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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, 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]
In the citing paper
“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]
Citations
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“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…”
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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
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“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.”
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Development of a Severity Classification System for Subjective Nasal Obstruction
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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
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Self-citationSurgical Management of the Deviated Septum: Techniques in Septoplasty
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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
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Outcome Measures in Facial Plastic Surgery
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Surowitz, J., Lee, M. K., & Most, S. P. (2015) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599815582176 · Cited by 75
“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 74
Trends in Functional Rhinoplasty
Most, S. P. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.6.410 · Cited by 70
“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
Self-citationNasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty
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New Suturing Techniques to Reconstruct the Keystone Area in Extracorporeal Septoplasty
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Analysis of the Development of the Nasal Septum according to Age and Gender Using MRI
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“(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
“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
Treatment of the Scoliotic Nose with Extracorporeal Septoplasty
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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
“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.”
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Becker, D. G., Ransom, E. R., Guy, C., & Bloom, J. D. (2010) · Aesthetic Surgery Journal · doi:10.1177/1090820x10373357 · Cited by 41
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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
Modified Extracorporeal Septoplasty Technique in Rhinoplasty for Severely Deviated Noses
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Evidence-Based Medicine: Rhinoplasty.
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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
Evaluating the Effect of Spreader Grafting on Nasal Obstruction Using the NOSE Scale
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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 30
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
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
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
“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
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
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
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
“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 27
Spataro, E. A., Saltychev, M., Kandathil, C. K., & Most, S. P. (2019) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2019.1020 · Cited by 27
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
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
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
“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
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
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
“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
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
Self-citationPersichetti, P., Toto, V., Marangi, G. F., & Poccia, I. (2011) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e318228e2d3 · Cited by 20
Caudal septoplasty: efficacy of a surgical technique-preliminnary report
Garcia, L. B. S., de Oliveira, P. W. B., Vidigal, T. D. A., Suguri, V. M., Santos, R. D. P., & Gregório, L. C. (2011) · Brazilian Journal of Otorhinolaryngology · doi:10.1590/s1808-86942011000200007 · Cited by 20
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
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
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 19
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
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
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
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 19
Self-citationDemir, U. (2019) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000005296 · Cited by 16
Olds, C. E., & Sykes, J. M. (2021) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2021.08.002 · Cited by 16
Mobley, S. R., & Long, J. (2015) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000001885 · Cited by 16
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
Long-term Outcomes of Subtotal Septal Reconstruction in Rhinoplasty
Asher, S. A., Kakodkar, A. S., & Toriumi, D. M. (2017) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2017.1127 · Cited by 15
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
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
Efficacy and Safety of Titanium Miniplates for Patients Undergoing Septorhinoplasty
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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
“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
Outcomes of Combined Anterior Septal Reconstruction and Dorsal Hump Reduction
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“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
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
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
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 10
“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
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
Avashia, Y. J., Glener, A. D., & Marcus, J. R. (2022) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000009290 · Cited by 11
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 10
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
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
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
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
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
Modified Extracorporeal Septoplasty
Sazgar, A. A., & Amali, A. (2013) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e31827100a6 · Cited by 7
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
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
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
“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
Self-citationSen, I., Dutta, M., Haldar, D., & Sinha, R. (2017) · Ear, nose, & throat journal · doi:10.1177/014556131709600212 · Cited by 5
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
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
Yiğit, E., Manav, A., Ture, M., & Karabağ, T. (2021) · The Journal of craniofacial surgery (Print) · doi:10.1097/scs.0000000000007801 · Cited by 6
“%) 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
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
Septal Reconstruction: Simple to Complex
Oliver, J. R., & Humphrey, C. D. (2023) · Facial Plastic Surgery · doi:10.1055/s-0043-1771498 · Cited by 5
“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 6
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
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
Patel, P., & Most, S. P. (2020) · Facial Plastic Surgery · doi:10.1055/s-0040-1701488 · Cited by 1
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
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
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
Larrabee, W. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2007.6 · Cited by 5
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
Self-citation
Metadata
- 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
- Health Sciences › Dentistry › Oral Surgery › 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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