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Facial Plast Surg 2023; 39(06): 595-602
DOI: 10.1055/s-0043-1771498
Original Article

Septal Reconstruction: Simple to Complex

Jamie R. Oliver 
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Kansas School of Medicine, Kansas City, Kansas
,
Clinton D. Humphrey 
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Kansas School of Medicine, Kansas City, Kansas
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Abstract

Nasal septal deviation is a frequent problem treated by otolaryngologists and facial plastic surgeons. Complete correction of the septal deformity is often essential both for straightening a crooked nose and for restoration of the nasal airway. While standard septoplasty techniques provide excellent outcomes in most patients, severe septal deformities may require treatment with more advanced maneuvers including adjacent grafting, caudal septal replacement, and even extracorporeal septoplasty. This article reviews a range of septoplasty techniques, with an emphasis on complex septal reconstruction and approaches that can be utilized to maintain keystone stability and establish a robust midline L-strut even in cases with challenging anatomy.

Keywords

septoplasty - keystone stability - extracorporeal septoplasty - cartilage grafting


Publication History

Article published online:
02 August 2023

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