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Updated: Jul 18, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
An alternative method of middle vault reconstruction
Holger G Gassner1, Oren Friedman, David A Sherris
1Department of Otorhinolaryngology, Mayo Clinic College of Medicine, Rochester, MN, USA. gassner@facial-plasticsurgery.eu
Abstract:
Surgery of the nasal valves is a challenging aspect of rhinoplasty surgery. The middle nasal vault assumes an important role in certain aspects of nasal valve collapse. Techniques that address pathologies of the middle vault include the placement of spreader grafts and the butterfly graft. We present an alternative technique of middle vault reconstruction that allows simultaneous repair of nasal valve collapse and creation of a smooth dorsal profile. The surgical technique is described in detail and representative cases are discussed.
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