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Use of the Novel Hourglass Shaping Sutures to Create a Natural Middle Vault Shape as Illustrated by Three-Dimensional
Emmanuel Racy1, Nathanel Edery1, Amanda Fanous1
1From the Fondation Saint Jean de Dieu, Clinique Oudinot; Department of Otolaryngology-Head and Neck Surgery, Adolphe-Rothschild Fondation; Department of Otolaryngology-Head and Neck Surgery, Kremlin-Bicêtre AP-HP University Hospital; Department of Plastic Surgery, Saint Joseph Hospital; Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, McGill University; and Department of Head and Neck Oncology, Gustave Roussy Institut.
Summary:
The middle vault plays a major aesthetic and functional role. Excessive narrowing of the middle vault can occur in the absence of appropriate middle vault reconstruction. This can result in both aesthetic flaws and functional issues. Spreader flaps combined with our hourglass shaping sutures technique yield a natural middle vault appearance and prevent unwanted functional and aesthetic complications.
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