gms | German Medical Science


Figure 10: For the modified nasal valve suspension surgery according to Paniello, a titanium anchor with thread reinforcement is inserted into the bone through a stab incision in the area of the lower border of the orbita [52]. The reinforced threads are subsequently directed subcutaneously into the instable nasal valve area using slightly bent needles, stuck out into the nasal vestibule and returned in rostral direction in the sense of a mattress stitch and knotted.