Question:medium
A nasal surgery was done in this patient and the incision mark is shown. Which of these is probably done?
A nasal surgery was done in this patient and the incision mark is shown. Which of these is probably done?
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An incision across the columella between the nostrils is the hallmark of one specific nasal operation that reshapes the external nose.
Updated On: Jun 22, 2026
- Septoplasty
- Rhinoplasty
- FESS
- Young's surgery
Show Solution
The Correct Option is B
Solution and Explanation
Approach - read the incision, then name the operation.
The key to this picture is the location of the cut. Each nasal operation has a characteristic incision, so spotting the scar on the columella narrows the diagnosis immediately.
What the image shows: a scar running transversely across the columella (the central pillar between the nostrils). An incision here that crosses from one nostril rim to the other is the trans-columellar incision of the external/open rhinoplasty approach. The surgeon uses it to flip up the skin of the nasal tip and directly work on the tip cartilages and dorsum.
Matching each choice to its true incision:
- Rhinoplasty $\rightarrow$ trans-columellar (open) or fully internal (closed) incision; the visible external scar fits this. ✓
- Septoplasty $\rightarrow$ a mucosal incision inside the nose over the septum (Killian/hemitransfixion); no skin scar.
- FESS $\rightarrow$ purely endoscopic through the nostril; no skin incision exists.
- Young's procedure $\rightarrow$ vestibular flaps to close the nostrils for atrophic rhinitis; scar is hidden inside the vestibule, not on the columella.
Only rhinoplasty reshapes the external nose and explains a columellar scar.
Conclusion: the operation is Rhinoplasty (Option B).
The key to this picture is the location of the cut. Each nasal operation has a characteristic incision, so spotting the scar on the columella narrows the diagnosis immediately.
What the image shows: a scar running transversely across the columella (the central pillar between the nostrils). An incision here that crosses from one nostril rim to the other is the trans-columellar incision of the external/open rhinoplasty approach. The surgeon uses it to flip up the skin of the nasal tip and directly work on the tip cartilages and dorsum.
Matching each choice to its true incision:
- Rhinoplasty $\rightarrow$ trans-columellar (open) or fully internal (closed) incision; the visible external scar fits this. ✓
- Septoplasty $\rightarrow$ a mucosal incision inside the nose over the septum (Killian/hemitransfixion); no skin scar.
- FESS $\rightarrow$ purely endoscopic through the nostril; no skin incision exists.
- Young's procedure $\rightarrow$ vestibular flaps to close the nostrils for atrophic rhinitis; scar is hidden inside the vestibule, not on the columella.
Only rhinoplasty reshapes the external nose and explains a columellar scar.
Conclusion: the operation is Rhinoplasty (Option B).
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