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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Salvaging the Compromised Soft-Tissue Envelope in Revision Rhinoplasty
1NassifMD Plastic Surgery, Beverly Hills, CA 90212, USA; Department of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Abstract:
This article reviews evidence-based strategies for preserving and salvaging the nasal skin-soft tissue envelope (SSTE) in revision rhinoplasty, where prior surgical intervention often leaves diminished vascularity, scarring, and reduced tissue quality. Because SSTE integrity is pivotal to long-term functional and aesthetic success, the discussion addresses relevant anatomy, pathophysiologic mechanisms, and risk factors for compromise and presents an algorithmic approach to prevention, early recognition, and timely intervention.

