Abstract
To date, an endonasal approach has not been described that combines different incisions
to provide exposure of all of the key anatomical structures, allowing for adequate,
comprehensive visualization of the nasal architecture including the complete quadrangular
cartilage and its extension with the upper lateral cartilages, including the caudal
septal border from the ventral border and anterior nasal spine to the anterior septal
angle, the scroll, and internal nasal valve.
The endonasal approach that Fausto Lopez-Infante designed, the FLI technique, combines
several basic known endonasal incisions that together allow excellent access and great
visualization of the intranasal surgical field, enables extensive septal work, and
preserves the natural anatomy of the dorsum as well as the tip support structures.
This technique and approach to nasal surgery are based on an understanding of anatomy,
allow standardization of the surgery, and make it reproducible. It is an outstanding
option with excellent cosmetic and functional results.
Keywords
FLI approach - endonasal approach - septorhinoplasty - technique - nasal anatomy
