The accordion suture technique: A modified rhinoplasty spreader flap

Görgülü, Tahsin; Özer, Cenk Murat; Kargι, Eksal

doi:10.1016/j.jcms.2015.03.036

Cited by 12 publications

(20 citation statements)

References 23 publications

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“…Another study, which used a homemade questionnaire, also demonstrated significant decreases in pre-and postoperative NOSE scores in patients undergoing autospreader grafting. 30 These results suggest the effectiveness of autospreader grafts in nasal airway preservation in patients undergoing rhinoplasty involving dorsal hump reduction.…”

Section: The Autospreader Graftmentioning

confidence: 74%

Midvault Reconstruction in Primary Rhinoplasty

2017

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The nasal midvault is an important consideration in rhinoplasty. This region is defined by the attachment of the upper lateral cartilages (ULCs) to the nasal bones superiorly and the cartilaginous septum medially. Inadequate management of the nasal midvault can have negative functional and aesthetic ramifications. Indications for midvault reconstruction in primary rhinoplasty include a narrow midvault, dorsal hump resection, a deviated midvault, and an asymmetric midvault, with an additional relative indication of zone 1 lateral wall insufficiency (LWI), defined as dynamic collapse of a weakened lateral nasal wall at the level of the ULC. Numerous techniques for midvault reconstruction have been described, dating back to Sheen's description of the spreader graft in the 1980s, which remains the gold standard for repair. Herein, the various indications for midvault reconstruction are described, along with a discussion of the most commonly used techniques for successful reconstruction.

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Section: The Autospreader Graftmentioning

confidence: 74%

Midvault Reconstruction in Primary Rhinoplasty

2017

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“…26 A study using a homemade questionnaire also showed significant improvement in nasal symptom scores after autospreader grafting. 18 These…”

Section: Discussionmentioning

confidence: 99%

“…17 Over the years, multiple other authors described variations of the technique to solve the thickness problem, such as an accordion suture. 18 Other suture techniques have also been described to control the width of the dorsum with asymmetric horizontal mattress sutures, for instance. 19…”

Section: The History Of the Autospreadermentioning

confidence: 99%

The Autospreader Flap for Midvault Reconstruction following Dorsal Hump Resection

Moubayed

Most

2016

Facial plast Surg

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Dorsal hump reduction without adequate reconstitution of the midvault can often result in cosmetic or functional problems. One of the simplest techniques to avoid these problems is the use of the excess upper lateral cartilage to reconstruct the midvault (the spreader flap or autospreader). Herein we outline the history of the technique and present the specific indications and contraindications, as well as describe our method for achieving it successfully. Case studies are presented with the specific indications. Grafting alternatives to the spreader flap are also outlined. The spreader flap technique offers multiple advantages, including maximal use of local tissues, simplicity, and airway preservation. Disadvantages are the use of an external approach and the inability to use it alone in the presence of severe asymmetries.

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“…In four studies (19,20,24,25) , rhinomanometry was used. Görgülü et al (19) showed a significant decrease in both inhalation and exhalation nasal airway resistance (NAR; p<0.001) by using an active anterior rhinomanometry.…”

Section: Rhinomanometrymentioning

confidence: 99%

“…In the 1990s, the same technique was described in C o r r e c t e d P r o o f different terms, such as Sheyan explaining it as upper lateral cartilage bending (10) and Lerma called it a lapel flap (11) . In addition, over time, various authors described modifications of the classic SF technique (12,(14)(15)(16)19) .…”

Section: Introductionmentioning

confidence: 99%

Role of spreader flaps in primary rhinoplasty, functional and aesthetic outcomes: a systematic review

Garefis¹,

Iordanis²,

Tsetsos³

et al. 2022

Rhin

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Background: The standard treatment for reconstructing the middle vault of the nose is to use spreader grafts. Recently, an alternative technique using spreader flaps has become widely accepted. Methodology: A literature search was performed in ΜEDLINE, Science Direct, the Cochrane Library and multiple trial registries. The systematic review included studies evaluating the effectiveness of spreader flaps, with or without comparison to the spreader graft technique, in patients who had undergone primary rhinoplasty. Results: Thirteen studies with a total of 500 patients met the inclusion criteria and were reviewed systematically. All studies measured breathing function improvement. Additionally, aesthetic improvement/satisfaction was evaluated in seven studies. The use of spreader flaps seems to improve breathing function, as seen in twelve out of thirteen studies. Furthermore, the studies assessing the aesthetic aspect of a primary rhinoplasty showed that spreader flaps can provide satisfactory results. The comparison between spreader flaps and spreader grafts showed similar results in most studies dealing with this topic in both the breathing function improvement and aesthetic improvement/satisfaction domains. Conclusions: This study is the first systematic review assessing the functional and aesthetic outcomes of spreader flaps in primary rhinoplasty, and it shows encouraging results comparable to those of spreader grafts.

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The accordion suture technique: A modified rhinoplasty spreader flap

Cited by 12 publications

References 23 publications

Midvault Reconstruction in Primary Rhinoplasty

Midvault Reconstruction in Primary Rhinoplasty

The Autospreader Flap for Midvault Reconstruction following Dorsal Hump Resection

Role of spreader flaps in primary rhinoplasty, functional and aesthetic outcomes: a systematic review

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