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Updated: Jul 18, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Partial Extracorporeal Septoplasty in Crooked Noses.
Pradeep Pradhan1, Mebarimon Kharwanlang2, Chappity Preetam2
1Department of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India. padiapradhan@gmail.com.
Extracorporeal septoplasty effectively treats crooked noses with severe septal deviation, offering good functional and aesthetic results. This technique allows for improved nasal structure correction with a low complication rate.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Standard septoplasty is challenging for crooked noses due to complex septal deviation.
- Partial/total extracorporeal septoplasty involves septum removal and replacement after straightening.
Purpose of the Study:
- To share experience with partial extracorporeal septoplasty in patients with crooked noses.
- To evaluate functional and aesthetic outcomes of the procedure.
Main Methods:
- Retrospective analysis of 30 patients with crooked noses and gross septal deviation.
- Procedures performed between March 2020 and August 2022.
- Outcomes evaluated at 12 months post-surgery.
Main Results:
- Partial extracorporeal septoplasty in 28 cases, total in 2 cases.
- Neoseptum reconstruction used septal, costal, and conchal cartilage.
- All patients achieved good functional and aesthetic outcomes with no major complications.
Conclusions:
- Extracorporeal septoplasty is an excellent option for highly deviated nasal septums in Indian crooked noses.
- The procedure offers adequate exposure, good functional and aesthetic results, and a minimal complication rate.
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