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Evaluation of nasal obstruction in rhinoplasty.

Nasal obstruction is commonly due to septal deviation, enlarged turbinate mucosa, enlarged bony turbinates, nasal valving or, occasionally, a ptotic nasal tip. Correct preoperative diagnosis using the algorithm presented will lead to the appropriate selection of treatment for the patient groups discussed. The same diagnostic system will help the surgeon avoid patients who are likely not to be helped by operative intervention.

Algorithms↗

Lateral crural strut graft: technique and clinical applications in rhinoplasty.

The lateral crural strut graft is a new, versatile technique for reshaping, repositioning, or reconstructing the lateral crura. These grafts are strips of autogenous cartilage that are sutured to the deep surface of the lateral crura. Lateral crural struts are useful in the correction of the boxy nasal tip, malpositioned lateral crura, alar rim retraction, alar rim collapse, and concave lateral crura. We describe the surgical technique and demonstrate representative results of our experience with these grafts in 118 patients.

Cartilage↗