Extended spreader graft placement before lateral nasal osteotomy

Area of Science:

• Plastic Surgery
• Otolaryngology
• Rhinology

Background:

• Septorhinoplasty aims to improve nasal function and aesthetics.
• Nasal width and dorsal support are critical aesthetic and functional components.
• Spreader grafts are commonly used to address specific nasal deformities.

Purpose of the Study:

• To evaluate the efficacy of the extended spreader graft technique in septorhinoplasty.
• To assess the impact of extended spreader grafts on nasal width and aesthetic outcomes.
• To determine the suitability of this technique for various nasal width classifications.

Main Methods:

• A retrospective study of 51 patients undergoing open septorhinoplasty with extended spreader grafts.
• Calculation of the dorsal width ratio (DWR) preoperatively and postoperatively.
• Assessment of cosmetic and aesthetic satisfaction, and absence of deformities.

Main Results:

• Preoperatively narrow noses achieved normal width postoperatively.
• A significant proportion of wide noses were corrected to normal width.
• Most patients reported satisfaction with cosmetic and aesthetic results, with no inverted-V or open-roof deformities observed.
• A spacing effect was noted in normal-width noses, and graft palpability occurred in some cases.

Conclusions:

• Extended spreader grafts effectively support the nasal dorsum and vault in septorhinoplasty.
• The technique is advantageous for narrow noses by preventing collapse and for wide noses by preventing open-roof deformities.
• While beneficial for narrow and wide noses, its necessity and preference in normal-width noses require careful consideration due to potential spacing effects.