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Perry J. Johnson, MD; Ron Hollins, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Plastic and Reconstructive Surgery

Use of the Spring Graft for Prevention of Midvault Complications in Rhinoplasty

Cenk Sen, MD; Deniz Iscen, MD

Background: Preservation of the middle nasal vault has increasingly become a topic of interest and concern in rhinoplasty. Resection of even a minute amount of roof during hump removal disturbs the stabilizing effect of the upper lateral cartilages, which then causes a fall of upper lateral cartilages medially toward the anterior septal edge, restricting airflow at the internal valves and creating midvault problems.

Methods: The resected alar cartilages were placed deep to the upper lateral cartilages as a strengthened spring to prevent midvault collapse and internal valve incompetency. Although weak and small alar cartilages are limitations of the technique, the authors think that this is not so frequent because the total force exerted on the upper lateral cartilages by the spring . . . [Full Text of this Article]