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A novel technique for spreader graft placement without dorsum resection during septoplasty

  • E Kaya (a1), T Catli (a2), H Soken (a3) and C Cingi (a1)

Abstract

Objective:

This paper presents a novel method for spreader graft placement without dorsum resection in patients who have a deviated septum with a narrow internal nasal valve angle.

Methods:

A Killian incision was used for the endonasal septoplasty, and all spreader grafts were harvested from excised deviated septal cartilages. Procedures were conducted under general anaesthesia at the same centre by the same surgical team that performed the endonasal procedure. Successful placement of spreader grafts was achieved endonasally.

Conclusion:

Although the endonasal placement of spreader grafts seems to be more difficult than placement conducted by an open approach technique, an endonasal procedure has many advantages. Our technique provides surgeons with the opportunity to shorten operation time, obtain autologous septal graft material and secure the columellar architecture. Surgeons familiar with the classical (endonasal) septoplasty procedure can easily apply this technique to widen a narrow internal nasal valve angle, without corrupting nasal integrity.

Copyright

Corresponding author

Address for correspondence: Dr Tolgahan Catli, Department of Otorhinolaryngology, Bozyaka Teaching and Research Hospital, Saim Cikrikci Street, Bozyaka, Izmir, Turkey Fax: +90 232 2505051 E-mail: tcatli80@hotmail.com

References

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3Teichgraeber, JF, Wainwright, DJ. The treatment of nasal valve obstruction. Plast Reconstr Surg 1994;37:1183–4
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7Reiffel, AJ, Cross, KJ, Spinelli, HM. Nasal spreader grafts: a comparison of medpor to autologous tissue reconstruction. Ann Plast Surg 2011;66:24–8
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9Pontius, AT, Williams, EF 3rd.Endonasal placement of spreader grafts in rhinoplasty. Ear Nose Throat J 2005;84:135–6
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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