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Upper Lateral Cartilage Spreader Flaps in Rhinoplasty
Abstract
During primary reduction rhinoplasty, when cartilaginous vault lowering is done, the excess height of the upper lateral cartilages is usually discarded. If lateral osteotomies are then necessary to close an open dorsum, overnarrowing of the osteocartilaginous vault may result. To prevent unwanted narrowing, prophylactic spreader grafts can help establish the normal horizonal 4 to 6 mm width of the mid dorsal skeletal lines. An alternative to spreader grafts (particularly when there is no indication to enter the septum) is to preserve the excess height of the upper lateral cartilages and convert it to horizontal flaps to restore the normal T shape of the upper portion of the mid cartilaginous vault at the lower dorsal height.1 The obvious indications for this technique are either primary or secondary cases requiring enough dorsal cartilaginous septal reduction to allow conversion of the excess upper lateral cartilage vertical height to horizontal width. Our technique includes the following steps (Figure 1).
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The Spreader Flap in Primary Rhinoplasty
Gruber, R. P., Park, E., Newman, J., Berkowitz, L., & Oneal, R. (2007) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000259198.42852.d4 · Cited by 162
Self-citationRhinoplasty: Surface Aesthetics and Surgical Techniques
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The value of spreader grafts in rhinoplasty: a critical review
Teymoortash, A., Fasunla, J. A., & Sazgar, A. A. (2012) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-011-1837-y · Cited by 72
Metadata
- Authors
- ONEAL, R., & BERKOWITZ, R.
- Affiliations
- American Society of Plastic Surgeons (US)
- Venue
- Aesthetic Surgery Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-09
- Volume
- 18
- Issue
- 5
- Pages
- 370-371
- ISSN
- 1090-820X (ISSN-L)
- OpenAlex
- W1970060317
- Cited by
- 110
- References
- 0
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 2 · 2023: 10 · 2022: 14 · 2021: 11 · 2020: 11 · 2019: 7 · 2018: 9 · 2017: 4 · 2016: 2 · 2015: 8 · 2014: 3 · 2013: 6 · 2012: 3
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aesthetic Surgery Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Dentistry › Oral Surgery › Cleft Lip and Palate Research
- Keywords
- upper lateral cartilages, rhinoplasty, septal reduction therapy, open rhinoplasty, nasal dorsum, cartilage preservation, secondary rhinoplasty
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