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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
Cites
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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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“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
THE CORRECTION OF THE INTERNALLY AND EXTERNALLY DEVIATED NOSE
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Management of posttraumatic nasal deformities: the crooked nose and the saddle nose
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Complications of Skin, Cartilage, and Bone Grafts
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“Improvement in PFTs post-septoplasty could demonstrate the broader benefits of this procedure beyond merely alleviating nasal obstruction, potentially offering enhanced overall respiratory function and quality of life for patients [10,11].”
BackgroundThe Dorsal Flattening Suture (DFS) in Dorsal Preservation Rhinoplasty
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Self-citationAnalysis of the Effectiveness of Anterior Septal Reconstruction in Asians
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Self-citationManagement of the Deviated Septum
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“To overcome the issues with reimplantation of the new septum, Most revised the total septoplasty procedure and recommended leaving a portion of the dorsal septal cartilage in place, to provide an anchor to suture to [3].”
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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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