High and Low Septal Strip Excision on Dorsal Preservation Rhinoplasty to Fix Septal Deviation

Area of Science:

• Plastic Surgery
• Otolaryngology
• Facial Aesthetic Surgery

Background:

• Rhinoplasty is a common aesthetic procedure.
• Dorsal humps and nasal deviations are frequent deformities.
• Correcting combined deformities presents surgical challenges.

Purpose of the Study:

• To present a novel dorsal preservation technique for combined dorsal hump and nasal deviation.
• To evaluate the aesthetic and functional outcomes of this new method.

Main Methods:

• Retrospective study of 69 patients (49 female, 20 male).
• New technique involves low and high septal strip excision in the subdorsal area.
• Procedures used combined push-down or let-down techniques.
• Patients assessed using the Rhinoplasty Outcome Evaluation (ROE) questionnaire pre- and post-surgery.

Main Results:

• Median ROE score increased from 56.5 to 93.00 (P < 0.001) after 12 months.
• Excellent patient satisfaction reported in 88.76% of cases.
• Favorable aesthetic and functional outcomes observed.

Conclusions:

• The combination of push-down/let-down with septal strip excision is effective for combined deformities.
• This technique offers a suitable and straightforward approach for dorsal preservation rhinoplasty.
• The method yields satisfactory results in challenging rhinoplasty cases.