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Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience
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Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience
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Journal Article
Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience
2025
Overview
Introduction
The use of either an open or closed approach in rhinoplasty has been a topic of debate. Widening the narrow internal nasal valve area through internal nasal valve augmentation presents a strong case for an open approach. However, this study presents a direct method for fixing spreader grafts using a closed approach, which offers the benefits of precise placement and stability without an external scar.
Materials and methods
Nine patients with functional and/or cosmetic complaints that need spreader grafts insertion were enrolled in the study. Spreader grafts placed and fixed by stitches using a closed rhinoplasty approach with additional esthetic steps added as necessary.
Results
Valve collapse was secondary in 2 cases, and the spreader graft was inserted bilaterally in all but one patient. Their complaint was either functional (44%), cosmetic (22%), or both (33%). NOSE scores showed improvement in all patients with a mean operative time was (68.68 ± 12.45 SD) minutes and postoperative complications were acceptably low.
Conclusion
In this report, we describe fixation of spreader graft through a closed technique with visualization of the entire septal cartilage frame. This method combines the advantages of direct manipulation and fixation with all the benefits of a closed approach.
Publisher
Springer Berlin Heidelberg,Springer,Springer Nature B.V,SpringerOpen
