Tension adjusted multivectorial static suspension with plantaris tendon in facial paralysis.

Facial paralysis in the midface causes loss of cheek tonus, asymmetry at rest, and inability to smile. Static suspension is generally performed in patients who cannot tolerate time-consuming dynamic reanimation. Current methods for static slings are overly simplistic.

A double-layered, stepped spreader graft for the deviated nose.

Background: In deviated noses, a beveled hump resection is recommended to preserve the shorter nasal wall. Even with this precaution, in some patients, the shorter wall does not reach the planned dorsal level when the lateral wall is transposed toward the midline after the lateral osteotomy.

Method: A double-layered, stepped spreader graft was used on the shorter wall side to construct symmetrical lateral nasal walls.