The Boomerang Mid-Septal Excision and Sliding Advancement Septal Flap with Dorsal Roof Preservation.

The proposed technique may, in selected cases: 1) facilitate single-unit dorsal straightening with limited soft-tissue dissection for a smoother contour; 2) broaden the bony hump morphologies amenable to preservation; 3) provide a caudally advanced septal flap for nasal lengthening or tip support when indicated; 4) supply a boomerang cartilage graft for adjunctive maneuvers; and 5) allow stabilization of the straightened dorsum through suture fixation of both bony and cartilaginous segments.