Rhinoplasty - Spreader graft
Considerations
Indications
Reconstructing the internal nasal valve
Reconstruct the mid-vault
Re-contour the dorsum
Key anatomy and physiology
The nasal valve
Nasal mid-vault and dorsum
Graft material, shape, and dimensions
Typically harvested from a straight portion of septal cartilage
Rectangular shape [think 2-5-25]
1-3 mm in thickness
4-6 mm in width
20-35 mm in length
Dimensions depend on the individual's nasal anatomy
Occasionally, longer, broader, or even double-thickness grafts are indicated
Surgical approach
Both endonasal ("closed") and external ("open") are possible
Variations
Auto-spreader
etc.
2004: Endonasal Spreader Graft Placement as Treatment for Internal Nasal Valve Insufficiency
2008: The Effect of Spreader Grafts on Nasal Dorsal Width in Patients With Nasal Valve Insufficiency
2012: The value of spreader grafts in rhinoplasty: a critical review