Figure 2: The Modified Double Barrel Technique. This combination of nasal trumpets and nasal splints allows for simultaneous placement of nasal trumpets in the presence of nasal splints. Trim away approximately one-third of the medial aspect of the outer flange of the nasal trumpets and use black suture to keep them together. Slide in the nasal trumpets and the nasal splints into the nasal cavity as a unit (starting with the tip of the nasal trumpets and then insert the nasal splints together with the trumpets as a unit). Note: make sure to place one longer nasal trumpet on one side and one shorter nasal trumpet on the opposite side.