Dorsal Augmentation With the Dorsal Extension Spreader Graft. Issue 2 (19th March 2023)

• Record Type: Journal Article
• Authors: Phillips, Sarah J.; Carney, Martin J.; Jazayeri, Hossein E.; Reategui, Alvaro; Moores, Craig; Prassinos, Alexandre J.; Lopez, Joseph; Steinbacher, Derek M.
• Is Part Of: Journal of craniofacial surgery. Volume 34:Issue 2(2023)
• Page Start: 715
• Page End: 717
• Publication Date: 2023-03-19
• Subjects: Dorsal augmentation -- nasal projection -- rhinoplasty -- septoplasty -- spreader graft -- surgical technique; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000008924
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Spreader grafts traditionally are used to improve airflow through opening the internal nasal valve, as well as enhance the cosmetic appearance of the nose. The graft's versatility proves useful in surgical correction of several nasal profiles by enhancing dorsal aesthetic lines and by maintenance of the nasal pyramid at midline. The authors describe a modified spreader graft that adds an additional benefit of dorsal augmentation in patients with underprojected or saddle noses. This technique utilizes harvested septal cartilage and fixation of the graft that extends beyond the septal and upper lateral cartilage dorsal border to improve nasal dorsum height. Patients who received this operative technique by the senior author were identified and their operative courses and surgical outcomes were analyzed. Case examples are provided to illustrate indications and outcomes. This grafting technique allows for improved functionality, defined dorsal aesthetic lines, changes in nasal width, and a more balanced profile in patients with underprojected noses.