To the Editor We congratulate Yeung et al1 on their study that evaluates the improvement in nasal obstruction after reconstruction with cartilage graft, concluding that both spreader and alar grafts are effective in treating nasal valve insufficiency. According to their article,1 the source of cartilage graft was mainly septal (65%), auricular (28%), and costal (18%). This means that a second surgical site is opened in more than one-third of cases.
Gazzola R, Cottone G, Preis FWB. Trimmed Lateral Crura of Lower Lateral Cartilages as Spreader Grafts. JAMA Facial Plast Surg. 2016;18(6):493. doi:10.1001/jamafacial.2016.1253