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Placement technique of extended spreader grafts
Selçuk Inanlı1, Gediz Murat Serin, Senol Polat
1Department of Otolaryngology, Medicine Faculty of Marmara University, İstanbul, Turkey.
Summary
Extended spreader grafts effectively support the nasal bony vault and middle structures during reductive septorhinoplasty. This technique prevents collapse and narrowing, leading to high patient satisfaction with cosmetic and functional outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Rhinology
Background:
- Reductive septorhinoplasty aims to reduce nasal size while maintaining structural integrity.
- Nasal bony vault and middle cartilaginous structures are susceptible to collapse post-reduction.
Purpose of the Study:
- To evaluate the efficacy of extended spreader grafts in supporting the nasal bony vault and middle structures during reductive septorhinoplasty.
- To assess the functional and cosmetic outcomes of this surgical technique.
Main Methods:
- Retrospective analysis of 38 patients undergoing open reductive septorhinoplasty.
- Placement of bilateral, end-to-end extended spreader grafts along the septum.
- Grafts extended from beneath the nasal bones to the anterior septal angle.
Main Results:
- No significant bony vault collapse, irregularity, or inverted-V deformity observed.
- No middle-vault narrowing occurred postoperatively.
- All patients reported satisfaction with both cosmetic and functional results.
Conclusions:
- Extended spreader grafts provide robust support for the nasal bony vault and middle structures in reductive septorhinoplasty.
- This technique is beneficial for reconstructing and stabilizing the middle one-third of the nose.
- The method leads to favorable aesthetic and functional outcomes, preventing common postoperative deformities.
