Other Grafting Techniques

Spreader Grafts address structural and aesthetic issues related to the nasal bridge and internal nasal valve. They are small pieces of cartilage, typically harvested from the nasal septum (septal cartilage), shaped into thin, rectangular pieces or strips that are sized for insertion between the upper lateral cartilages of the nose. They are placed and sutured into position, along the nasal bridge to provide support, improve symmetry, and widen the nasal dorsum if necessary. Over time, the grafts integrate with the surrounding nasal tissues, providing stable support and improving nasal function and aesthetics.

Spreader grafts are used in cases where there is collapse or narrowing of the internal nasal valve during inspiration, leading to breathing difficulties. They can be employed to reconstruct and support the nasal septum in cases of septal perforation or structural deformities. Often used in revision surgeries to correct nasal deformities or insufficient support from previous rhinoplasty procedures.

Suitability

• After hump removal, in patients with short nasal bones, thin skin and long cartilages; there may be a tendency for the internal structures to fall inwards over a period of time. Spreader grafts help prevent this. 

• A bend in the middle third of the nose can be corrected to simultaneously better the nasal airway and retain the anatomical line from nasal bone to upper lateral cartilage.

• To rebuild a collapsed middle third after trauma or previous surgery.

• The top of the nose (the dorsum) can be rebuilt and, made to join to the nasal bones and nasal tip.

• Used to improve airflow through nasal valve wherein minor changes can make significant impact in breathing.

 Benefits

• Nasal valve support

• Dorsal augmentation

• Tip projection

• Symmetry

• Stability