Inferior turbinate surgery: What are the best treatment options in 2026?

Rhinoplasty is a common surgical procedure that aims to correct nasal deformities and improve aesthetic appearance and functional breathing. In cases of deviated noses, surgeons often need to choose between preservation or structural techniques. This lecture will critically evaluate the existing literature to compare the efficacy, outcomes, and complications of preservation versus structural rhinoplasty, specifically in the context of deviated noses. The decision between preservation and structural rhinoplasty in deviated noses remains complex and multifaceted. While preservation rhinoplasty may offer advantages in terms of less invasive maneuvers and quicker recovery times, structural rhinoplasty may provide a more thorough correction and potentially better long-term outcomes.

Advances in minimally invasive surgery and a deeper understanding of turbinate physiology have led to a more conservative approach in manipulating these structures, focusing on preserving turbinate mucosa while reducing airway resistance and improving sinus fuction.

Cartilage is the most necessary material for grafting in secondary rhinoplasty cases with over-resection, addressing multiple structural and surface defects. However, selecting the ideal graft has been a concern due to donor site morbidity and potential issues like graft visibility, irregularities, infection, and inflammatory reactions. Advances in facial plastic surgery have led to the development of special techniques to reduce donor site morbidity using autografts. By combining open and endoscopic approaches, we can provide sufficient support for structural and camouflage purposes exclusively using non-rib sources, resulting in minimal morbidity and successful outcomes.

Surgiram techniques and medicam treatment of the thick skin

The chin is in a prominent position on the face and plays a significant role in the facial profile. Advancement osteotomy or filler augmentation could be performed during facial procedures to improve the facial profile. In surgical cases, after horizontal osteotomy was completed, five different fixation methods were applied using mini-plates and screws. In the patients who did not tend to undergo surgical intervention, fillers were used as a simple method with no or very minimal risk. However, it is suitable for mild to moderate cases with no functional problems.

Nasal septal perforation is a common issue that can be caused by primary or secondary factors. In cases of large perforations, laminar airflow is disrupted by turbulence, leading to a feeling of nasal congestion. Extensive perforations can also result in loss of dorsal support and a saddle nose deformity. Septoplasty, with or without rhinoplasty, is the primary cause of septal perforation. Repairing large septal perforations has proven to be a challenge for many facial plastic surgeons. The key to success lies in creating large vascularized nasal flaps to allow for a relaxed closure without any tension.

Deviated nose has present a great challenge for the surgeon , ın this round table differents aspects of this challenging surgery will be discussed

Extreme concavities of the lower lateral crura can cause severe aesthetic and functional problems. Lateral crural reversing can contour the shape, reconstruct lateral crus completely, and correct concavity and valve collapse by a simple but delicate technique. It could be done with or without reinforcing grafts.

Various grafting materials have been described to augment the radix area including bone, solid cartilage, crushed cartilage, diced cartilage-fascia, diced cartilage-glue, diced cartilage-surgicel, fascia, and dermal graft. All of these materials have potential problems such as visibilities, irregularities, unwanted reactions, considerable resorption, increased operation time for harvesting, and donor site morbidities. The nasal fibro-fat graft is a suitable and easy harvested graft material with no morbidity for the correction of radix hypoplasia. It could fit the place with no visibility problem.

Management of Septal Perforations: Strategies and Techniques

Endoscopic DCR: Different Techniques and Controversies