The role of Spreader graft in primary open rhinoplasty

Abstract

Introduction: The removal of a dorsal hump is commonly done during a rhinoplasty. However, functional and aesthetic compromises may occur because of excessive removal of cartilage and bone or disruption of the region between the

upper lateral cartilages and the septum .This study will investigate the technical  and clinical experience of using spreader graft in open primary rhinoplasty operations in Almowassat University Hospital.      

 Methods and materials:  22 female patients were involved in this study(4 male,18 female) between 2019_2020. 10 of the participants compliant of having breath problems. they had an open rhinoplasty operation. In addition to normal approach, which contains dealing with dorsal hump and tip plasty, we performed a spreader graft to all patients in order to get the appropriate  dorsum shape and solve breathing problems.    

 Results: the use of spreader graft  showed an effective results in both shape  and function except 4 male cases which are remaining with breathing problems. High satisfaction rate was recorded  during the follow up period which lasts between 6 month and one year.    

 Conclusion: The use of spreader graft give an excellent results for both functional and cosmetic side. With refering to the need of trainees for profounding their experiences in severe septal deviation cases.