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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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Anterior Septal Reconstruction: Outcomes After a Modified Extracorporeal Septoplasty Technique
Most, S. P. (2006) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.8.3.202 · Cited by 166
“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.”
BackgroundInfluentialExtracorporeal Septoplasty for the Markedly Deviated Septum
Gubisch, W. (2005) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.7.4.218 · Cited by 156
“6%.(4) An additional point of fixation at the area of attachment of the upper lateral cartilages to the dorsal septum is currently recommended.”
Self-citationMost, S. P., & Rudy, S. F. (2017) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2016.12.002 · Cited by 109
Jang, Y. J., Yeo, N., & Wang, J. H. (2009) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archoto.2009.171 · Cited by 92
“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) Ellis(5) used a suture technique as an adjunct for correcting caudal septal deviation.”
MethodThe Role of Septal Surgery in Management of the Deviated Nose
Foda, H. M. T. (2005) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000149421.14281.fd · Cited by 75
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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