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Endonasal Endoscopic Approach for Bone Spicule Removal: A Case Report
1Department of Otolaryngology-Head and Neck Surgery, Health Sciences University İzmir Tepecik Training and Research Hospital, İzmir, Turkey.
Case Reports in Otolaryngology
|February 6, 2026
Summary
Bone spicules (BSs) after rhinoplasty can cause cosmetic issues. Endonasal endoscopic approach (EEA) offers a minimally invasive solution for removing overlooked BSs, ensuring successful patient outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Surgical Complications
Background:
- Bone spicules (BSs) can form during rhinoplasty, especially with blunt instruments.
- Undetected BSs may lead to postoperative cosmetic deformities and nasal swelling.
Purpose of the Study:
- To highlight the complications associated with bone spicules in rhinoplasty.
- To present endonasal endoscopic approach (EEA) as an effective treatment for bone spicule removal.
Main Methods:
- A case report of a patient with a bone spicule causing cosmetic issues post-rhinoplasty.
- Utilized paranasal sinus computerized tomography for BS detection.
- Performed endonasal endoscopic approach (EEA) for BS extraction.
Main Results:
- Successful removal of the bone spicule via EEA.
- Patient experienced no complaints at 13-month follow-up.
- EEA proved to be a minimally invasive, practical, and successful extraction method.
Conclusions:
- Preventing BS formation requires precise osteotomies using sharp instruments.
- Intraoperative detection and removal of BSs are crucial.
- EEA is a valuable, scarless technique for managing overlooked bone spicules.
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