Submit Manuscript | http://medcraveonline.com Exclusion criteriai. Patients aged less than 18 years and greater than 50 years.ii. Patients with coexisting debilitating diseases, major systemic disease or facial asymmetry. AbstractObjectives: To describe the technique of endonasal endoscopic assisted extracorporeal septoplasty (ECS)/septorhinoplasty and its comparison to ECS/septorhinoplasty via open approach in crooked nose.Methods: This is a prospective comparative study was conducted on 60 patients suffering from crooked nose and septal deviation of different etiologies between November 2015 and January 2018. Patients were randomly equally divided in 2 groups A and B. Group A underwent endonasal endoscopic assisted ECS/septorhinoplasty and Group B subjected to ECS/septorhinoplasty with open approach. Patient satisfaction was assessed using subjective evaluation of the nasal patency by Nasal Obstruction Symptom Evaluation (NOSE) scale. Anthropometric changes were assessed from preoperative and postoperative facial photographs. Results:The ECS through endonasal endoscopic assisted approach and in open septorhinoplasty techniques proved to be functionally effective and obtained reasonable straight nasal septum and aesthetic outcome at follow-up in all cases included in the current study. In group A: 24 patients (89%) were satisfied with the cosmetic outcome, and all 23 patients with moderate to severe nasal obstruction were satisfied with the postoperative improved nasal breathing. Conclusion:The technique of ECS through endonasal endoscopic assisted approach provided the structural support without destabilizing the keystone area. Sutures the replanted quadrangular cartilage to the fibrous tissue in the area of the nasal spine under direct endoscopic visualization was easy to perform and effective fixation technique. The present study had some limitations. The study involved a relatively small number of patients, a relatively short follow-up period and an ambiguous indication for ECS. Citation: El-Banhawy MO, Elshafy IAA, Atala AT, et al. Endonasal endoscopic assisted extracorporeal septoplasty in aesthetic reconstruction of crooked nose. J Otolaryngol ENT Res. 2018;10(2):92-99.