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Epistaxis01:30

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Related Experiment Video

Updated: Jul 7, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Limited Incision Rhinoplasty: An Approach for All Primary and Revision Cases.

Viswanath Swamy1, Alannah L Phelan2, Amani Abdelrahman2

  • 1Department of Plastic Surgery, Michigan State University College of Human Medicine, 15 Michigan ST NE, Grand Rapids, MI, 49503, USA.

Aesthetic Plastic Surgery
|December 26, 2023
PubMed
Summary
This summary is machine-generated.

This study shows that limited incision rhinoplasty using modified rim incisions is a reliable technique for both primary and revision cases, offering predictable results with a low revision rate. It is also an easier technique to learn, promoting wider adoption.

Keywords:
Aesthetic surgeryClosed rhinoplastyEndonasal rhinoplastyRhinoplasty

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Aesthetic Surgery

Background:

  • Rhinoplasty is a common aesthetic procedure, with a growing interest in less invasive endonasal techniques.
  • Traditional open rhinoplasty is widely used, but patient preference is shifting towards closed and preservation methods.
  • This study focuses on the efficacy of bilateral isolated modified rim incisions for endonasal rhinoplasty.

Purpose of the Study:

  • To evaluate the reliability and outcomes of closed rhinoplasty using bilateral isolated modified rim incisions.
  • To assess the complication and revision rates associated with this specific endonasal technique.
  • To determine the suitability of this technique for both primary and revision rhinoplasty procedures.

Main Methods:

  • A retrospective review of 100 consecutive endonasal rhinoplasty cases performed by a single surgeon.
  • Patients underwent primary or revision rhinoplasty using bilateral isolated modified rim incisions.
  • Data collected included patient demographics, surgical variations, complications, and revision rates.

Main Results:

  • Out of 100 patients, 84 had primary rhinoplasty and 16 had revision surgery (secondary to quaternary).
  • The modified rim incision technique was used in all cases, with modifications for septoplasty or lateral osteotomy.
  • A low revision rate of 6.0% was observed, with all revisions performed under local anesthesia.

Conclusions:

  • Limited incision rhinoplasty with modified rim incisions is a dependable approach yielding predictable outcomes.
  • The technique minimizes soft tissue disruption, ensuring safe and effective results in primary and revision rhinoplasty.
  • Its relative ease of learning makes it suitable for widespread adoption, particularly by novice surgeons.