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Comment & Response
October 31, 2019

Clarification of a Suspension Technique for Unstable Nasal Bones

Author Affiliations
  • 1Section of Otorhinolaryngology, Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy
  • 2Department of Otorhinolaryngology–Head & Neck Surgery, Azienda Ospedaliera Ospedali Riuniti Marche Nord, Pesaro-Fano, Italy
JAMA Facial Plast Surg. 2019;21(6):573-574. doi:10.1001/jamafacial.2019.1110

To the Editor We read the article “Suspension Technique for Unstable Nasal Bones” (and related video) by Hunter and Tasman.1 We congratulate the authors on their work; however, some aspects may be underlined in their article.1

First, the suspension technique proposed by the authors seems very similar to the one reported by Maliniac in 1946 (Figure).2 In Maliniac’s technique, the internal support (pressure pads rather than silicon sheeting) is combined with an external device by means of transcutaneous suspension. As in the procedure described by Hunter and Tasman,1 Maliniac introduced the pads through transcutaneous bridle sutures, which were used to fix them in place. Certainly an outdated device was used, even though the concept seems identical to that reported by Hunter and Tasman.