Cited by 150Nasal Surgery and Airway StudiesReconstructive Facial Surgery TechniquesCleft Lip and Palate Research

Using the Autospreader Flap in Primary Rhinoplasty

Byrd, H Steve, Meade, Ricardo A., Gonyon, Denis L.·2007·Plastic and Reconstructive Surgery

Abstract

BACKGROUND: When performing dorsal reduction in primary rhinoplasty, one must pay close attention to the height of the upper lateral cartilages. They are in part responsible for the dorsal aesthetic lines and often require a lower profile. METHODS: The technique the authors describe uses the transverse portion of the upper lateral cartilages rotated medially to function as a local spreader flap while reducing the profile of the dorsum and preserving the aesthetic lines. This is a surgical technique that adjusts the height of the upper lateral cartilages in a precise and safe manner while preserving the function of the internal valve. RESULTS: The authors present two patients seen at 1 and 3 years after undergoing the autospreader flap technique. In the experience of the senior author (H.S.B.) with this procedure over the past decade, preoperative surgical goals were achieved reliably. CONCLUSIONS: The authors review the anatomical indications in which they found this technique to be simple, reproducible, and effective in shaping the dorsal midvault while preserving the function of the internal valve. Autospreader flap rotation should be considered when dorsal reduction is required.

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Crossref · 10.1097/01.prs.0000259196.02216.a5

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Authors
Byrd, H. S., Meade, R. A., & Gonyon, D. L.
Affiliations
The University of Texas Southwestern Medical Center (US)
Venue
Plastic and Reconstructive Surgery
Published
2007-05
Volume
119
Issue
6
Pages
1897-1902
ISSN
0032-1052 (ISSN-L)
OpenAlex
W1976236123
Cited by
150
References
11
Citations by year
2026: 3 · 2025: 10 · 2024: 8 · 2023: 5 · 2022: 7 · 2021: 12 · 2020: 12 · 2019: 7 · 2018: 11 · 2017: 5 · 2016: 8 · 2015: 7 · 2014: 9 · 2013: 14 · 2012: 4
FWCI
6.32
Type
journal article
Language
en
Open access
closed
Locations
  • Plastic & Reconstructive Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
Keywords
primary rhinoplasty, upper lateral cartilages, nasal dorsum, nasal valve
MeSH terms
Cartilage, Esthetics, Female, Follow-Up Studies, Humans, Nasal Septum, Rhinoplasty, Tissue Expansion

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