Where are spreader grafts placed in nose?
The spreader graft is placed on each side of the septum—between the caudal end of the nasal septum and the upper lateral cartilages, which widens the narrowed area and opens up the internal nasal valve.
When are spreader grafts used?
Spreader grafts are placed in the midst of a rhinoplasty or nasal reconstructive procedure for several different reasons. The most common indication for a spreader graft is for functional problems related to the middle vault of the nose.
What is spreader graft made of?
Spreader grafts are made by carving out a rectangular segment of cartilage. This cartilage could be harvested from a variety of sources including nasal septum, auricle, and ribs 7.
Where do spreader grafts come from?
Spreader grafts are usually linear strips of autologous cartilages, which may be harvested from the septal cartilage, aural (conchal) cartilage, or rib cartilage .
What does a spreader graft do?
Grafts of cartilage placed between the upper lateral cartilages and the septum to widen the middle third of the nose. These graft help with vestibular stenosis as well as prevent depressions/concavity in the middle third of the nose which can be a cosmetic issue.
What causes alar retraction?
The major cause of alar retraction is rhinoplasty, which requires surgical correction. The major cause of alar retraction is rhinoplasty, which requires surgical correction. The excision or aggressive surgical removal of tissue can be a major cause of alar retraction after rhinoplasty.
What are Alar contour grafts?
Alar contour grafts are placed in a subcutaneous pocket immediately above and parallel to the alar rim and are most often used to correct or prevent alar retraction or collapse. These grafts require far less cartilage than the original lateral crural strut grafts and are usually composed of septal cartilage.