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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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L-Strut Cartilage Graft: A Versatile Graft in Functional Rhinoplasty
Pradeep Pradhan1, Mebarimon Kharwanlang1
1Department of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha 751019 India.
Summary
The L-strut cartilage graft effectively reconstructs the nasal septum in functional rhinoplasty, significantly improving both nasal function and appearance. This versatile graft offers stable, midline fixation with minimal complications.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Anterior and high septal deviations pose challenges for conventional septoplasty.
- Restoring nasal function and aesthetics often requires complex reconstruction techniques.
Purpose of the Study:
- To evaluate the efficacy of the L-strut cartilage graft in functional rhinoplasty for correcting septal deviations.
- To assess functional and aesthetic outcomes and complication rates associated with L-strut graft use.
Main Methods:
- Retrospective study of 60 patients undergoing septorhinoplasty with an L-strut cartilage graft.
- Evaluation of functional and aesthetic outcomes at 12 months post-surgery.
- Comparison of pre- and post-operative results.
Main Results:
- Significant improvements in functional and aesthetic outcomes were observed in all patients (p < 0.05).
- No major intraoperative or postoperative complications were reported up to 12 months.
- The L-strut graft provided stable, midline fixation of the neoseptum.
Conclusions:
- The L-strut cartilage graft is a versatile and effective option for correcting significant anterior/dorsal septal deviations.
- It ensures good functional and aesthetic results in functional rhinoplasty with a low complication profile.

