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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
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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
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“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
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“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
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“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
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“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
Self-citationTreatment of the Nasal Hump with Preservation of the Cartilaginous Framework
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“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…”
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“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
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“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
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“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.”
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The conchal cartilage graft in nasal reconstruction
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The Use of Spreader Grafts in Primary Rhinoplasty
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“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.”
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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
“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
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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
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“Inmodernrhin oplasty, the usage of spreader grafts described by Sheen[ 23 ] is accepted as on e of the most important developments.”
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What is the efficacy of nasal surgery in patients with obstructive sleep apnea syndrome?
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“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
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“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
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
“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
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Modification of the Skoog Dorsal Reduction for Preservation of the Middle Nasal Vault
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Spreader Flaps for Middle Vault Contour and Stabilization
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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
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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
“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
Metadata
- 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
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