Journal archive · Preservation rhinoplasty · Dorsum and hump · Septum, valve and airway · Open versus closed approach · Anatomy and nasal analysis · Adolescent and aging nose · 2026
Aesthetic Septoplasty in Children with External Nasal Deformity: An Endonasal Modified Dorsum-Preserving Extracorporeal Septoplasty Technique
Guliyev M, Erbek SS.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on extracorporeal septoplasty.
From the abstract
“Septal deviation leads to nasal obstruction, impaired breathing, and facial growth disturbance in children. Most surgeries performed in childhood to fix the deviated nasal septum are conservative. However, further procedures, such as extracorporeal septoplasty, may be needed in cases of a severely deviated septum.…”
Excerpt; the full abstract is on PubMed.
Citation
Start here
What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Preservation rhinoplasty
Preservation rhinoplasty lowers the hump by taking cartilage and bone out from underneath and letting the roof of the nose settle, instead of cutting the roof off and rebuilding it.
Dorsum and hump
The hump is the commonest reason people ask for rhinoplasty and the step that decides most of what follows: take the roof off and the middle vault has to be rebuilt, keep the roof and it may push its way back up.
Septum, valve and airway
Every rhinoplasty is a breathing operation whether it intends to be or not: the septum holds the nose up as well as dividing it, and the narrowest part of the whole airway is the internal valve the surgeon is standing over.
Open versus closed approach
Whether the surgeon opens the nose through a small incision across the columella or works entirely through the nostrils has been argued in print since 1973, was put on facing pages of Plastic and Reconstructive Surgery by Jack Gunter and Jack Sheen in 1997, and was finally pooled in 2025: across twenty studies and 1,067 patients there is no significant difference in what patients report, in breathing, in complications or in swelling.
Anatomy and nasal analysis
Before any technique is chosen, the nose has to be read: the bone measured, the cartilage counted, the skin assessed, and the result the patient wants agreed on a photograph that is not yet true.
Adolescent and aging nose
The same operation is a different problem at twelve and at seventy: in a child the fear is stunting a nose that has not finished growing, and in an older patient the nose has kept changing, dropping at the tip, thinning at the skin and weakening at the cartilage, until it blocks the airway.
Related papers
Same topic, 2026.
- ASJ Adverse Outcomes and Complications of Autologous Versus Homologous Costal Cartilage Grafts in Septorhinoplasty: A Systematic Review and Meta-analysisJullamusi W, Kowitwibool K, Mungmee A et al.2026PMID 42374829Abstract
- ASJ Asian Rhinoplasty Using Exclusively Auricular Cartilage Through a Closed ApproachGu Q, Fu Z, Li J et al.2026PMID 41411306Summary
- ASJ Dorsal Width and Functional Outcomes with use of Autospreader Flaps in Cosmetic RhinoplastyJabbour N, Pelligrini W, Shehan J et al.2026PMID 42415377Summary
- ASJ Efficacy of Combined Septal Extension and Derotation Grafts in Asian Rhinoplasty: A Quantitative Analysis of Tip Projection and StabilityHuang CJ, Tsai TY, Yen CI et al.2026PMID 41990353Summary
- ASJ Establishing Normative Data on Satisfaction with Nasal Appearance: a Dutch Population-Based Study Using Aesthetic Rhinoplasty Outcome InstrumentsKasapov M, Afonso PM, Datema FR et al.2026PMID 42670247Summary
- ASJ Piezoelectric Versus Conventional Rhinoplasty: A GRADE-Assessed Systematic Review and Meta-analysis of Randomized Controlled TrialsArmanfar S, Ardakani MR, Vahidiataabadi M2026PMID 42013314Summary
- ASJ Postoperative Differences in Dorsal Aesthetic Lines in Patients Undergoing Dorsal Preservation Rhinoplasty and Conventional Hump ResectionXu L, Huang H, Kandathil CK et al.2026PMID 41369038Summary
- ASJ Preoperative Serotonin Antidepressants Are Associated With Increased Postoperative Complications Following Rhinoplasty: A Propensity Score-Matched AnalysisZontag N, Skorochod R, Wolf Y2026PMID 41672725Summary