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CPT Lawrence P. A. Burgess, MC; MAJ Dennis M. Everton, MC; MAJ Jay J. Quilligan, MC; MAJ Glenwood Charles, MC; COL Michael L. Lepore, MC; COL Thomas E. Van Sant, Jr, MC; COL Donald W. S. Yim, MC

Arch Otolaryngol Head Neck Surg. 1986;112(10):1064-1068.

Abstract
• More rhinoplastic surgeons are using the external (combination) rhinoplasty approach for selected patients. Although several large series report few complications, the initial experience of newcomers may be different. A series of 26 external rhinoplasty approaches was examined, representing the initial experience of supervised residents. The most common complication was incising the anterior margin of the lower lateral cartilage at the juncture of the lateral and medial crura. To prevent this problem, it is recommended that the skin be elevated off the lower lateral cartilages from both a medial direction up over the domes and a lateral direction downward. To repair this complication, a figure-of-eight suture is used to reapproximate the incision.

(Arch Otolaryngol Head Neck Surg 1986;112:1064-1068)

Author Affiliations
USA; USA; USA; USA; USA; USA; USA

From the Otolaryngology—Head and Neck Surgery Service, Department of Surgery, Tripler Army Medical Center, Honolulu. Drs Van Sant and Everton are in private practice, Phoenix.

Footnotes
Accepted for publication Feb 20, 1986.

Read in part before the Western Section meeting of the American Academy of Facial and Reconstructive Surgery, Santa Barbara, Calif, Jan 4, 1985.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or Department of Defense of the United States of America.

Reprint requests to PO Box 47, Tripler Army Medical Center, HI 96859-5000 (Dr Yim).

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