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Commentary
October 1999

Tongue-in-Groove Technique and SeptorhinoplastyA 10-Year Experience

Author Affiliations

University of Illinois at Chicago
Department of Otolaryngology–Head and Neck Surgery (M/C 648)
1855 W Taylor St
Chicago, IL 60612
e-mail: dtoriumi@uic.edu

 

University of Illinois at Chicago
 Department of Otolaryngology–Head and Neck Surgery (M/C 648)
 1855 W Taylor St
 Chicago, IL 60612
 e-mail: dtoriumi@uic.edu

Arch Facial Plast Surg. 1999;1(4):257-258. doi:

IN THEIR article in this issue of the ARCHIVES, Kridel et al1 describe how the tongue-in-groove surgical technique can be used to correct the hanging columella deformity. In this technique, a posterior pocket is created between the medial crura, and the medial crura are set back on the caudal septum. This maneuver allows the surgeon to decrease excess columellar show and increase support to the lower third of the nose. The authors point out how in this technique, an otherwise overly long caudal septum can be used as a supporting structure instead of being resected. We frequently perform a similar maneuver when we set back the medial crura on a midline caudal septum or a cartilage graft extended off the existing caudal septum via the external rhinoplasty approach.2-3

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