient by providing structural support for the nasal ala. Our management has minimal additional morbidity and minimizes the risk of external nasal valve compromise in the long-term.
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