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Editor's Correspondence
May 2007

Placement of a Lateral Nasal Suspension Suture Via an External Rhinoplasty Approach

Author Affiliations

Correspondence: Dr Roofe, Department of Otolaryngology, Madigan Army Medical Center, Building 9040 Fitzsimmons Dr, Tacoma, WA 98431 (scottroofe@hotmail.com).

Arch Facial Plast Surg. 2007;9(3):214-216. doi:10.1001/archfaci.9.3.214

Correspondence: Dr Roofe, Department of Otolaryngology, Madigan Army Medical Center, Building 9040 Fitzsimmons Dr, Tacoma, WA 98431 (scottroofe@hotmail.com).

Multiple surgical methods to improve external nasal valve collapse have been described.1-3 Some techniques, such as alar batten grafts, have resulted in varying and sometimes unreliable degrees of improvement with potentially undesirable nasal widening. Likewise, overlay cartilaginous grafts may contribute to significant changes in cosmetic appearance. One recently described technique for nasal valve collapse that avoids these concerns is the use of lateral suspension.4-5 However, this technique has been described as an approach that requires external incisions at the alar-facial junction or on the cheek near the infraorbital rim, or through a transconjunctival approach. Herein, we describe placement of the lateral suspension suture through an external approach as an adjunct to functional nasal surgery, avoiding facial incisions and providing superior exposure for placement. Improved functional outcomes are also measured.

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