Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-26T06:03:43.363Z Has data issue: false hasContentIssue false
  • English
  • Français

A novel technique for spreader graft placement without dorsum resection during septoplasty

Published online by Cambridge University Press:  17 August 2015

E Kaya ,
T Catli ,
H Soken  and
C Cingi
E Kaya
Affiliation:
Department of Otorhinolaryngology, Eskişehir Osmangazi University, Eskişehir, Turkey
T Catli*
Affiliation:
Department of Otorhinolaryngology, Bozyaka Teaching and Research Hospital, Izmir, Turkey
H Soken
Affiliation:
Department of Otorhinolaryngology, Eskişehir Military Hospital, Turkey
C Cingi
Affiliation:
Department of Otorhinolaryngology, Eskişehir Osmangazi University, Eskişehir, Turkey
*
Address for correspondence: Dr Tolgahan Catli, Department of Otorhinolaryngology, Bozyaka Teaching and Research Hospital, Saim Cikrikci Street, Bozyaka, Izmir, Turkey Fax: +90 232 2505051 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This paper presents a novel method for spreader graft placement without dorsum resection in patients who have a deviated septum with a narrow internal nasal valve angle.

Methods:

A Killian incision was used for the endonasal septoplasty, and all spreader grafts were harvested from excised deviated septal cartilages. Procedures were conducted under general anaesthesia at the same centre by the same surgical team that performed the endonasal procedure. Successful placement of spreader grafts was achieved endonasally.

Conclusion:

Although the endonasal placement of spreader grafts seems to be more difficult than placement conducted by an open approach technique, an endonasal procedure has many advantages. Our technique provides surgeons with the opportunity to shorten operation time, obtain autologous septal graft material and secure the columellar architecture. Surgeons familiar with the classical (endonasal) septoplasty procedure can easily apply this technique to widen a narrow internal nasal valve angle, without corrupting nasal integrity.

Keywords

GraftsNoseRhinoplastyCartilage
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 1025 - 1027
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Sheen, JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984;73:230–9CrossRefGoogle Scholar
2Manavbasi, I, Agaoglu, G. Endonasal placement of spreader grafts. Plast Reconstr Surg 2007;119:1961–2CrossRefGoogle ScholarPubMed
3Teichgraeber, JF, Wainwright, DJ. The treatment of nasal valve obstruction. Plast Reconstr Surg 1994;37:1183–4CrossRefGoogle Scholar
4Grigoryants, V, Baroni, A. The use of short spreader grafts in rhinoplasty for patients with thick nasal skin. Aesthetic Plast Surg 2013;37:516–20CrossRefGoogle ScholarPubMed
5Miman, MC, Deliktas, H, Ozturan, O, Toplu, Y, Akarçay, M. Internal nasal valve: revisited with objective facts. Otolaryngol Head Neck Surg 2006;134:41–7CrossRefGoogle ScholarPubMed
6Wittkopf, M, Wittkopf, J, Ries, WR. The diagnosis and treatment of nasal valve collapse. Curr Opin Otolaryngol Head Neck Surg 2008;16:10–13CrossRefGoogle ScholarPubMed
7Reiffel, AJ, Cross, KJ, Spinelli, HM. Nasal spreader grafts: a comparison of medpor to autologous tissue reconstruction. Ann Plast Surg 2011;66:24–8CrossRefGoogle ScholarPubMed
8Yoo, DB, Jen, A. Endonasal placement of spreader grafts: experience in 41 consecutive patients. Arch Facial Plast Surg 2012;14:318–22CrossRefGoogle ScholarPubMed
9Pontius, AT, Williams, EF 3rd.Endonasal placement of spreader grafts in rhinoplasty. Ear Nose Throat J 2005;84:135–6CrossRefGoogle ScholarPubMed
10Toriumi, DM, Josen, J, Weinberger, M, Tardy, ME Jr.Use of alar batten grafts for correction of nasal valve collapse. Arch Otolaryngol Head Neck Surg 1997;123:802–8CrossRefGoogle ScholarPubMed