The present study aimed to evaluate the long-term results of combining spreader graft
with lateral suspension techniques for the management of narrow nasal valve regions.
Modified extracorporeal septoplasty: using a unilateral curved spreader graft
with a septal caudal graft.Ann Plast Surg.
We used extended spreader graft
and strut graft in all cases.
Our study is a prospective study using both the ROE and the VAS in isolated batten or spreader graft
nasal valve procedures, thus strengthening the evidence for use of these functional rhinoplasty techniques for nasal valve incompetence.
The contralateral upper lateral cartilage may be secured to the remnant dorsal strut or, in cases of internal valve collapse, a spreader graft
(figure 4) may be placed to assist in support of the neoseptum.
The patient elected to undergo a nonsurgical procedure in which hyaluronic acid (Restylane) is injected to form a spreader graft
. Previously, the viability of using calcium hydroxyapatite (Radiesse) as a spreader graft
has been documented as a treatment for internal nasal valve collapse.
placement is indicated to: (1) correct internal valve collapse; (2) bridge and strengthen a long, narrow middle vault in patients with short nasal bones; (3) correct a lack of dorsal support of the lateral nasal walls; (4) widen the middle one-third of the nose; (5) straighten or stabilize a high dorsally deviated septum; and (6) create straight dorsal aesthetic lines (figure 1).
According to Pontius and Williams in this month's Facial Plastic Surgery Clinic, when an endonasal spreader graft
is being placed during rhinoplasty, the pocket created for the spreader graft
should only be--wider than the Freer elevator used to create the pocket.
Finally, a unilateral spreader graft
that spans the transection is placed along the cut dorsal septum on the side opposite the suture.
The use of a single dorsal onlay spreader graft
can correct both internal valve collapse and concurrent saddle-nose deformity (figure 1).
We performed open septorhinoplasty and placed a batten graft and a spreader graft
on the right.
Concha radiofrequency, L-strut grafts, and spreader grafts
were also applied.