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Related Experiment Video

Updated: Jun 15, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Humpectomy and spreader flaps.

Ronald P Gruber¹, Stephen W Perkins

¹Division of Plastic & Reconstructive Surgery, University of California (SF), San Francisco, CA, USA. rgrubermd@hotmail.com

Clinics in Plastic Surgery

|March 9, 2010

Summary

This summary is machine-generated.

This study introduces spreader flaps, a novel technique in rhinoplasty that reconstructs nasal cartilage using upper lateral cartilages. This method offers a more accurate humpectomy for improved middle nasal third reconstruction.

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Area of Science:

Plastic Surgery
Otolaryngology
Facial Plastic Surgery

Background:

Primary rhinoplasty often discards dorsal upper lateral cartilages during humpectomy.
Middle nasal third reconstruction frequently requires spreader grafts.

Purpose of the Study:

To present a technique for reconstructing upper lateral cartilages into "spreader flaps" as an alternative to spreader grafts.
To describe an incremental humpectomy method for improved accuracy in rhinoplasty.

Main Methods:

Reconstruction of upper lateral cartilages into "spreader flaps" during primary rhinoplasty.
Incremental humpectomy of the dorsal septum and bony hump, preserving cartilage.
Discussion of both open and closed surgical approaches for this technique.

Main Results:

Spreader flaps effectively reconstruct the middle third of the nose, mimicking spreader graft function.
Incremental humpectomy provides greater accuracy compared to conventional single-unit resection.
The technique is applicable to both open and closed rhinoplasty approaches.

Conclusions:

Spreader flaps are a viable alternative to spreader grafts in primary rhinoplasty.
The incremental humpectomy technique enhances precision in nasal hump reduction.
This method optimizes cartilage preservation and reconstruction in rhinoplasty.