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The temperature dependence of stochastic molecular librations for reline was found to be similar to that known for lipid bilayers and globular proteins, which indicates the proximity of the characteristics of molecular packing in these molecular systems. The standard treatment for reconstructing the middle vault of the nose is to use spreader grafts. Recently, an alternative technique using spreader flaps has become widely accepted. A literature search was performed in MEDLINE, Science Direct, the Cochrane Library and multiple trial reg