In Reply Yeung et al1 reported the nasal breathing outcome following functional and aesthetic-functional rhinoplasty using the Nasal Obstruction and Septoplasty Effectiveness (NOSE) scale.1 The reconstruction technique included alar batten grafts and spreader grafts. We commend Gazzola et al for presenting the lateral crural flaps as an alternative to spreader grafts in such patients. However, we believe there are important limitations for this technique.
Hassouneh B, Brenner MJ, Kim DW. Trimmed Lateral Crura of Lower Lateral Cartilages as Spreader Grafts—Reply. JAMA Facial Plast Surg. 2016;18(6):493-494. doi:10.1001/jamafacial.2016.1256