Spreader Graft: A Method of Reconstructing the Roof of the Middle Nasal Vault Following Rhinoplasty
Abstract
Los Angeles, Calif. From the Department of Surgery, Division of Plastic Surgery, at the UCLA School of Medicine. 9201 Sunset Boulevard, Suite 814 Los Angeles, Calif. 90069
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The etiology of nasal valve collapse may be congenital, traumatic, or iatrogenic, especially after septorhinoplasty.
“The etiology may be congenital, traumatic, or iatrogenic, especially after septorhinoplasty [1, 2, 5].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [2]
Nasal valve collapse is a common anatomical cause for nasal obstruction.
“Nasal valve collapse is a common anatomical cause for nasal obstruction [1, 2].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [2]
Rhinomanometry is an objective test used to assess nasal obstruction.
“Rhinomanometry is an objective test used to assess nasal obstruction [2, 10].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [2]
Spreader grafts are positioned after hump reduction to prevent nasal valve collapse.
“Following the reduction of the nasal hump to a desired level, spreader grafts are usually positioned to prevent the complication of nasal valve collapse.”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [2]
Sheen popularized spreader grafts in the 1980s as a method of reconstructing the internal nasal valve and recontouring the aesthetic appearance of the nasal dorsum in rhinoplasty.
“In the 1980s, Sheen [2] popularized spreader grafts as a method of reconstructing the internal nasal valve and recontouring the aesthetic appearance of the nasal dorsum in rhinoplasty.”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [2]
Cited by
Sorted by citations
The Turkish Delight: A Pliable Graft for Rhinoplasty
Erol, O. Ö. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200005000-00051 · Cited by 392 · see citing works
Dorsal Preservation: The Push Down Technique Reassessed
Saban, Y., Daniel, R. K., Polselli, R., et al. (2018) · Aesthetic Surgery Journal · doi:10.1093/asj/sjx180 · Cited by 309 · see citing works
Constantian, M. B., & Clardy, B. R. (1996) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199607000-00007 · Cited by 292 · see citing works
Changes Associated with the Aging Face
Friedman, O. (2005) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2005.04.004 · Cited by 257 · see citing works
“The internal nasal valve may be collapsed at rest or with inspiration and can be repaired with spreader grafts, nasal valve flaring stitches [22,23], batten grafts, conchal cartilage butterfly grafts [24], and other modalities.”
BackgroundCurrent Status of Grafts and Implants in Rhinoplasty: Part I. Autologous Grafts
Sajjadian, A., Rubinstein, R., & Naghshineh, N. (2010) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181c82f12 · Cited by 203 · see citing works
Most, S. P. (2006) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.8.5.306 · Cited by 164 · see citing works
Anterior Septal Reconstruction: Outcomes After a Modified Extracorporeal Septoplasty Technique
Most, S. P. (2006) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.8.3.202 · Cited by 166 · see citing works
“Although placement of spreader grafts has been well described, this technique alone does not address significant deviations of the anterocaudal nasal septum.(2-4) In addition to airway obstruction, crookedness of the dorsal septum or asymmetries of the upper lateral cartilages can cause contour deformities of the midd…”
BackgroundThe Flaring Suture to Augment the Repair of the Dysfunctional Nasal Valve
Park, S. S. (1998) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199804040-00036 · Cited by 167 · see citing works
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 · see citing works
Nasal valve surgery improves disease-specific quality of life
Rhee, J. S., Poetker, D. M., Smith, T. L., Bustillo, A., Burzynski, M., & Davis, R. E. (2005) · The Laryngoscope · doi:10.1097/01.mlg.0000157831.46250.ad · Cited by 156 · see citing works
Using the Autospreader Flap in Primary Rhinoplasty
Byrd, H. S., Meade, R. A., & Gonyon, D. L. (2007) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000259196.02216.a5 · Cited by 150 · see citing works
Rohrich, R. J., & Ahmad, J. (2011) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e31821e7191 · Cited by 145 · see citing works
Sajjadian, A., Naghshineh, N., & Rubinstein, R. (2010) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181cb662f · Cited by 140 · see citing works
The ‘Butterfly’ Graft in Functional Secondary Rhinoplasty
Clark, J. M., & Cook, T. A. (2002) · The Laryngoscope · doi:10.1097/00005537-200211000-00002 · Cited by 138 · see citing works
“The most frequently used method involves the use of spreader grafts, as described by Sheen.(7) The insertion of septal cartilage, conchal cartilage, or recently described absorbable plates widen the apex of the internal nasal valve and may increase the valve angle.”
MethodUse of Spreader Grafts in the External Approach to Rhinoplasty
Rohrich, R. J., & Hollier, L. H. (1996) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)31115-9 · Cited by 134 · see citing works
Surgical techniques for the treatment of nasal valve collapse
Spielmann, P. M., White, P. S., & Hussain, S. S. M. (2009) · The Laryngoscope · doi:10.1002/lary.20495 · Cited by 120 · see citing works
Surgery for the Dysfunctional Nasal Valve
Schlosser, R. J., & Park, S. S. (1999) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.1.2.105 · Cited by 116 · see citing works
Rhinoplasty: Surface Aesthetics and Surgical Techniques
Çakır, B., Doğan, T., Öreroğlu, A. R., et al. (2013) · Aesthetic Surgery Journal · doi:10.1177/1090820x13478968 · Cited by 114 · see citing works
Most, S. P., & Rudy, S. F. (2017) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2016.12.002 · Cited by 109 · see citing works
Viability of Crushed and Diced Cartilage Grafts
Çakmak, Ö., Bircan, S., Büyüklü, F., et al. (2005) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.7.1.21 · Cited by 107 · see citing works
Frequently Used Grafts in Rhinoplasty: Nomenclature and Analysis
Gunter, J. P., Landecker, A., & Cochran, C. S. (2006) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000221222.15451.fc · Cited by 104 · see citing works
Understanding the Nasal Airway: Principles and Practice
Howard, B. K., & Rohrich, R. J. (2002) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200203000-00054 · Cited by 102 · see citing works
Management of the middle nasal vault in rhinoplasty
Toriumi, D. M. (1995) · Operative Techniques in Plastic and Reconstructive Surgery · doi:10.1016/s1071-0949(05)80013-7 · Cited by 94 · see citing works
Auricular Cartilage Grafts And Nasal Surgery
Murrell, G. L. (2004) · The Laryngoscope · doi:10.1097/01.mlg.0000149440.20608.7c · Cited by 88 · see citing works
Rhinoplasty for the multiply revised nose
Foda, H. M. T. (2004) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2004.06.014 · Cited by 90 · see citing works
“Usually more than 1 type of graft was used in each patient, the most common grafts used were the columellar grafts, dorsal augmentation grafts, tip grafts, premaxillary grafts, spreader grafts [10], and the lateral crural strut grafts [11].”
BackgroundMethodRhinoplasty: Personal Evolution and Milestones
Sheen, J. H. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200004050-00033 · Cited by 89 · see citing works
Self-citationTreatment of the Nasal Hump with Preservation of the Cartilaginous Framework
Ishida, J., Ishida, L. C., Ishida, L. H., et al. (1999) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199905060-00028 · Cited by 87 · see citing works
Khosh, M. M., Jen, A., Honrado, C. P., & Pearlman, S. J. (2004) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.6.3.167 · Cited by 85 · see citing works
A Practical Approach to Rhinoplasty
Rohrich, R. J., & Ahmad, J. (2016) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000002240 · Cited by 85 · see citing works
Face Lifting: Problems, Solutions, and an Outcome Study
Owsley, J. Q. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200001000-00049 · Cited by 85 · see citing works
Rhinoplasty with Advancing Age
Rohrich, R. J., Hollier, L. H., Janis, J. E., et al. (2004) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000143308.48146.0a · Cited by 84 · see citing works
Crushed Cartilage Grafts for Concealing Irregularities in Rhinoplasty
Çakmak, Ö., & Büyüklü, F. (2007) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.9.5.352 · Cited by 84 · see citing works
“These problems are seen more often in patients with thin skin, frequently develop after revision procedures, and become more prominent after edema has subsided.(1,2) Dorsal onlay grafts may be used to mask such contour irregularities by filling the defects or preventing the skin from coming into direct contact with th…”
Schlosser, R. J., & Park, S. S. (1999) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(05)70114-6 · Cited by 82 · see citing works
Structure approach in rhinoplasty
Toriumi, D. M. (2002) · Facial Plastic Surgery Clinics of North America · doi:10.1016/s1064-7406(03)00078-6 · Cited by 80 · see citing works
Rohrich, R. J., Janis, J. E., & Kenkel, J. M. (2003) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000076201.75278.bb · Cited by 77 · see citing works
The Role of Septal Surgery in Management of the Deviated Nose
Foda, H. M. T. (2005) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000149421.14281.fd · Cited by 75 · see citing works
Surowitz, J., Lee, M. K., & Most, S. P. (2015) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599815582176 · Cited by 75 · see citing works
Trends in Functional Rhinoplasty
Most, S. P. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.6.410 · Cited by 84 · see citing works
“4 The concept of the technique is to increase the cross-sectional area of the nose by increasing the distance from the starting point of the ULC and the septum in the midvault.”
Three dimensional evaluation of soft tissue after orthognathic surgery
Jung, J., Lee, C.-H., Lee, J., et al. (2018) · Head & Face Medicine · doi:10.1186/s13005-018-0179-z · Cited by 73 · see citing works
Correction of the Cleft Nasal Deformity
Fisher, M., Fisher, D. M., & Marcus, J. R. (2014) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2014.01.002 · Cited by 73 · see citing works
“Spreader grafts Spreader grafts fashioned from the harvested septal cartilage will accomplish several goals.(25) Fixing spreader grafts between the septum and the upper lateral cartilages reconstructs the midvault while improving the internal valve and straightening the dorsal angle.”
BackgroundThe 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 · see citing works
Constantian, M. B. (2002) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200205000-00048 · Cited by 72 · see citing works
Septal Crossbar Graft for the Correction of the Crooked Nose
Boccieri, A., & Pascali, M. (2003) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000042205.27330.e4 · Cited by 71 · see citing works
Septal Cartilage Defined: Implications for Nasal Dynamics and Rhinoplasty
Mowlavi, A., Masouem, S., Kalkanis, J. G., et al. (2006) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000218182.73780.d2 · Cited by 71 · see citing works
Assessment of three-dimensional nasolabial response to Le Fort I advancement
Metzler, P., Geiger, E. J., Chang, C. C.-C., et al. (2014) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2014.03.023 · Cited by 69 · see citing works
Evaluation of a new procedure for nasal alar rim and valve collapse: Nasal alar rim reconstruction
Troell, R. J., Powell, N. B., Riley, R. W., & Li, K. K. (2000) · Otolaryngology · doi:10.1016/s0194-5998(00)70240-3 · Cited by 68 · see citing works
Alar Batten Cartilage Graft: Treatment of Internal and External Nasal Valve Collapse
Cervelli, V., Spallone, D., Bottini, J. D., Silvi, E., Gentile, P., Curcio, C. B., & Pascali, M. (2009) · Aesthetic Plastic Surgery · doi:10.1007/s00266-009-9349-5 · Cited by 68 · see citing works
“Sheen [10] was the first to describe this condition as malrotation of the alar cartilages with a weak lateral alar rim leading to the characteristic ‘‘parenthesis’’ deformity of the nasal tip [11].”
BackgroundThe Deviated Nose: Optimizing Results Using a Simplified Classification and Algorithmic Approach
Rohrich, R. J., Gunter, J. P., Deuber, M. A., & Adams, W. P. (2002) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200211000-00018 · Cited by 67 · see citing works
Structural Preservation Rhinoplasty: A Hybrid Approach
Toriumi, D. M., Kovacevic, M., & Kosins, A. M. (2022) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000009063 · Cited by 66 · see citing works
“We believe the advantages of dorsal preservation over the Joseph method include the following: (1) preserving the favorable attributes of the nose on frontal view; (2) decreased need for spreader grafts and spreader flaps (no need for middle vault reconstruction); (3) decreased number of cartilage grafts used; and (4)…”
BackgroundMethodEndoscopic Inferior Turbinate Reduction: An Outcomes Analysis
Gupta, A., Mercurio, E., & Bielamowicz, S. A. (2001) · The Laryngoscope · doi:10.1097/00005537-200111000-00016 · Cited by 64 · see citing works
Saedi, B., Amali, A., Gharavis, V., Yekta, B. G., & Most, S. P. (2014) · American Journal of Rhinology and Allergy · doi:10.2500/ajra.2014.28.3991 · Cited by 65 · see citing works
Reconstitution of the Nasal Dorsum following Component Dorsal Reduction in Primary Rhinoplasty
Roostaeian, J., Unger, J. G., Lee, M. R. F., et al. (2013) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000438453.29980.36 · Cited by 64 · see citing works
Innovative Surgical Management of The Crooked Nose
Toriumi, D. M., & Ries, W. R. (1993) · Facial Plastic Surgery Clinics of North America · doi:10.1016/s1064-7406(23)00417-0 · Cited by 62 · see citing works
Structure approach in rhinoplasty
Toriumi, D. M. (2005) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2004.07.004 · Cited by 61 · see citing works
Viability of Cultured Human Nasal Septum Chondrocytes After Crushing
Çakmak, Ö., Büyüklü, F., Yılmaz, Z., et al. (2005) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.7.6.406 · Cited by 60 · see citing works
“This problem is most frequently seen in patients with thin skin and in revision cases, and it may become more noticeable after edema subsides.(1,2) Dorsal onlay grafts may be used to mask these contour irregularities and to achieveabetter aesthetic result.”
Surowitz, J. B., & Most, S. P. (2013) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2013.07.003 · Cited by 61 · see citing works
The Effectiveness of Modified Cottle Maneuver in Predicting Outcomes in Functional Rhinoplasty
Fung, E., Hong, P., Moore, C., & Taylor, S. M. (2014) · Plastic Surgery International · doi:10.1155/2014/618313 · Cited by 55 · see citing works
The conchal cartilage graft in nasal reconstruction
Boccieri, A., & Marano, A. (2006) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2006.02.005 · Cited by 59 · see citing works
The Use of Spreader Grafts in Primary Rhinoplasty
Boccieri, A., Macro, C., & Pascali, M. (2005) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000168707.71596.f6 · Cited by 58 · see citing works
Bracaglia, R., Fortunato, R., & Gentileschi, S. (2005) · Aesthetic Plastic Surgery · doi:10.1007/s00266-005-0034-z · Cited by 56 · see citing works
“Spreader grafts [12], taken from the nasal septum, were used to improve the internal valve stenosis, and to widen the excessive narrowing of the lower third of the dorsum.”
MethodEndonasal Spreader Graft Placement as Treatment for Internal Nasal Valve Insufficiency
André, R. F., Paun, S. H., & Vuyk, H. D. (2004) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.6.1.36 · Cited by 55 · see citing works
“8-19 The most widely used of these operations involves placing rectangular cartilage grafts, so called spreader grafts, subperichondrally between the septum and the upper lateral cartilage as described by Sheen in 1984 20 ( Figure 2 ).”
Rhinoplasty in the Asian Patient
Jin, H., & Won, T. (2015) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2015.09.015 · Cited by 55 · see citing works
Barrett, D. M., Casanueva, F. J., & Cook, T. A. (2016) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2016.03.001 · Cited by 55 · see citing works
Evidence-Based Medicine: Current Practices in Rhinoplasty
Tanna, N., Nguyen, K. T., Ghavami, A., Calvert, J. W., Guyuron, B., Rohrich, R. J., & Gruber, R. P. (2017) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000003977 · Cited by 54 · see citing works
Conchal cartilage butterfly graft in primary functional rhinoplasty
Friedman, O., & Cook, T. A. (2009) · The Laryngoscope · doi:10.1002/lary.20079 · Cited by 52 · see citing works
Özmen, S., Ayhan, S., Fındıkçıoğlu, K., Kandal, S. Y., & Atabay, K. (2008) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e31816dd359 · Cited by 49 · see citing works
“Properly placed spreader grafts could preserve or increase the middle vault width, expand the cross-sectional area of the internal nasal valve, and decrease the risk of inferomedial collapse of the upper lateral cartilages in the primary or secondary cases.(4) The most significant problem encountered with the use of s…”
BackgroundRevision rhinoplasty: review of deformities, aetiology and treatment strategies
Vuyk, H. D., Watts, S. J., & Vindayak, B. (2000) · Clinical Otolaryngology and Allied Sciences · doi:10.1046/j.1365-2273.2000.00353.x · Cited by 50 · see citing works
The Use of High-Density Porous Polyethylene as a Custom-Made Nasal Spreader Graft
Gürlek, A., Celik, M., Fariz, A., Ersöz-Öztürk, A., Eren, A. T., & Tenekeci, G. (2006) · Aesthetic Plastic Surgery · doi:10.1007/s00266-005-0119-8 · Cited by 47 · see citing works
“Inmodernrhin oplasty, the usage of spreader grafts described by Sheen[ 23 ] is accepted as on e of the most important developments.”
BackgroundMethodInfluentialCafferty, A., & Becker, D. G. (2015) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2015.09.002 · Cited by 49 · see citing works
What is the efficacy of nasal surgery in patients with obstructive sleep apnea syndrome?
Bican, A., Kahraman, A., Bora, İ., Kahveci, R., & Hakyemez, B. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181f40551 · Cited by 48 · see citing works
“To prevent collapse in nasal valve surgery, various cartilage graft and suture techniques can be used.(22) Septum deviation can be performed through standard septoplasty technique.”
BackgroundDorsal Reduction and Spreader Flaps
Gruber, R. P., Melkun, E. T., Woodward, J. F., et al. (2011) · Aesthetic Surgery Journal · doi:10.1177/1090820x11404401 · Cited by 48 · see citing works
Alar Batten Grafting for Management of the Collapsed Nasal Valve
Millman, B. (2002) · The Laryngoscope · doi:10.1097/00005537-200203000-00030 · Cited by 48 · see citing works
André, R. F., & Vuyk, H. D. (2006) · The Laryngoscope · doi:10.1097/01.mlg.0000233249.81424.20 · Cited by 47 · see citing works
Rohrich, R. J., & Afrooz, P. N. (2019) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000005778 · Cited by 47 · see citing works
Restorative Rhinoplasty in the Aging Patient
Cochran, C. S., Ducic, Y., & DeFatta, R. J. (2007) · The Laryngoscope · doi:10.1097/01.mlg.0000248240.72296.b9 · Cited by 46 · see citing works
Current Practices in Dorsal Augmentation Rhinoplasty
Fisher, M., Alba, B., Ahmad, J., Robotti, E., Cerkes, N., Gruber, R. P., Rohrich, R. J., Bradley, J. P., & Tanna, N. (2022) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000009057 · Cited by 46 · see citing works
Spare roof technique in reduction rhinoplasty: Prospective study of the first one hundred patients
Santos, M., Rego, Â. R., Coutinho, M. B., et al. (2019) · The Laryngoscope · doi:10.1002/lary.27804 · Cited by 45 · see citing works
Satish, H. V. (1997) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199712000-00068 · Cited by 45 · see citing works
Ahmad, J., & Rohrich, R. J. (2015) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2015.08.005 · Cited by 44 · see citing works
“Bilateral spreader grafts may be necessary to maintain support and restore the dorsal esthetic lines.(15,16) After the septum has been straightened, the upper and lower lateral cartilages are reassessed for symmetry.”
BackgroundNose and Paranasal Augmentation: Autogenous, Fascia, and Cartilage
Guerrerosantos, J. (1991) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)30674-x · Cited by 43 · see citing works
Nasal patency after open rhinoplasty with spreader grafts
de Pochat, V. D., Alonso, N., Mendes, R. R. D. S., et al. (2011) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2011.11.059 · Cited by 42 · see citing works
“During a rhinoplasty, techniques for managing the nasal valves include the spreader graft (in which autogenous strips of cartilage are placed between the septum and the upper lateral cartilages to provide a spreader effect).(9) These spreader grafts may preserve or reconstruct the dorsal aesthetic lines and maintain o…”
MethodAn Analysis of 101 Primary Cosmetic Rhinoplasties
Bagheri, S. C., Khan, H. A., Jahangirnia, A., et al. (2011) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2011.02.075 · Cited by 42 · see citing works
Correction of Nasal Valve Stenosis With Lateral Suture Suspension
Lee, D. S., & Glasgold, A. I. (2001) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.3.4.237 · Cited by 41 · see citing works
Surgical and nonsurgical treatments of the nasal valves
Lee, J., White, W. M., & Constantinides, M. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.03.010 · Cited by 38 · see citing works
Shadfar, S., Shockley, W., Fleischman, G., Dugar, A. R., McKinney, K., Frank-Ito, D., & Kimbell, J. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2014.395 · Cited by 40 · see citing works
Surgical Management of the Internal Nasal Valve: A Review of Surgical Approaches
Sinkler, M. A., Wehrle, C. J., Elphingstone, J. W., Magidson, E., Ritter, E. F., & Brown, J. J. (2021) · Aesthetic Plastic Surgery · doi:10.1007/s00266-020-02075-5 · Cited by 43 · see citing works
Secondary Rhinoplasty and the Use of Autogenous Rib Cartilage Grafts
Cochran, C. S., & Gunter, J. P. (2010) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2009.11.001 · Cited by 41 · see citing works
Intranasal Z-plasty for Internal Nasal Valve Collapse
Dutton, J. M., & Neidich, M. J. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.3.164 · Cited by 40 · see citing works
Goudakos, J. K., Fishman, J. M., & Patel, K. (2017) · Clinical Otolaryngology · doi:10.1111/coa.12664 · Cited by 40 · see citing works
Surgical treatment of nasal obstruction in rhinoplasty.
Becker, D., Ransom, E. R., Guy, C., & Bloom, J. D. (2010) · Aesthetic surgery journal · doi:10.1177/1090820x10373357 · Cited by 56 · see citing works
Mojallal, A. A., Ouyang, D., Saint‐Cyr, M., et al. (2011) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e318218fc2d · Cited by 40 · see citing works
Gruber, R. P., & Perkins, S. W. (2010) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2009.12.004 · Cited by 40 · see citing works
Erol, O. Ö. (2016) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000475755.71333.bf · Cited by 39 · see citing works
Stolovitzky, P., Sidle, D. M., Ow, R., Nachlas, N., & Most, S. P. (2018) · The Laryngoscope · doi:10.1002/lary.27242 · Cited by 42 · see citing works
Modification of the Skoog Dorsal Reduction for Preservation of the Middle Nasal Vault
Hall, J. A., Peters, M. D., & Hilger, P. A. (2004) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.6.2.105 · Cited by 39 · see citing works
Spreader Flaps for Middle Vault Contour and Stabilization
Kovačević, M., & Wurm, J. (2014) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2014.09.001 · Cited by 37 · see citing works
Ricci, E., Palonta, F., Preti, G., Vione, N., Nazionale, G., Albera, R., Staffieri, A., Cortesina, G., & Cavalot, A. L. (2001) · American Journal of Rhinology · doi:10.1177/194589240101500504 · Cited by 38 · see citing works
Rhinofilling with hyaluronic acid thought as a cartilage graft
Rauso, R., Tartaro, G., Chirico, F., et al. (2020) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2020.01.008 · Cited by 37 · see citing works
Ferreira, M. G., Santos, M., Carmo, D. O., Fertuzinhos, A., Sousa, C. A. E., Santos, J. N., Dourado, N., & Amarante, J. M. (2020) · Aesthetic Surgery Journal · doi:10.1093/asj/sjaa221 · Cited by 37 · see citing works
Subdorsal Z-flap: a modification of the Cottle technique in dorsal preservation rhinoplasty
Kovačević, M., Veit, J. A., & Toriumi, D. M. (2021) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0000000000000726 · Cited by 37 · see citing works
“This was probably because of the risk of hump recurrences and the evolution of the open approach with great visualization and the rise of dorsal reconstructive techniques employing spreader grafts and spreader flaps [1,2,4,13].”
Background
- Authors
- Sheen, J. H.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Sheen, Jack H.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1984-02
- Volume
- 73
- Issue
- 2
- Pages
- 230-237
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W4312861572
- Cited by
- 614
- References
- 0
- Citations by year
- 2026: 15 · 2025: 32 · 2024: 23 · 2023: 14 · 2022: 37 · 2021: 38 · 2020: 35 · 2019: 28 · 2018: 22 · 2017: 20 · 2016: 28 · 2015: 29 · 2014: 27 · 2013: 33 · 2012: 15
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Breast Implant and Reconstruction
- Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- spreader grafts, forehead reconstruction, scalp reconstruction, scalp flaps
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
