What is spreader graft?
Spreader grafts are small strips of cartilage (like sticks) or bone which are inserted next to the nasal septum on the dorsum (top) of the nose. They are generally used as a pair, one on either side of the nasal septum but can also be inserted on one side.
What is a spreader graft rhinoplasty?
Spreader grafts are strips cartilage made of patients own cartilage that are placed on each side of the septum ( between the septum and the side wall). Typically, the mid or lower portion of the septum is harvested to make spreader grafts. I prefers to use patient’s own septal cartilage to make the spreader grafts.
Do spreader grafts work?
Spreader grafts can be a good choice when the middle portion of the patient’s nose is too narrow, which can make it difficult to breathe through the nose. They can also be used to keep the septum straight, and are sometimes used in revision rhinoplasty procedures.
Is latera a spreader graft?
Auricular cartilage from cavum concha can also be used for the spreader graft [23] especially in revision rhinoplasty with inadequate septal cartilage or the surgeon’s preference. Next, the harvested cartilages are positioned between the upper lateral cartilage and the upper part of septal cartilage on both sides.
Where are spreader grafts placed?
To be effective, spreader grafts must be precisely positioned between the dorsal septum and the ULC while spanning the length of the latter. Placement too high will cause esthetic dorsal irregularities and placement too low along the septum will be ineffective at supporting the ULC.
What are spreader grafts used for?
Spreader grafts are placed in the middle portion of the nose to provide strength, stabilization, foundation, or to widen the nasal valve. They can be placed using either an open or closed rhinoplasty technique.
How long does it take to see results from rhinoplasty?
It isn’t until a full year after surgery, around 12-14 months, that nose reshaping results are truly definitive; most casual observers will not notice much change during the final few months.
Where do spreader grafts come from?
Spreader grafts are made out of cartilage, which can be harvested from a number of different sources. The preferred source for grafting material is the nasal septum itself; however, if the amount of cartilage in this location is too scarce (typical during revision rhinoplasty), then cartilage may be taken from the ear.
How long does it take for latera to dissolve?
LATERA is an implant made out of polylactic acid, it’s absorbable and is a bio active stimulator collagen. LATERA will support the weak sidewalls and then once it absorbs, it will dissolve over two years and leaves behind a little collagen track which supports the sidewall.
What is a nasal graft?
The term graft typically refers to affixing one type of tissue to another. The framework of the nose is made up of cartilage, bone, and connective tissue. Most grafts in the nose are made up of cartilage and help serve to support the structure of the nose for either functional or aesthetic purposes.
Will tip my nose go down after rhinoplasty?
The thicker and oiler the skin, the longer it takes for the swelling to subside. Your upper lip may appear stiff for a while, and you may feel that it interferes with your smile. This will disappear within a few weeks. The tip of the nose sometimes feels “numb” after a rhinoplasty, but this eventually subsides.
What are spreader grafts and what do they do?
Spreader grafts act as spacers between the upper lateral cartilage and septum, correcting an overnarrow middle vault and internal nasal valve or preventing excessive narrowing in the high-risk patient (2-10).
Where are abstract spreader grafts used in rhinoplasty?
Abstract Spreader grafts are harvested pieces of cartilage placed between the upper lateral cartilage and dorsal septum. In functional nasal valve surgery or cosmetic rhinoplasty placement of these grafts can be accomplished in an endonasal submucosal pocket created between the dorsal septum and the upper lateral cartilage.
How does a spreader graft affect the nasal valve?
Internally, the effect on the internal nasal valve can be seen in this schematic simulation of right internal nasal valve narrowing: A spreader graft is a cartilage graft that is insert between the septum and upper lateral cartilage, thereby widening the area of narrowing and opening up the internal nasal valve.
Why are endonasal spreader grafts placed in the mucoperichondrial?
Because the grafts are essentially placed blindly into a mucoperichondrial pocket, there is also the risk of malposition. The pocket must be just snug enough to accommodate the graft, without gaping, which would permit graft migration into the nasal airway, thus potentially worsening the patient’s breathing.