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Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery
by Vicky S Khattar, Bachi T HathiramThis video demonstrates ways to correct alar collapse. Although the terms ‘alar batten’ and ‘alar strut grafts’ are used interchangeably with some confusion, they have specific meanings and purposes. Batten grafts are placed deep to the lateral crus in the space between the lateral crus and the vestibular mucosa. Maximum support is achieved by placing the alar graft over the bone of the pyriform aperture. They are best secured with sutures in order to maintain position; and are best inserted using an ‘open’ rhinoplasty approach.
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