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Proximal Intact Spreader Graft in Let-Down Dorsal Preservation Rhinoplasty.

Güncel Öztürk1

  • 1From the Nisantasi University, İstanbul, Turkey; and Private Practice, İstanbul, Turkey.

Annals of Plastic Surgery
|November 12, 2024
PubMed
Summary

A novel proximal intact spreader graft technique in dorsal preservation rhinoplasty effectively corrects nasal deviation and improves outcomes. This method supports nondeviated septums and corrects mild to moderate deviations, enhancing both cosmetic and functional results.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Rhinoplasty Techniques

Background:

  • Spreader grafts are crucial in rhinoplasty, often placed between the upper lateral cartilage and nasal septum.
  • Nasal deviation can occur post-rhinoplasty using let-down or push-down techniques due to pressure on the septum.
  • Dorsal preservation rhinoplasty aims to maintain the natural nasal structure during hump reduction.

Purpose of the Study:

  • To demonstrate the benefits of a proximal intact spreader graft in dorsal preservation rhinoplasty.
  • To support nondeviated nasal septums or correct existing septal deviations.
  • To prevent and manage deviation complications associated with the let-down technique.

Main Methods:

  • A proximal intact spreader graft is utilized in conjunction with dorsal preservation rhinoplasty.
  • In deviated cases, the upper septum is repositioned, and the graft is placed between the upper and lower septum.
  • The technique is applied to patients with slight to moderate caudal septal deviation.

Main Results:

  • The technique effectively addresses dorsal hump and deviation deformities.
  • It enhances upper lateral cartilage concavity and prevents nasal valve collapse.
  • Significant improvement in ROE scores (51.5 to 91.5, P < 0.001) was observed post-procedure.

Conclusions:

  • The proximal intact spreader graft is a valuable method for preventing and correcting nasal deviation in dorsal preservation rhinoplasty.
  • This technique offers improved cosmetic and functional outcomes for patients with hump deformities.
  • It provides a suitable approach for surgeons to manage deviation issues related to the let-down technique.