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The Extracorporeal Septum Plasty: A Technique to Correct Difficult Nasal Deformities
Abstract
The severely deformed septum remains a problem. We recommend removing the whole septum and reconstructing a new, straight, septum plane that will be replanted (i.e., extracorporeal correction). Until April 1993 we had used this technique in 1012 patients with functionally as well as aesthetically encouraging results. All septal replants healed primarily. A problem may occur with this technique in reconstructing the dorsum and in stabilizing the replant. The exact technique is explained in detail, and the results are compared with those reported in the literature. Even with this radical procedure, the rate of complication was only 2.2 percent. Biopsies provided the histologic proof of cartilage survival.
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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 [18]
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Items 101–143 of 143
Extracorporeal Septoplasty-A Well Proven Technique for Treatment of Crooked Noses.
Vatamanesku, I., Ciurea, M. E., Popa, D. G., et al. (2020) · PubMed · doi:10.12865/chsj.46.01.06 · Cited by 2
“Since 1995, when Gubitch published its description [1], extracorporeal septoplasty is the main method of solving complex septal and”
MethodAdvanced Septoplasty: Correction of Caudal Septal Deflection
Rudy, S. F., & Most, S. P. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-69775-0.00007-x · Cited by 1
Partial Septal Overlap Suture for Correcting Dorsal Septal Deviation in Crooked Nose
Guliyev, M., & Erbek, S. S. (2025) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000011227 · Cited by 1
Surgical techniques for caudal septal deviations
Latif, J., Ho, E., & Meller, C. (2026) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0000000000001130 · Cited by 1
DeRosa, J. (2014) · CRC Press eBooks · doi:10.1201/b17991-19 · Cited by 1
Nural, H. (2018) · European Journal of Plastic Surgery · doi:10.1007/s00238-018-1469-1 · Cited by 1
Advanced Septoplasty: Extracorporeal Septoplasty—Septal Reconstruction
Gubisch, W., & Hacker, S. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-69775-0.00009-3 · Cited by 1
Self-citationNuances of Septal Deviation Repair
Abrol, A., & Lu, G. N. (2022) · Facial Plastic Surgery · doi:10.1055/s-0042-1750293 · Cited by 1
Toriumi, D. M. (2023) · Aesthetic Plastic Surgery · doi:10.1007/s00266-023-03358-3 · Cited by 1
“Structure methods are frequently not correcting the underlying septal problem unless; we perform a subtotal septal reconstruction or extracorporeal septoplasty [5, 6].”
MethodL-Strut Cartilage Graft: A Versatile Graft in Functional Rhinoplasty
Pradhan, P., & Kharwanlang, M. (2024) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-024-04795-5 · Cited by 1
“The promising functional outcomes could be due to the straight and stable fixation of the L-shaped cartilage graft in the mid-line, which has been supported by the previous literature [1].”
InfluentialNasal Valve Stabilization in Extracorporeal Septoplasty
Tasca, I., Compadretti, G. C., Losano, T., et al. (2016) · Journal of Otolaryngology and Reconstructive Surgery · doi:10.19104/jors.2016.112 · Cited by 1
“Techniques such as suture, swinging door, septal batten, ethmoid bone sandwich graft, tongue-in-groove, and extracorporeal septoplasty have been used in managing caudal septal deviation [5,9-12].”
BackgroundMethodExtracorporeal septoplasty: Role in correction of unilateral cleft nose
Jayanth, B. S., & Debata, A. (2017) · Journal of Cleft Lip Palate and Craniofacial Anomalies · doi:10.4103/jclpca.jclpca_77_17 · Cited by 1
Oncologic and plastic surgeons: colleagues, collaborators, teammates.
Bland, K. (1998) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-199810000-00067 · Cited by 1
Gubisch, W. (2017) · Aesthetic Plastic Surgery · doi:10.1007/s00266-017-0983-z · Cited by 1
“extracorporeal reconstruction of the nasal septum—two distinct and significantly different surgical procedures [1].”
BackgroundSelf-citationSliding Spine Relocation Surgery with Anterior Septal Reconstruction
Fleury Curado, T., El Abany, A., & Most, S. P. (2024) · Craniomaxillofacial Trauma & Reconstruction · doi:10.1177/19433875231152947
Defectos del dorso nasal tratados con injerto autólogo
Fernández, Á. S., Rodríguez, A. L., & Manzano, E. M. (2005) · DOAJ (DOAJ: Directory of Open Access Journals)
Rinoplastia estética y reparadora
Deffrennes, D., & Horay, P. (2000) · EMC - Cirugía Otorrinolaringológica y Cervicofacial · doi:10.1016/s1635-2505(00)72303-6
Gubisch, W., & Kotzur, A. (1998) · European Journal of Plastic Surgery · doi:10.1007/s002380050125
“As the overall aim should be to straighten the internal and external nose it is often necessary to perform an extracorporal septum correction [9] besides an extensive mobilisation of the complete nasal framework.”
BackgroundSelf-citationYARIK DUDAK BURNU DEFORMİTESİNDE GECİKMİŞ ONARIM VE SEKONDER GİRİŞİMLER
Türkaslan, T., Özyiğit, T., Dayicioğlu, D., et al. (2008) · DergiPark (Istanbul University)
Parrilla, C., Artuso, A., Gallus, R., et al. (2013)
Septal Surgery in the Crooked Nose
Foda, H. M. T. (2013) · Springer eBooks · doi:10.1007/978-3-642-28053-5_43
Treatment of Nas al Obstruction in the Posttr a umatic Nose
Corey, C. L. (2009)
Techniken zur Rekonstruktion der Keystone Area
Brandstetter, M., Mann, S., Gubisch, W., & Haack, S. (2017) · Journal für Ästhetische Chirurgie · doi:10.1007/s12631-016-0071-2
Self-citationKarapetyan, L. S., Rusetsky, Y. Y., Свистушкин, В. М., et al. (2017) · Russian Bulletin of Otorhinolaryngology · doi:10.17116/otorino201782143-46
Topic of the article: extracorporeal rhinoseptoplasty technique of the open approach
Сидоренков, Д. А., Lipsky, K. B., Aganesov, G. A., et al. (2019) · Russian Bulletin of Otorhinolaryngology · doi:10.17116/otorino20198404122
Modified technique of extracorporeal septoplasty in severe septal deviation
Alwan, M. M., Dakhil, H. T., Hussain, Z. A., & Khefi, R. A. (2021) · Oral and Maxillofacial Surgery Cases · doi:10.1016/j.omsc.2021.100217
Long-Term Evaluation of Partial Cutting and Suture Technique for Caudal Septoplasty
Kim, T.-K., Kim, S.-J., Nam, J., & Lee, T.-H. (2021) · Journal of Clinical Otolaryngology Head and Neck Surgery · doi:10.35420/jcohns.2021.32.1.47
Gubisch, W. (2016) · Springer eBooks · doi:10.1007/978-3-662-49706-7_1
Self-citationUse of Cartilage Grafts for Internal Septal Support of the Crooked Nose
Neu, B. R. (2001) · Plastic Surgery · doi:10.1177/229255030100900105
Deffrennes, D., Hadjean, E., & Négrier, B. (2000) · EMC - Otorrinolaringología · doi:10.1016/s1632-3475(00)71956-4
Garibyan, A., Gevorkyan, S., Chakhoyan, A., & Harutyunyan, A. (2023) · BULLETIN OF STOMATOLOGY AND MAXILLOFACIAL SURGERY · doi:10.58240/1829006x-2023.19.3-141
Use of Intraoperative Template for the Reconstruction of Septal Replacement Graft
Pradhan, P., & Kharwanlang, M. (2024) · Aesthetic Plastic Surgery · doi:10.1007/s00266-024-04024-y
Williams, S. P., & Swift, A. C. (2024) · Springer eBooks · doi:10.1007/978-3-031-70077-4_10
(2000) · Time to knit · doi:10.1016/s0246-0351(20)30116-1
(2000) · Time to knit · doi:10.1016/s2211-0402(20)30004-0
Corrective Surgery of the Jaw, Lip, Nose Complex in Cleft Lip Palate Patients
Meyer, U. J., & Fillies, T. (2024) · Springer eBooks · doi:10.1007/978-3-031-51773-0_15
Management of the Deviated Nose
Candau, A. (2024) · Springer eBooks · doi:10.1007/978-3-031-36962-9_253-1
Guliyev, M., & Erbek, S. S. (2025) · Aesthetic Plastic Surgery · doi:10.1007/s00266-025-05361-2
Simultane innere und äußere sekundäre Rhinoseptumplastik
Arlt, A. (2014) · Journal für Ästhetische Chirurgie · doi:10.1007/s12631-014-0312-1
Sünnetçi, G., & Özdemir, E. (2025) · European Journal of Rhinology and Allergy · doi:10.65396/ejra.1842827
Comparison of Unilateral versus Bilateral Spreader Grafts in Crooked Indian Noses
Pradhan, P., Chaurasia, V., Swain, S. K., et al. (2025) · Aesthetic Plastic Surgery · doi:10.1007/s00266-025-05501-8
Strategies for the Previously Operated Septum
Liu, D. H., Hamilton, G. S., & Wong, B. J. F. (2026) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2026.01.002
Alshwareb, A. M., Alghanim, A. H., Busbaih, A. J., et al. (2026) · Aesthetic Plastic Surgery · doi:10.1007/s00266-026-06191-6
Metadata
- Authors
- Gubisch, W.
- Affiliations
- Marienhospital Stuttgart (DE)
- Corresponding author
- Gubisch, Wolfgang
- ORCID
- Gubisch, Wolfgang
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1995-04
- Volume
- 95
- Issue
- 4
- Pages
- 672-682
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2085053699
- Cited by
- 140
- References
- 0
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 9 · 2021: 5 · 2020: 9 · 2019: 7 · 2018: 5 · 2017: 9 · 2016: 8 · 2015: 3 · 2014: 9 · 2013: 9 · 2012: 3
- FWCI
- 4.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive 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
- septal deformity, septal reconstruction, nasal septum, nasal dorsum reconstruction, postoperative complications
- MeSH terms
- Adolescent, Adult, Female, Humans, Male, Nasal Septum, Nose, Nose Deformities, Acquired, Postoperative Complications, Reoperation, Rhinoplasty
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