Nose and paranasal sinuses: rhinoplasty approach: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Nose and paranasal sinuses: rhinoplasty approach

Sample item

A surgeon plans a rhinoplasty that gives wide exposure of the nasal tip cartilages through a transcolumellar incision with elevation of the skin. What is this approach called?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Open (external) approach rhinoplasty

The open approach uses an inverted-V transcolumellar incision joined to marginal incisions to elevate the skin envelope, giving binocular exposure of the tip and dorsum. It is helpful in complex tip work and grafting. Its disadvantage is a small columellar scar.

Option by option

  • A. Cottle's septoplasty

    Septoplasty corrects deviated septum.

  • B. Endonasal closed approach

    The closed approach uses only intranasal incisions.

  • C. Lateral rhinotomy

    Lateral rhinotomy is used for tumour resection.

  • D. Open (external) approach rhinoplasty (correct)

    Correct. A transcolumellar incision defines the open approach.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Open (external) approach rhinoplasty. The open approach uses an inverted-V transcolumellar incision joined to marginal incisions to elevate the skin envelope, giving binocular exposure of the tip and dorsum.

Why is "Cottle's septoplasty" not the answer?

Septoplasty corrects deviated septum.

Why is "Endonasal closed approach" not the answer?

The closed approach uses only intranasal incisions.

Why is "Lateral rhinotomy" not the answer?

Lateral rhinotomy is used for tumour resection.

What concept does this question test?

It tests Nose and paranasal sinuses: rhinoplasty approach in ENT. It is helpful in complex tip work and grafting. Its disadvantage is a small columellar scar.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Nose and paranasal sinuses: rhinoplasty approach?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.