[Rhinoplasty with the external approach. Report of 23 cases]

23 external rhinoplasties were carried out over a 4-year period between 1986 and 1989. In 19 cases, they related to major malformations or traumatic sequelae requiring a spindle or columella bone graft. In 14 out of these 19 cases, an iliac graft was used. This approach requires a specific technique but it allows an accurate dissection of all the nose structures and grafting under excellent conditions.