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An Algorithmic Approach to use Extended Spreader Grafts in Deviated Noses
Muhammad Sohail1, Muhammad Mustehsan Bashir2, Ali Hassan2
1Department of Plastic surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan. drsohail72@gmail.com.
Aesthetic Plastic Surgery
|November 25, 2024
Summary
Using specific types of extended spreader grafts (ESGs) in rhinoplasty for deviated noses improves aesthetic outcomes and patient satisfaction. This study proposes an algorithm to guide the selection of ESGs for better surgical results.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Rhinology
Background:
- Restoring a straight nasal dorsum in deviated noses is complex.
- Extended spreader grafts (ESGs) are crucial for septal support and nasal structure.
- Effective ESG use is key to successful rhinoplasty outcomes.
Purpose of the Study:
- To classify extended spreader graft (ESG) types for rhinoplasty.
- To develop an algorithm for selecting ESGs based on deviated nose types.
- To evaluate the long-term cosmetic results and patient satisfaction with different ESG forms.
Main Methods:
- Retrospective review of 76 patients with deviated noses undergoing rhinoplasty (2019-2023).
- Analysis of patient demographics, nasal deviation types, and ESG utilization.
- Assessment of surgical outcomes, complications, patient satisfaction, and surgeon evaluations.
Main Results:
- C or reverse C deviations were most common (38%).
- Four types of ESGs were identified; Type-C was most frequently used (57%).
- Specific ESG types were matched to deviation types, including those with saddle deformity.
Conclusions:
- Utilizing specific extended spreader graft (ESG) types enhances nasal aesthetics and provides reliable long-term results.
- The proposed ESG algorithm aids surgical decision-making in deviated nose correction.
- Optimized ESG selection leads to improved patient satisfaction and surgical outcomes.
