title: An alternative method of middle vault reconstruction.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, Mayo Clinic College of Medicine, Rochester, MN, USA. gassner@facial-plasticsurgery.eu
authors.forename: Holger G
authors.initials: HG
authors.lastname: Gassner
authors.forename: Oren
authors.initials: O
authors.lastname: Friedman
authors.forename: David A
authors.initials: DA
authors.lastname: Sherris
authors.forename: Eugene B
authors.initials: EB
authors.lastname: Kern
mesh_terms: D002356:Cartilage / Q000637:transplantation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome