El Sherif, A., Kamel, I. (2019). The Role of a Diced Inverted Y Shaped Spreader Graft to Enhance Function in Open Rhinoplasty. A Novel Technique. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), 313-318. doi: 10.21608/ejprs.2019.65109
Ahmed F El Sherif; Ibrahim H Kamel. "The Role of a Diced Inverted Y Shaped Spreader Graft to Enhance Function in Open Rhinoplasty. A Novel Technique". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 2, 2019, 313-318. doi: 10.21608/ejprs.2019.65109
El Sherif, A., Kamel, I. (2019). 'The Role of a Diced Inverted Y Shaped Spreader Graft to Enhance Function in Open Rhinoplasty. A Novel Technique', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), pp. 313-318. doi: 10.21608/ejprs.2019.65109
El Sherif, A., Kamel, I. The Role of a Diced Inverted Y Shaped Spreader Graft to Enhance Function in Open Rhinoplasty. A Novel Technique. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(2): 313-318. doi: 10.21608/ejprs.2019.65109
The Role of a Diced Inverted Y Shaped Spreader Graft to Enhance Function in Open Rhinoplasty. A Novel Technique
The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Ain Shams University
Abstract
The role of spreader grafts in open rhinoplasty is at times mandatory. Various studies have shown that spreader grafts mot only support nasal function by maintaining the nasal valve support, but also restore nasal dorsum aesthetics and camouflage minor dorsal nasal deviations. This study was aimed to evaluate a surgical modification of the spreader graft to augment the aesthetic and functional outcomes in open rhinoplasty. Patients and Methods: 24 patients (21 females, 3 males), who were candidates for open septo-rhinoplasty, were divided into two groups of 12 each. Group A traditional spreader grafts were applied, while in Group B, the modified diced inverted Y shaped spreader graft was used. Clinical assessments aided with photography were done at 3, 6 and 12 months postoperatively together with CT-scan (6 months), and subjective questionnaires to assess the aesthetic and functional end results. Results: The pre-and post-operative calculations made for the minimal cross sectional area at internal valve level using CT-scan showed there was mild significant changes in Group A more than the Group B (p-values=0.0010). In the Group A, there was an increase in the minimal cross sectional area at the level of the internal valve by more in Group A by +0.023cm2, while in Group B it was +0.019cm2, respectively. The patient satisfaction of the aesthetic results it was highest (86%) in Group A, but high (57%) in Group B. In addition, the procedure also clinically revealed a significant improvement in nasal obstruction in Group A (71%) and improvement in Group B (43%). Therefore, there was improvement of functional outcomes if spreader graft was used, with more aesthetic improvement if modified spreader graft is used. Conclucion: Modified spreader graft is an applicable, simple technical modification in spreader graft that could improve the aesthetic and functional outcomes in open septorhinoplasty.
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