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Dorsal Augmentation With the Dorsal Extension Spreader Graft
Sarah J Phillips1, Martin J Carney1, Hossein E Jazayeri2
1Department of Surgery, Division of Plastic Surgery, Yale New Haven Hospital, New Haven, CT.
The Journal of Craniofacial Surgery
|August 19, 2022
Summary
This study introduces a modified spreader graft technique for nasal surgery. It enhances nasal airflow, improves cosmetic appearance, and provides dorsal augmentation for underprojected or saddle noses.
Area of Science:
- Rhinoplasty and Plastic Surgery
- Nasal Reconstruction Techniques
Background:
- Spreader grafts are standard for improving nasal airflow and aesthetics.
- Current techniques may not address dorsal augmentation needs in certain nasal profiles.
Purpose of the Study:
- To describe a modified spreader graft technique for dorsal augmentation.
- To evaluate the functional and aesthetic outcomes of this modified technique.
Main Methods:
- A modified spreader graft technique using septal cartilage was developed.
- The graft fixation extends beyond the dorsal border for height enhancement.
- Surgical outcomes of patients who underwent the procedure were analyzed.
Main Results:
- The modified graft provided improved nasal airflow and dorsal aesthetic lines.
- Patients experienced enhanced nasal dorsum height and a more balanced profile.
- The technique was effective for underprojected or saddle noses.
Conclusions:
- This modified spreader graft technique offers functional and aesthetic benefits.
- It effectively augments the nasal dorsum while improving airflow and appearance.
- The technique is a valuable option for correcting underprojected noses.
