Aesthetic Plastic Surgery

, Volume 43, Issue 1, pp 184–188 | Cite as

Discussion of Paper Entitled “The Relation Between the Lower Lateral Cartilages and the Function of the External Nasal Valve”

  • Dean M. ToriumiEmail author
Editor’s Invited Commentary

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

The paper entitled “The relation between the lower lateral cartilage and the function of the external nasal valve” looks at the significance of the orientation (angulation off of midline) of the lateral crura. The focus of this paper is on the diagnosis, incidence and treatment of “cephalically malpositioned” lateral crura. Sheen and Constantian [ 1, 2] were the first to popularize the concept. Using the external rhinoplasty approach, one can readily measure the angulation of the lateral crura as they diverge off of midline (Fig.  1). If the lateral crura diverge at an angle less than 30° off of midline, they can be considered cephalically malpositioned [ 3]. In this paper, the authors look at 60 rhinoplasty patients that were...


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Conflict of interest

The author declares that there is no conflict of interest to disclose.


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© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck SurgeryUniversity of Illinois at ChicagoChicagoUSA

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