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Updated: May 17, 2026

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Spreader graft in septo-rhinoplasty
1Department of Otorhinolaryngology Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea (South Korea).
Summary
Spreader grafts in septorhinoplasty effectively improve aesthetic dorsal lines and internal nasal valve function. This technique provides crucial support to the septum, enhancing functional and aesthetic outcomes after nasal surgery.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Rhinologic Surgery
Background:
- Septorhinoplasty is a common procedure for nasal deformities.
- Maintaining septal support is crucial for functional and aesthetic outcomes.
- Deviated septum removal can compromise nasal structure.
Purpose of the Study:
- To evaluate the functional and aesthetic effects of spreader grafts in septorhinoplasty.
- To assess the impact of spreader grafts on dorsal line, nasal valve, and septal support.
Main Methods:
- 33 patients underwent open septorhinoplasty with spreader grafts.
- Spreader grafts were harvested from septal or costal cartilage.
- Various osteotomy techniques were employed without periosteal elevation.
- Sutures secured grafts to cartilage; crushed cartilage augmented the dorsum.
- Fascia lata camouflaged dorsal irregularities.
Main Results:
- All patients achieved good aesthetic dorsal lines.
- Improved opening of the internal nasal valve area was observed.
- Adequate septal support was restored post-resection.
Conclusions:
- Spreader grafts are effective in septorhinoplasty.
- The technique successfully addresses aesthetic and functional deficits caused by septal deviation.
- Good aesthetic and functional results were consistently achieved.
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