We read with great enthusiasm the recent study of Hussein et al. [1] entitled “Modified autospreader flap for nasal valve support: utilizing the spring effect of the upper lateral cartilage”. Hussein et al. demonstrated that suture modification of autospreader flap utilizes a ‘spring effect’ that ameliorates nasal valve function.

We want to inform you that a previously published study of ours already defined exactly the same surgical solution. Technique originally described by Eren et al. [2] was named as ‘Autospreading spring flap (ASSF)’ because of the spring effect and it was e-published in March and printed in April 2014. The manuscript of Hussein et al. study has been received as in August 12th by the European Archives of ORL journal that is 5 months before the publication of our study. Depiction of the techniques in two papers is almost the same.

The only nuance we believe important is the preservation of superficial perichondrial layer covering the upper lateral cartilages in our own technique. We think dissection and suturation of the perichondrial layer act as an envelope that smoothens the dorsum and imitates the original anatomy.