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Surgical Technique
November 2005

Interlocked Transdomal Suture Technique for the Wide Interdomal Space in Rhinoplasty

Author Affiliations
 

Author Affiliations: Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, The Johns Hopkins Medical Institutions, Facial Plastic Surgicenter, Baltimore, Md.

Correspondence: Ira D. Papel, MD, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–@Head and Neck Surgery, The Johns Hopkins Medical Institutions, Facial Plastic Surgicenter, 1838 Greene Tree Rd, Baltimore, MD 21208 (IDPMD@aol.com).

Arch Facial Plast Surg. 2005;7(6):414-417. doi:10.1001/archfaci.7.6.414

Correspondence: Ira D. Papel, MD, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–@Head and Neck Surgery, The Johns Hopkins Medical Institutions, Facial Plastic Surgicenter, 1838 Greene Tree Rd, Baltimore, MD 21208 (IDPMD@aol.com).

Multiple techniques are available for the treatment of the wide interdomal space in rhinoplasty. A simple, predictable method for narrowing the interdomal space using a suture technique is described herein. The procedure uses a pair of permanent sutures that are designed to minimize distortion, valve impingement, and overcorrection. It can be performed through intranasal or external approaches. This article will define the wide interdomal space, describe the technique, and demonstrate the efficacy of the technique in 250 rhinoplasty procedures.

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