Anterior Septal Reconstruction: Outcomes After a Modified Extracorporeal Septoplasty Technique
Abstract
Objective: To describe a modified extracorporeal septoplasty technique and measure its efficacy with a validated quality-of-life instrument. Design: A prospective observational outcomes study of patients with severe septal deviation who subsequently underwent anterior septal reconstruction. Preoperative and postoperative evaluation was performed using photographs and the Nasal Obstruction Symptoms Evaluation scale. Results: Twelve consecutive patients were enrolled. No complications occurred. All patients noted improved airway function postoperatively. There was a significant improvement in mean Nasal Obstruction Symptoms Evaluation score postoperatively (76.6 vs 12.9; P <.01). Examination of postoperative photographs revealed improved midvault and tip anatomy. Conclusions: The anterior septal reconstruction technique is effective in improving both nasal airway function and aesthetics in patients with severe septonasal deviation. The technique avoids the most common complication of standard extracorporeal septoplasty by preserving the dorsal strut of septal cartilage and its attachment to the nasal bones at the keystone area.
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Extracorporeal septoplasty is a method to reconstruct severe caudal septal deviations.
“Extracorporeal septoplasty, first described by Peer and later popularized by Gubisch, is a method to reconstruct severe caudal septal deviations.13,[17][18][19]”
From Sliding Spine Relocation Surgery with Anterior Septal Reconstruction (2024) · cites this paper as [13]
Anterior septal reconstruction is convenient for saving the nasal keystone region and provides a dorsal strut for a stable septal foundation.
“The anterior septal reconstruction (ASR) is convenient for saving the valued nasal keystone region, the bone and cartilage junction of the upper and middle thirds of the nose, providing a dorsal strut for a stable septal foundation.13,14”
From Sliding Spine Relocation Surgery with Anterior Septal Reconstruction (2024) · cites this paper as [13]
Cites
Development and Validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale1
Stewart, M. G., Witsell, D. L., Smith, T. L., Weaver, E. M., Yueh, B., & Hannley, M. (2004) · Otolaryngology · doi:10.1016/j.otohns.2003.09.016 · Cited by 1,221 · see citing works
Spreader Graft: A Method of Reconstructing the Roof of the Middle Nasal Vault Following Rhinoplasty
Sheen, J. H. (1984) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-198402000-00013 · Cited by 614 · cited 1× · see citing works
“Although placement of spreader grafts has been well described, this technique alone does not address significant deviations of the anterocaudal nasal septum.(2-4) In addition to airway obstruction, crookedness of the dorsal septum or asymmetries of the upper lateral cartilages can cause contour deformities of the midd…”
BackgroundSheen JH. Plast Reconstr Surg 73:230-239 (2014) · CRC Press eBooks · doi:10.1201/b17524-46 · Cited by 517 · see citing works
Stewart, M. G., Smith, T. L., Weaver, E. M., Witsell, D. L., Yueh, B., Hannley, M. T., Johnson, J. T., & The Nose Study Investigators (2004) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2003.12.004 · Cited by 514 · see citing works
Correction of the Crooked Nose
Byrd, S. H., Salomon, J., & Flood, J. (1998) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199811000-00055 · Cited by 185 · see citing works
Extracorporeal Septoplasty for the Markedly Deviated Septum
Gubisch, W. (2005) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.7.4.218 · Cited by 156 · see citing works
The Extracorporeal Septum Plasty: A Technique to Correct Difficult Nasal Deformities
Gubisch, W. (1995) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-199504000-00008 · Cited by 140 · cited 4× · see citing works
“The most important of these is the tendency for the development of irregularities of the dorsum postoperatively, including notching or saddling.(5,10) The present study describes a modified extracorporeal septoplasty technique that achieves improvement of external airway while maintaining the dorsal profile.”
BackgroundInfluentialUse of Spreader Grafts in the External Approach to Rhinoplasty
Rohrich, R. J., & Hollier, L. H. (1996) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)31115-9 · Cited by 134 · see citing works
THE CORRECTION OF THE INTERNALLY AND EXTERNALLY DEVIATED NOSE
King, E., & Ashley, F. L. (1952) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-195208000-00008 · Cited by 98 · see citing works
Management of posttraumatic nasal deformities: the crooked nose and the saddle nose
Kim, D. W., & Toriumi, D. M. (2004) · Facial Plastic Surgery Clinics of North America · doi:10.1016/s1064-7406(03)00124-x · Cited by 77 · see citing works
Septal Crossbar Graft for the Correction of the Crooked Nose
Boccieri, A., & Pascali, M. (2003) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000042205.27330.e4 · Cited by 71 · see citing works
Mendelsohn, M. (2005) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.7.2.74 · Cited by 52 · see citing works
Refinements in Extracorporal Septoplasty
Gubisch, W., & Constantinescu, M. A. (1999) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199909020-00041 · Cited by 41 · see citing works
Refinements in Extracorporal Septoplasty
Gubisch, W., & Constantinescu, M. A. (1999) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199909040-00038 · Cited by 34 · see citing works
Extracorporeal Septoplasty Combined with Open Rhinoplasty
Şenyuva, C., Yücel, A., Aydın, Y., Okur, İ., & Guzel, Z. M. (1997) · Aesthetic Plastic Surgery · doi:10.1007/s002669900116 · Cited by 33 · see citing works
Subtotal Reconstruction of the Nasal Septum Using a Conchal Reshaped Graft
Boccieri, A. (2004) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000112350.53122.50 · Cited by 24 · see citing works
The relevance of extracorporeal septoplasty in cleft nose correction
Gubisch, W., Constantinescu, M. A., & Grüner, M. (1998) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/s1010-5182(98)80057-7 · Cited by 22 · see citing works
Terkonda, R. P., & Sykes, J. M. (1999) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(05)70115-8 · Cited by 19 · see citing works
Extracorporeal septoplasty with paramarginal incision
D'Andrea, S. B. F. (2001) · Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery · doi:10.1080/028443101750523203 · Cited by 8 · see citing works
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Sorted by citations
Development of a Severity Classification System for Subjective Nasal Obstruction
Lipan, M. J., & Most, S. P. (2013) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2013.344 · Cited by 212 · see citing works
Self-citationRhee, J. S., Sullivan, C. D., Frank, D. O., Kimbell, J. S., & Garcia, G. J. M. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2013.2473 · Cited by 204 · see citing works
Most, S. P. (2006) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.8.5.306 · Cited by 164 · see citing works
Self-citationSurgical management of the deviated septum: techniques in septoplasty.
Fettman, N., Sanford, T., & Sindwani, R. (2009) · Otolaryngologic clinics of North America · doi:10.1016/j.otc.2009.01.005 · Cited by 152 · see citing works
Most, S. P., & Rudy, S. F. (2017) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2016.12.002 · Cited by 109 · see citing works
Seth, I., Lim, B., Xie, Y., Cevik, J., Rozen, W. M., Ross, R. J., & Lee, M. (2023) · Aesthetic Surgery Journal Open Forum · doi:10.1093/asjof/ojad084 · Cited by 86 · see citing works
Yoo, S. (2011) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2011.7 · Cited by 76 · see citing works
Outcome Measures in Facial Plastic Surgery
Rhee, J., & McMullin, B. T. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.3.194 · Cited by 75 · see citing works
Surowitz, J., Lee, M. K., & Most, S. P. (2015) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599815582176 · Cited by 75 · see citing works
“Anterior septal reconstruction (ASR) is a modified extracorporeal septoplasty technique performed via an external approach and was previously described by the senior author.(7) The caudal and dorsal septum are required for support of the cartilaginous lower two-thirds of the nose.”
MethodSelf-citationHaack, J., & Papel, I. D. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.03.005 · Cited by 75 · see citing works
Trends in Functional Rhinoplasty
Most, S. P. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.6.410 · Cited by 84 · see citing works
“16,24 Use of such measures, in addition to physiologic or anatomical measures, may end up being complementary and necessary for full evaluation of the efficacy of such techniques.”
Self-citationSurowitz, J. B., & Most, S. P. (2013) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2013.07.003 · Cited by 61 · see citing works
Self-citationNasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty
Gerecci, D., Casanueva, F., Mace, J. C., Annen, A. W., Barrett, D. M., Kim, M. M., Wang, T. D., Smith, T. L., & Loyo, M. (2018) · The Laryngoscope · doi:10.1002/lary.27578 · Cited by 57 · see citing works
New Suturing Techniques to Reconstruct the Keystone Area in Extracorporeal Septoplasty
Rezaeian, F., Gubisch, W., Janku, D., & Haack, S. (2016) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000002412 · Cited by 55 · see citing works
Quality of life before and after septoplasty and rhinoplasty
Baumann, I. (2011) · GMS current topics in otorhinolaryngology, head and neck surgery · doi:10.3205/cto000070 · Cited by 54 · see citing works
Contemporary Review of Rhinoplasty
Angelos, P. C., Been, M. J., & Toriumi, D. M. (2012) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2012.577 · Cited by 48 · see citing works
Analysis of the Development of the Nasal Septum according to Age and Gender Using MRI
Kim, I.-S., Lee, M.-Y., Lee, K., Kim, H., & Chung, Y. (2008) · Clinical and Experimental Otorhinolaryngology · doi:10.3342/ceo.2008.1.1.29 · Cited by 45 · see citing works
“(17) introduced operative techniques that could reduce damage to these part.”
BackgroundSykes, J. M., Tasman, A., & Suárez, G. A. (2015) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2015.09.016 · Cited by 44 · see citing works
“This technique involves explantation of the septal cartilage, reshaping of this cartilage on the operative field (out of the patient), and reimplantation of the septum with fixation both caudally and dorsally.(17) Often, this technique is combined with cartilage”
MethodWilson, M. A., & Mobley, S. R. (2011) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2011.5 · Cited by 43 · see citing works
Treatment of the Scoliotic Nose with Extracorporeal Septoplasty
Gubisch, W. (2014) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2014.09.002 · Cited by 41 · see citing works
Shukla, R., Nemade, S., & Shinde, K. (2020) · World Journal of Otorhinolaryngology-Head and Neck Surgery · doi:10.1016/j.wjorl.2019.06.002 · Cited by 47 · see citing works
“Another study with 12 patients treated with extracorporeal septoplasty detected an improvement of the NOSE score from 77 to 13 points.(7) In our study it was observed that the most bothersome symptom was trouble breathing through the nose (85.”
BackgroundSurgical treatment of nasal obstruction in rhinoplasty.
Becker, D., Ransom, E. R., Guy, C., & Bloom, J. D. (2010) · Aesthetic surgery journal · doi:10.1177/1090820x10373357 · Cited by 56 · see citing works
Stolovitzky, P., Sidle, D. M., Ow, R., Nachlas, N., & Most, S. P. (2018) · The Laryngoscope · doi:10.1002/lary.27242 · Cited by 42 · see citing works
Self-citationSobol, D., Allori, A., Carlson, A., Pien, I. J., Watkins, S., Aylsworth, A., Meyer, R., Pimenta, L., Strauss, R., Ramsey, B. L., et al. (2016) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0000000000002772 · Cited by 32 · see citing works
Modified Extracorporeal Septoplasty Technique in Rhinoplasty for Severely Deviated Noses
Jang, Y. J., & Kwon, M. (2010) · Annals of Otology Rhinology & Laryngology · doi:10.1177/000348941011900510 · Cited by 33 · see citing works
Evidence-Based Medicine: Rhinoplasty.
Lee, M. K., & Most, S. P. (2015) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2015.04.004 · Cited by 21 · see citing works
Self-citationKim, D. W., & Rodriguez-Bruno, K. (2009) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2008.09.011 · Cited by 12 · see citing works
Evaluating the Effect of Spreader Grafting on Nasal Obstruction Using the NOSE Scale
Standlee, A. G., & Hohman, M. (2017) · Annals of Otology, Rhinology and Laryngology · doi:10.1177/0003489416685320 · Cited by 25 · see citing works
Diagnosis and management of nasal fractures
Chan, J., & Most, S. P. (2008) · Operative Techniques in Otolaryngology-Head and Neck Surgery · doi:10.1016/j.otot.2008.07.003 · Cited by 29 · see citing works
Self-citationAugmenting the Nasal Airway: Beyond Septoplasty
Simon, P. E., & Sidle, D. M. (2012) · American Journal of Rhinology and Allergy · doi:10.2500/ajra.2012.26.3786 · Cited by 29 · see citing works
Nasal Obstruction and Rhinoplasty: A Focused Literature Review
Wright, L., Grunzweig, K. A., & Totonchi, A. (2020) · Aesthetic Plastic Surgery · doi:10.1007/s00266-020-01710-5 · Cited by 28 · see citing works
North American survey and systematic review on caudal Septoplasty
Voizard, B., Theriault, M., Lazizi, S., & Moubayed, S. P. (2020) · Journal of Otolaryngology - Head and Neck Surgery · doi:10.1186/s40463-020-00435-4 · Cited by 28 · see citing works
“2006 [26] Extracorporeal; Grafting 12 NOSE; PA”
Matched Cohort Comparison of Dorsal Preservation and Conventional Hump Resection Rhinoplasty
Patel, P. N., Kandathil, C. K., Abdelhamid, A. S., Buba, C. M., & Most, S. P. (2022) · Aesthetic Plastic Surgery · doi:10.1007/s00266-022-03156-3 · Cited by 28 · see citing works
Self-citationDeviated Nose Cartilaginous Dorsum Correction Using a Dorsal L‐Strut Cutting and Suture Technique
Song, H. M., Kim, J., Lee, B., & Jang, Y. J. (2008) · The Laryngoscope · doi:10.1097/mlg.0b013e31816b30cc · Cited by 27 · see citing works
Tongue-in-Groove Technique for Rhinoplasty: Technical Refinements and Considerations
Spataro, E. A., & Most, S. P. (2018) · Facial Plastic Surgery · doi:10.1055/s-0038-1670647 · Cited by 27 · see citing works
Self-citationStolovitzky, P., Senior, B., Ow, R., Mehendale, N. H., Bikhazi, N., & Sidle, D. M. (2019) · International Forum of Allergy and Rhinology · doi:10.1002/alr.22362 · Cited by 30 · see citing works
“Patients were ineligible if they had any of the following: (1) functional endoscopic sinus surgery (FESS), sinuplasty, septoplasty, inferior turbinate reduction (ITR), or rhinoplasty within the past 6 months; (2) pathology other than lateral wall insufficiency (LWI) as the primary contributor to NAO; (3) planning to h…”
BackgroundMethodDobratz, E. J., & Park, S. S. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.03.003 · Cited by 26 · see citing works
Spataro, E. A., Saltychev, M., Kandathil, C., & Most, S. P. (2019) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2019.1020 · Cited by 22 · see citing works
Self-citationUpper Lateral Cartilage‐Sparing Component Dorsal Hump Reduction in Primary Rhinoplasty
Arslan, E., & Aksoy, A. (2007) · The Laryngoscope · doi:10.1097/mlg.0b013e31805366ed · Cited by 24 · see citing works
Evaluation and Management of the Nasal Airway.
Moubayed, S. P., & Most, S. P. (2021) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2021.08.001 · Cited by 22 · see citing works
Self-citationEffect of Midfacial Asymmetry on Nasal Axis Deviation
Yao, F., Lawson, W. B., & Westreich, R. W. (2009) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.2009.1 · Cited by 22 · see citing works
“Many techniques have been described in correcting these deformities, including but not limited to perforating double lateral osteotomies, transverse nasal root osteotomies, high septal osteotomy, septal crossbar grafts, spreader grafts, upper lateral cartilage onlay grafts, extracorporeal septoplasty, and asymmetric n…”
Straightening the Crooked Middle Vault With the Clocking Stitch
Keeler, J. A., Moubayed, S. P., & Most, S. P. (2016) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2016.1647 · Cited by 22 · see citing works
Self-citationHsieh, T., Dedhia, R. D., Toro, D. D., & Tollefson, T. T. (2017) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2016.12.011 · Cited by 22 · see citing works
Comparative Outcomes in Functional Rhinoplasty With Open vs Endonasal Spreader Graft Placement
Talmadge, J., High, R., & Heckman, W. W. (2018) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000001434 · Cited by 21 · see citing works
“If anterior caudal reconstruction was performed, the nose was opened and a modified extracorporeal septoplasty was performed as described by Most.(14) For all other septoplasties, an endonasal resection of the deviated portion was performed and used for grafting, leaving an adequate caudal and dorsal strut in place.”
MethodAkkina, S. R., & Most, S. P. (2021) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2021.07.007 · Cited by 20 · see citing works
Self-citationCombined Functional and Preservation Rhinoplasty
Patel, P. N., Abdelwahab, M., & Most, S. P. (2020) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2020.09.005 · Cited by 20 · see citing works
Self-citationPersichetti, P., Toto, V., Marangi, G. F., & Poccia, I. (2011) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e318228e2d3 · Cited by 20 · see citing works
Caudal septoplasty: efficacy of a surgical technique-preliminnary report
Garcia, L. B., Oliveira, P., Vidigal, T. D. A., Suguri, V. M., Santos, R. D. P., & Gregório, L. (2011) · Brazilian Journal of Otorhinolaryngology · doi:10.1590/s1808-86942011000200007 · Cited by 20 · see citing works
The Laryngoscope: Table of contents
Sidle, D. M., Stolovitzky, P., Ow, R. A., Silvers, S., Matheny, K. E., Bikhazi, N., Wani, M. K., Scurry, W., & Most, S. P. (2019) · The Laryngoscope · doi:10.1002/lary.28151 · Cited by 15 · see citing works
Self-citationModified Extracorporeal Septoplasty
Persichetti, P., Toto, V., Segreto, F., Signoretti, M., & Marangi, G. F. (2015) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000000377 · Cited by 18 · see citing works
Review and update on extracorporeal septoplasty
McGrath, M., Bell, E., Locketz, G. D., & Becker, D. G. (2018) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0000000000000509 · Cited by 18 · see citing works
Technical Refinements and Outcomes of the Modified Anterior Septal Transplant
Loyo, M., Markey, J. D., Gerecci, D., Rassi, E. T. E., Li, R. J., Sullivan, C. B., & Wang, T. D. (2017) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2017.1040 · Cited by 18 · see citing works
Intermediate and Definitive Cleft Rhinoplasty
Gary, C. C., & Sykes, J. M. (2016) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2016.06.017 · Cited by 17 · see citing works
A Bioabsorbable Lateral Nasal Wall Stent for Dynamic Nasal Valve Collapse: A Review.
Sanan, A., & Most, S. P. (2019) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2019.04.001 · Cited by 16 · see citing works
Self-citationTreatment of Nasal Obstruction in the Posttraumatic Nose
Corey, C. L., & Most, S. P. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.03.002 · Cited by 17 · see citing works
Self-citationDemir, U. (2019) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000005296 · Cited by 16 · see citing works
Olds, C. E., & Sykes, J. M. (2021) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2021.08.002 · Cited by 16 · see citing works
Mobley, S. R., & Long, J. (2015) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000001885 · Cited by 16 · see citing works
Göde, S., Benzer, M., Uslu, M., Kaya, İ., Midilli, R., & Karcı, B. (2017) · Aesthetic Plastic Surgery · doi:10.1007/s00266-017-0973-1 · Cited by 16 · see citing works
Long-term Outcomes of Subtotal Septal Reconstruction in Rhinoplasty
Asher, S., Kakodkar, A., & Toriumi, D. (2017) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2017.1127 · Cited by 13 · see citing works
A Novel Method for Reconstruction of Severe Caudal Nasal Septal Deviation: Marionette Septoplasty
Kayabaşoğlu, G., Nacar, A., Yılmaz, M. S., Altundağ, A., & Güven, M. (2015) · Ear Nose & Throat Journal · doi:10.1177/014556131509400619 · Cited by 15 · see citing works
40 Years of Total Extracorporeal Septal Reconstruction: The Past, Present, and Future
Gubisch, W., Hacker, S., Neumann, J. H. L., & Haack, S. (2020) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000007399 · Cited by 14 · see citing works
Efficacy and Safety of Titanium Miniplates for Patients Undergoing Septorhinoplasty
Mittermiller, P. A., Sheckter, C. C., & Most, S. P. (2017) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2017.0964 · Cited by 13 · see citing works
Self-citationSillers, M. J., Cox, A. J., & Kulbersh, B. D. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.01.014 · Cited by 13 · see citing works
“A portion of the dorsal septum at the junction of the nasal bones (keystone area) is left intact to have an area to which to sew.(16) The harvested cartilage is then carved and fashioned using sutures into an adequate L strut and introduced back into the nose, securing it to the keystone area and upper lateral cartila…”
Tian, Q., Chu, T., Sun, H., & Pang, M. (2020) · Ear Nose & Throat Journal · doi:10.1177/0145561320903147 · Cited by 12 · see citing works
Outcomes of Combined Anterior Septal Reconstruction and Dorsal Hump Reduction
Patel, P., Kandathil, C., & Most, S. P. (2020) · The Laryngoscope · doi:10.1002/lary.28611 · Cited by 12 · see citing works
“1) has been previously described in detail, although certain technical considerations are worth noting when simultaneously performing a dorsal hump reduction.(10,13) The septum is exposed using a traditional hemitransfixion incision, and an external approach rhinoplasty is then performed using traditional transcolumel…”
BackgroundMethodInfluentialSelf-citationComparison of Primary and Secondary Anterior Septal Reconstruction: A Cohort Study
Spataro, E. A., Olds, C. E., Nuyen, B. A., Kandathil, C. K., & Most, S. P. (2018) · Facial Plastic Surgery · doi:10.1055/s-0038-1667154 · Cited by 12 · see citing works
Self-citationRhinoplasty for cleft and hemangioma-related nasal deformities
Lee, T. S., Schwartz, G. M., & Tatum, S. A. (2010) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0b013e3283402984 · Cited by 12 · see citing works
Correction of Caudal Septal Deviation: Use of a Caudal Septal Extension Graft
Pham, A. M., & Tollefson, T. T. (2007) · Ear Nose & Throat Journal · doi:10.1177/014556130708600308 · Cited by 12 · see citing works
Oblique Septal Crossbar Graft for Anterior Septal Angle Reconstruction
Aziz, Z. S., Brenner, M. J., & Putman, H. C. (2010) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.2010.92 · Cited by 11 · see citing works
“When the septum is removed, a dorsal cartilaginous strut is preserved in the keystone area, which will serve as an anchor point for the reimplanted septum.(16) Fixating the septum to the anterior nasal spine, keystone area, and upper lateral cartilages and using spreader grafts can improve stability.”
Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal
Naguib, M., Ahmed, M., Madian, Y., Elnahriry, T., & Eldeeb, W. (2020) · The Egyptian Journal of Otolaryngology · doi:10.1186/s43163-020-00058-6 · Cited by 8 · see citing works
Septal Deviation Treatment Using Bone or Cartilage Grafts Fixed with Cyanoacrylate Tissue Adhesive
Özyazgan, İ. (2017) · Aesthetic Plastic Surgery · doi:10.1007/s00266-017-0836-9 · Cited by 10 · see citing works
Avashia, Y. J., Glener, A. D., & Marcus, J. R. (2022) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000009290 · Cited by 11 · see citing works
Bresler, A. Y., Povolotskiy, R., Nguyen, B. K., Zuliani, G. F., Eloy, J. A., Paskhover, B., & Svider, P. F. (2019) · Annals of Otology Rhinology & Laryngology · doi:10.1177/0003489419891450 · Cited by 9 · see citing works
Partial Cutting and Suture Technique for Caudal Septoplasty
Cheon, T.-U., Song, Y. J., Kang, B. C., Nam, J. G., & Lee, T. (2019) · American Journal of Rhinology and Allergy · doi:10.1177/1945892419857694 · Cited by 9 · see citing works
Preoperative characteristics of over 1,300 functional septorhinoplasty patients
Justicz, N. S., Gadkaree, S. K., Fuller, J. C., Locascio, J., & Lindsay, R. (2020) · The Laryngoscope · doi:10.1002/lary.27955 · Cited by 8 · see citing works
The Impact of Facial Asymmetry on the Surgical Outcome of Crooked Nose: A Case Control Study
Dasdar, S., Kianfar, N., Sadeghi, M. R., & Saedi, B. (2020) · Aesthetic Surgery Journal · doi:10.1093/asj/sjaa405 · Cited by 8 · see citing works
Nuances of the Tongue-in-Groove Technique for Controlling Tip Projection and Rotation
Spataro, E. A., & Most, S. P. (2018) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2018.0948 · Cited by 8 · see citing works
Self-citationCrooked nose: An update of management strategies
Hussein, W. K. A. (2014) · Egyptian Journal of Ear Nose Throat and Allied Sciences · doi:10.1016/j.ejenta.2014.10.005 · Cited by 8 · see citing works
Modified Extracorporeal Septoplasty
Sazgar, A. A., & Amali, A. (2013) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e31827100a6 · Cited by 7 · see citing works
Cleft Rhinoplasty: Strategies for the Multiply Operated Nose
Hsieh, T., Dedhia, R. D., & Tollefson, T. T. (2018) · Facial Plastic Surgery · doi:10.1055/s-0038-1653986 · Cited by 7 · see citing works
Naguib, M. B., Rifaat, M. A., Madian, Y. T., Elnahriry, T. M., & Eldeeb, W. E. (2020) · Acta Scientific Otolaryngology · doi:10.31080/asol.2020.02.0075 · Cited by 7 · see citing works
Extracorporeal Septoplasty Combined With Valve Surgery in Rhinoplasty Patients
Karameşe, M., Akdağ, O., Akatekin, A., Koplay, T. G., Koplay, M., & Tosun, Z. (2014) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000000213 · Cited by 7 · see citing works
“Securing the fixation of the prepared septum in the nose is a controversial issue in extracorporeal septoplasty.(24) Spreader grafts help maintain the shape of the straightened septum cartilage and prevent collapse of the nasal valves.”
BackgroundManagement of the Crooked Nose: Structural, Preservation, or Camouflage Techniques
Pearlman, S. J., Haack, S., Rossi-Meyer, M. K., & Most, S. P. (2024) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2024.06.002 · Cited by 6 · see citing works
Self-citationSen, I., Dutta, M., Haldar, D., & Sinha, R. (2017) · Ear, nose, & throat journal · doi:10.1177/014556131709600212 · Cited by 5 · see citing works
The Role of Extracorporeal Septoplasty in Severely Deviated Nasal Septum
Baser, B., Patel, D. K., & Mishra, A. (2017) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-017-1237-8 · Cited by 6 · see citing works
The Twisted Nose: What to Do When It's Not Straight
Gonzalez, J., & Winkler, A. A. (2018) · Facial Plastic Surgery · doi:10.1055/s-0038-1653987 · Cited by 6 · see citing works
Yiğit, E., Manav, A., Ture, M., & Karabağ, T. (2021) · The Journal of craniofacial surgery (Print) · doi:10.1097/scs.0000000000007801 · Cited by 6 · see citing works
“%) with a sensitivity of 90% and a Copyright © 2021 Mutaz B. Habal, MD. Unautho 38 specificity of 85%.33 In addition, TAPSE is considered a reliable quantitative method for assessment of RV function, which is a key determinant of prognosis and symptoms in patients with PHT.15,34,35 A strong correlation between the TAP…”
BackgroundInfluentialReplacement methods of the septal framework of the septoplasty
Sergeeva, N. V., Rusetsky, Y. Y., Свистушкин, В. М., Reshetov, I. V., Spiranskaya, O. A., Makhambetova, É. A., Lipsky, K. B., & Sadikov, I. S. (2019) · Russian Bulletin of Otorhinolaryngology · doi:10.17116/otorino20198405193 · Cited by 5 · see citing works
Demir, D., Elden, H., Güven, M., Yılmaz, M. S., & Kara, A. (2020) · Auris Nasus Larynx · doi:10.1016/j.anl.2020.07.013 · Cited by 5 · see citing works
Septal Reconstruction: Simple to Complex
Oliver, J. R., & Humphrey, C. D. (2023) · Facial Plastic Surgery · doi:10.1055/s-0043-1771498 · Cited by 5 · see citing works
“16 This is the preferred technique in the authors ’ practice due to the ability to preserve more of the native dorsal septum including the keystone area.”
MethodSevere deviated nose treatment: importance of preserving the dorsal septal remnant
Sazgar, A. A., Teimouri, Y., Arjang, S., Amali, A., & Most, S. P. (2019) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-019-05321-y · Cited by 5 · see citing works
Self-citationThree Dimensional Rhinoplasty and Nasal Airway Improvement in Cleft-Nose Deformity
Oommen, J., Muhammed, H., Kalathingal, K., Thamunni, C. V., Joseph, S., Shet, S. M., Pydi, R. V., Sivadasan, A., Nair, S. M., Samantaray, S. A., et al. (2019) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-019-01690-2 · Cited by 5 · see citing works
Correction of the Severely Deviated Septum: Extracorporeal Septoplasty
Steele, T. O., Funamura, J. L., Marcus, B. C., & Tollefson, T. T. (2013) · Ear Nose & Throat Journal · doi:10.1177/014556131309200905 · Cited by 5 · see citing works
Patel, P., & Most, S. P. (2020) · Facial Plastic Surgery · doi:10.1055/s-0040-1701488 · Cited by 1 · see citing works
Self-citationSeptal Deviation after Septorhinoplasty: Causes and Surgical Management
Luu, N. N., & Friedman, O. (2020) · Facial Plastic Surgery · doi:10.1055/s-0040-1701642 · Cited by 4 · see citing works
Surgical Considerations in Patients of Middle Eastern Descent
Deeb, R. H. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2019.11.001 · Cited by 4 · see citing works
Reconstruction of the Nasoseptal L-Strut in Rhinoplasty
Kim, D. W., & Attenello, N. H. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.1522 · Cited by 4 · see citing works
Larrabee, W. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2007.6 · Cited by 5 · see citing works
Strategic Decision-Making in Preservation Rhinoplasty: Key Considerations for Optimal Outcomes
Longino, E. S., & Most, S. P. (2025) · Facial Plastic Surgery · doi:10.1055/a-2564-7499 · Cited by 3 · see citing works
Self-citation
- Authors
- Most, S. P.
- Affiliations
- University of Washington (US)
- Corresponding author
- Most, Sam P.
- ORCID
- Most, Sam P.
- Venue
- Archives of Facial Plastic Surgery
- Publisher
- SAGE Publications
- Published
- 2006-05-01
- Volume
- 8
- Issue
- 3
- Pages
- 202-207
- ISSN
- 1521-2491 (ISSN-L)
- 1538-3660
- OpenAlex
- W2141630784
- Cited by
- 166
- References
- 18
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 7 · 2023: 9 · 2022: 10 · 2021: 10 · 2020: 21 · 2019: 13 · 2018: 12 · 2017: 13 · 2016: 5 · 2015: 7 · 2014: 6 · 2013: 7 · 2012: 2
- FWCI
- 6.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Facial Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Keywords
- extracorporeal septoplasty, septal deviation, nasal obstruction, nasal airway function, nasal aesthetics, nasal tip
- MeSH terms
- Adolescent, Adult, Esthetics, Female, Humans, Male, Middle Aged, Nasal Septum, Nose Deformities, Acquired, Prospective Studies, Quality of Life, Rhinoplasty, Treatment Outcome
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