Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal

Naguib, Maged B.; Ahmed, Mohamed; Madian, Yasser T.; El-Nahriry, Tarek; Eldeeb, Wael Elshahat

doi:10.1186/s43163-020-00058-6

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…The results of our study are in accordance with those of the aforementioned study and those of the study conducted by Naguib et al in 2020. In the latter, both the auto-spreader flap and spreader graft for surgical correction of nasal deformity showed notable improvements in terms of esthetic satisfaction score at the 3-month and 6-month postoperative follow-up visits, which is similar to our findings 21…”

Section: Discussionsupporting

confidence: 90%

A Novel Technique for Spreader Flap by Folding the Dorsal Hump in Patients Undergoing Primary Rhinoplasty

AlAwadh

Bogari

Assiri

et al. 2022

Journal of Craniofacial Surgery

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Objectives: We describe our novel modified spreader flap, which involves keeping the large cartilaginous septal T hump attached to the upper lateral cartilages to increase the thickness and length of the flap. Our objectives were to assess hump reduction and recurrence, nasal axis deviation, dorsal width, internal nasal valve grade, and Rhinoplasty Outcome Evaluation (ROE) score preoperatively and one year postoperatively. Materials and Methods: In a prospective study that included 21 patients who met the criteria, patients were followed up for 1 year after surgery, with an assessment of the dorsal projection, tip projection, axis deviation, dorsal width, and internal nasal valve grade. In addition, the modified Cottle maneuver and Rhinoplasty Outcome Evaluation score were also performed and obtained, respectively. Results: Our novel technique was performed in 20 patients (95.2%). In 1 additional patient, we added a regular auto-spreader flap on the contralateral side. One year postoperatively, the axis was found in the midline in all patients (100%). Assessment of internal valve collapse showed that collapse was reduced to grade 0 in 13 patients (61.9%) and grade 1 in 8 patients (38.1%). There were no hump recurrences or visible irregularities. The results showed a statistically significant difference between the pre-and postoperative values in dorsal projection, dorsal width, and rhinoplasty outcome evaluation score. Conclusions: This novel technique shows promising statistically significant results in reducing dorsal hump projection and width, correcting axis deviation, and improving internal nasal valve and rhinoplasty outcome evaluation score, while being less cartilage and time-consuming.

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Section: Discussionsupporting

confidence: 90%

A Novel Technique for Spreader Flap by Folding the Dorsal Hump in Patients Undergoing Primary Rhinoplasty

AlAwadh

Bogari

Assiri

et al. 2022

Journal of Craniofacial Surgery

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“…The ULC is then released from the dorsal septum and the medial aspect, which is the dorsal portion of the ULC that is normally resected and discarded with hump reduction, is folded on itself. 5,61 The flap is secured to the dorsal septum using mattress sutures. The process of folding requires a vertical incision at the apex of the flap that does not completely transect the ULC.…”

Section: Spreader Flapsmentioning

confidence: 99%

Surgical Treatment of Dynamic Nasal Collapse

Krane

2022

Facial Plast Surg

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Nasal obstruction is a prevalent issue that significantly impacts patient quality of life and contributes to a large-scale financial burden. Internal or external nasal valve collapse may play a role in nasal obstruction, with varying etiologies. Surgical correction of nasal valve collapse is indicated when septal and/or turbinate surgery alone are not sufficient in correcting the nasal obstruction. The choice of how to address nasal valve repair depends on presenting findings, associated aesthetic concerns, particularly of the nasal tip, patient anatomy, and surgeon preference. This article provides a methodical approach to the diagnosis of nasal valve collapse, indications for repair, and provides detailed explanation of the operative techniques used to address nasal valve collapse, while also discussing the advantages and disadvantages of each approach.

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Spreader Graft vs Spreader Flap in Rhinoplasty: A Systematic Review and Meta-Analysis of Aesthetic and Functional Outcomes

Keyhan¹,

Fallahi²,

Cheshmi³

et al. 2021

Aesthetic Surgery Journal

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Background Insufficient support of the nasal mid-vault during rhinoplasty can cause significant complications. Accordingly, surgeons recently pay much more attention to the preservation of nasal patency. The spreader graft is the gold standard technique for the reconstruction of nasal mid-vault. Objectives The objective of this study was to compare the spreader graft and spreader flap in terms of aesthetic and functional outcomes. Methods An inclusive search was performed using PubMed/Medline, Google Scholar, Cochrane Library databases up to April 2021. Multiple aesthetic and functional factors including dorsal aesthetic lines restoration, satisfaction rate, internal nasal valve angle improvement, nasal obstruction symptom evaluation (NOSE) scale, and active anterior rhinomanometry (AAR) were evaluated. Also, a meta-analysis was performed on included articles that provided adequate data for mentioned factors. Results After excluding papers that did not conform with the selection criteria, 10 articles with a total sample size of 567 cases with a mean age of 27.7 (range: 18- 65) were finally included. Analysis of the data revealed no statistically significant difference between the spreader graft and spreader flap techniques in terms of dorsal aesthetic lines restoration, internal nasal valve angle improvement, NOSE scale, and AAR. Conclusions However, in terms of satisfaction rate, the analyzes indicated that spreader graft has significantly superior aesthetic outcomes. Generally, in case of appropriately selected patients, there is no statistically significant difference between spreader graft and spreader flap techniques in terms of aesthetic and functional outcomes.

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Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal

Cited by 4 publications

References 31 publications

A Novel Technique for Spreader Flap by Folding the Dorsal Hump in Patients Undergoing Primary Rhinoplasty

A Novel Technique for Spreader Flap by Folding the Dorsal Hump in Patients Undergoing Primary Rhinoplasty

Surgical Treatment of Dynamic Nasal Collapse

Spreader Graft vs Spreader Flap in Rhinoplasty: A Systematic Review and Meta-Analysis of Aesthetic and Functional Outcomes

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