Facial plast Surg 2016; 32(01): 022-028
DOI: 10.1055/s-0035-1570123
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Extracorporeal Septoplasty: External and Endonasal Techniques

Peter S. Wu1, Grant S. Hamilton III1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota
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Publication History

Publication Date:
10 February 2016 (online)


Severe septal deformities are among the most challenging problems faced by rhinoplasty surgeons. Extracorporeal septoplasty (ES)—also known as subtotal septal reconstruction—involves removal of the native deformed septum and replacement with a reconstructed neoseptum. Several techniques and multiple variations have been described in the literature. We present an overview of ES, pertinent anatomical structures and deformities, and the external versus endonasal approach, and describe some of our techniques.