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Figure 4. A clocking suture and unilaterally extended spreader or septal batten graft for correction of a deviated middle vault and nasal
tip. Image courtesy: Porter et al. [18] .
Figure 5. (A) Meticulous dissection of the vestibular lining off of the lateral crus. (B) The pocket is complete once the vestibular lining is
fully released. (C) The lateral crural strut graft is inserted into the pocket. (D) Final graft placement prior to suture fixation. Porter
et al. [18] .
mattress sutures. Asymmetric crura may necessitate asymmetric lateral crural steal or suturing techniques in
addition to lateral crural strut grafting for adequate correction of the lower lateral cartilages.
