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Comment & Response
Nov/Dec 2016

Trimmed Lateral Crura of Lower Lateral Cartilages as Spreader Grafts—Reply

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
  • 2Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ontario, Canada
  • 3Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Michigan School of Medicine, Ann Arbor
  • 4Department of Otolaryngology–Head & Neck Surgery, University of California, San Francisco, San Francisco
JAMA Facial Plast Surg. 2016;18(6):493-494. doi:10.1001/jamafacial.2016.1256

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.

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