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Holger G. Gassner, MD; Oren Friedman, MD; David A. Sherris, MD; Eugene B. Kern, MD

Arch Facial Plast Surg. 2006;8(6):432-435.

Surgery of the nasal valves is a challenging aspect of rhinoplasty surgery. The middle nasal vault assumes an important role in certain aspects of nasal valve collapse. Techniques that address pathologies of the middle vault include the placement of spreader grafts and the butterfly graft. We present an alternative technique of middle vault reconstruction that allows simultaneous repair of nasal valve collapse and creation of a smooth dorsal profile. The surgical technique is described in detail and representative cases are discussed.

Author Affiliations: Department of Otorhinolaryngology, Mayo Clinic College of Medicine, Rochester, Minn (Drs Gassner and Friedman), and Departments of Otolaryngology, Millard Filmore Gates Circle Hospital (Drs Sherris) and University at Buffalo (Drs Sherris and Kern), Buffalo, NY. Dr Gassner is now a Fellow in Facial Plastic and Reconstructive Surgery at the Larrabee Center, Virginia Mason Hospital, and the University of Washington, Seattle.

RELATED LETTER

Middle Vault Reconstruction
Jannis Constantinidis
Arch Facial Plast Surg. 2007;9(2):139.
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Middle Vault Reconstruction
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Arch Facial Plast Surg 2007;9:139-139.
FULL TEXT