Free spreader grafts in rhinoplasty

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Spreader graft in closed rhinoplasty: the "rail spreader".

Spreader grafts (SGs) have been widely used for both aesthetic and functional reasons to prevent middle vault collapse and treat internal nasal valve insufficiency. Although SG precise fixation can be easily achieved in open rhinoplasty, the difficulties of SG placement in closed rhinoplasties can be discouraging. In the present report, we describe a new custom-made SG (called "rail spreader") ...

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Pressure necrosis of septal cartilage associated with bilateral extended spreader grafts in rhinoplasty.

OBJECTIVE To investigate septal cartilage compressive changes as a result of bilateral extended spreader grafts (ESGs), which are commonly used in rhinoplasty. The buckling, rupturing, or necrosis of the recipient site leads to nasal tip structural deformity. These pathologic changes associated with bilateral ESGs warrant the clinician's attention and in-depth basic and clinical research. MET...

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Use of porous high-density polyethylene grafts in open rhinoplasty: no infectious complication seen in spreader and dorsal grafts

OBJECTIVE The aim of this study is to use porous high-density polyethylene grafts (Medpor) in open rhinoplasty and then assess complication rate and aesthetic outcomes. METHODS In a prospective cohort study, we performed open rhinoplasty and employed Medpor as rhinoplasty grafts. Then we compared their complication rate. RESULTS In a total of 64 patients, 84 Medpor grafts--8 dorsal grafts, ...

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Functional rhinoplasty with batten and spreader grafts for correction of internal nasal valve incompetence.

OBJECTIVE We a describe technique for correction of internal nasal valve incompetence (INVI) using functional rhinoplasty (FRP) with combined cartilaginous batten and spreader grafts and report the functional and cosmetic outcomes. DESIGN Prospective series using subjective improvement in nasal airway and quality of life. SETTING Subregional ENT centre, one operating rhinologist. PARTICIP...

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Grafts in "closed" rhinoplasty

Rhinoplasty is a fascinating and complex surgical procedure aiming at attaining a well-functioning and aesthetically pleasant nose. The use of grafts is of the utmost importance for the nasal surgeon to achieve such results. However, the philosophy and technical use of nasal grafts are different in "closed" and "open" rhinoplasty. The aim of this paper is not detailed description of the numerou...

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ژورنال

عنوان ژورنال: European Journal of Plastic Surgery

سال: 2015

ISSN: 0930-343X,1435-0130

DOI: 10.1007/s00238-015-1085-2