Introduction: Rhinoplasty is one of the most difficult procedures in the field of facial plastic. There is significant number of patients end up with poor outcomes. Many of these poor outcomes could be avoided by good surgical judgment and decision making. To achieve a very efficient dorsal hump, a proficiency of skills and technique, an… [Read More]
Midvault & Internal Nasal Valve
Management of the Internal Nasal Valve
Introduction The nasal valve is one of the most important areas that should be addressed when evaluating a patient for nasal obstruction. When it is not assessed properly and only the septum is treated, patients may experience persistent obstruction (1). In fact, nasal valve pathology is the cause of persistent nasal obstruction after septoplasty in… [Read More]
Treatment of Nasal Obstruction
Treatment of Nasal Obstruction From Nasal Valve Collapse with Alar Batten Grafts Daniel G. Becker, MD, FACS¹ & Samuel S. Becker, MD, MFA² ¹Department of Otorhinolaryngology-Head and Neck Surgery, University of PennsylvaniaHospital, Philadelphia, Pennsylvania; ²Department of Otorhinolaryngology-Head and NeckSurgery, University of Virginia Hospital, Charlottesville, Virginia Address all correspondence to Dr. Daniel G. Becker, Dept. of… [Read More]
Featured Techniques – Spreader Grafts
Abstract Spreader grafts are an essential tool in the armamentarium of the rhinoplasty surgeon. Spreader grafts provide support of the middle vault and widen the internal nasal valve, the narrowest portion of the nasal airway which contributes approximately half of the total airway resistance. Spreader grafts are frequently indicated in functional rhinoplasty and in revision… [Read More]
Management of the middle vault
Abstract Special anatomic features determining both nasal aesthetics and function make middle vault surgery a challenging task for the rhinoplastic surgeon. Spreader grafts and spreader flaps, the split hump technique and the use of diced cartilage with fascia are some of the most common tools currently used for correction. The techniques described in this article… [Read More]