Nasal Spreader Grafts: A Comparison of Medpor to Autologous Tissue Reconstruction
Abstract
Reconstruction of the damaged nasal vault is challenging. Limited available autologous tissue has lead surgeons to pursue alloplastic alternatives. A retrospective review comparing 18 patients who underwent secondary rhinoplasty with internal nasal valve reconstruction with spreader graft (SG) implants using either autologous tissue or high-density porous polyethylene (Medpor) was performed. All underwent bilateral SG reconstruction of the internal nasal valve with Medpor (10 cases) or autologous cartilage (8 cases). Mean follow-up was 26 months for the autologous group and 29 months for the Medpor group. Functional performance and aesthetic results were identical. Complications were few: 1 case of unilateral infection in the Medpor group treated with partial excision, and 1 case of erythema at the auricular donor site for the autologous tissue group. For patients who have exhausted autologous tissue options or are unwilling to tolerate potential donor-site morbidity, the Medpor SG is an appropriate option that allows for excellent aesthetic and functional results that remains stable over time.
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The value of spreader grafts in rhinoplasty: a critical review
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“Other materials which have been used as spreader grafts are hyaluronic acid (Restylane) [25], calcium hydroxylapatite (Radiesse) [26], high-density porous polyethylene (Medpor) [27, 28], and polymer of polylactic and polyglycolic acid (Lactosorb) [29].”
Background
- Authors
- Reiffel, A. J., Cross, K. J., & Spinelli, H. M.
- Affiliations
- NewYork–Presbyterian Hospital (US)
- Corresponding author
- Reiffel, Alyssa J.
- Venue
- Annals of Plastic Surgery
- Published
- 2011-01
- Volume
- 66
- Issue
- 1
- Pages
- 24-28
- ISSN
- 0148-7043 (ISSN-L)
- OpenAlex
- W2015866891
- Cited by
- 35
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 2
- FWCI
- 3.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Breast Implant and Reconstruction
- Keywords
- spreader grafts, secondary rhinoplasty, Medpor, porous polyethylene implants, autologous cartilage, donor site morbidity, postoperative complications
- MeSH terms
- Adult, Aged, Biocompatible Materials, Cartilage, Esthetics, Female, Follow-Up Studies, Humans, Male, Middle Aged, Polyethylenes, Rhinoplasty, Nasal Obstruction, Young Adult
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