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Updated: Apr 20, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Spreader flaps for middle vault contour and stabilization.

Milos Kovacevic1, Jochen Wurm2

  • 1HNO-Praxis am Hanse-Viertel, Gerhofstrasse 2, Hamburg 20354, Germany.

Facial Plastic Surgery Clinics of North America
|November 29, 2014
PubMed
Summary
This summary is machine-generated.

Spreader flaps offer a reliable alternative to spreader grafts in rhinoplasty for hump noses. This technique can restore the middle nasal vault, often avoiding the need for extra cartilage grafts.

Keywords:
Internal nasal valveInverted V deformityMiddle vaultSpreader flap techniquesSpreader flapsSpreader grafts

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Plastic Surgery

Background:

  • Nasal hump excision during septorhinoplasty can lead to middle nasal vault instability.
  • Restoring the middle nasal vault is crucial for both aesthetic and functional outcomes.
  • Traditional spreader grafts are commonly used, but alternatives are being explored.

Observation:

  • Spreader flaps have emerged as a significant alternative to conventional spreader grafts.
  • Indications include primary rhinoplasty for hump noses, hump/tension noses, and moderately hooked or crooked noses.
  • Patient selection is key for successful outcomes with spreader flaps.

Findings:

  • Spreader flaps provide a reliable method for middle nasal vault reconstruction.
  • When properly selected and applied, this technique frequently eliminates the need for additional cartilage grafts.
  • Modifications of spreader flaps enhance their versatility and reliability.

Implications:

  • Spreader flaps represent an effective surgical technique for specific rhinoplasty cases.
  • This method can improve functional and cosmetic results by stabilizing the middle nasal vault.
  • It offers a potentially graft-less solution in many primary rhinoplasty procedures.