Volume 31, Issue 149 (November & December 2023)                   J Adv Med Biomed Res 2023, 31(149): 536-540 | Back to browse issues page

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Jamalpour M R, Narimani A, Pirdehghan A, Mohammadi R, Rasipour T. Assessment of Aesthetic Outcomes of Spreader Graft for Primary Rhinoplasty in Patients with Mild Dorsal Hump Reduction, A Double Blind Clinical Trial. J Adv Med Biomed Res 2023; 31 (149) :536-540
URL: http://journal.zums.ac.ir/article-1-7105-en.html
Assessment of Aesthetic Outcomes of Spreader Graft for Primary Rhinoplasty in Patients with Mild Dorsal Hump Reduction, A Double Blind Clinical Trial
Mohammad Reza Jamalpour1 , Ataollah Narimani *2 , Azar Pirdehghan3 , Reza Mohammadi1 , Tannaz Rasipour1
1- Dept. of Oral and Maxillofacial Surgery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Dept. of Oral and Maxillofacial Surgery, Hamadan University of Medical Sciences, Hamadan, Iran , Erfanpaknahad01@gmail.com
3- Dept. of Community Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (1524 Views)

Background and Objective: The reduction of dorsal hump in rhinoplasty can result in significant cosmetic and functional compromise if appropriate supports, such as a spreader graft or flap is not provided. However, if the hump reduction is slight, the function of enhancing maneuvers cannot be defined with certainty. This study aimed to assess the aesthetic effects of spreader graft placement in the patients with less than 3 mm hump reduction.
Materials and Methods: This study was a double-blind clinical trial with 30 patients who were randomly divided into 2 equal sized groups. For patients in the control group, there were no augmentation techniques used during hump reduction; however, in the intervention group, spreader grafts were applied after hump reduction. After 6 months, the incidence of depression, step, narrowing, widening and asymmetry in dorsum was ascertained. Besides, the patients were asked to rate their satisfaction with their nasal dorsum aesthetics.
Results: Only one patient in the control group had an inverted-V deformity, and patients in the intervention group were more satisfied with the aesthetic results. These variations are clinically important even if they were not statistically significant.
Conclusion: Using a spreader graft in the primary rhinoplasty of patients with less than 3mm hump reduction, without causing serious complications, increases the patient’s satisfaction with dorsum aesthetics.

Keywords: Rhinoplasty, Hump, Spreader Graft
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✅ Using a spreader graft in the primary rhinoplasty of patients with less than 3mm hump reduction, without causing serious complications, increases the patient’s satisfaction with dorsum aesthetics.


Type of Study: Clinical Trials | Subject: Clinical Medicine
Received: 2023/06/22 | Accepted: 2023/08/18 | Published: 2024/01/29
References
1. Kalantar Motamedi MH, Ebrahimi A, Shams A, Nejadsarvari N. Health and social problems of rhinoplasty in Iran. World J Plast Surg. 2016;5(1):75-6.
2. Tavassoli G, Modiri F. Women's tendency toward cosmetic surgery in Tehran. Women Studies. 2012;10(1):61-80.
3. Eytan DF, Wang TD. Complications in rhinoplasty. Clin Plast Surg. 2022;49(1):179-89. [DOI:10.1016/j.cps.2021.07.009] [PMID]
4. Wittkopf M, Wittkopf J, Ries WR. The diagnosis and treatment of nasal valve collapse. Curr Opin Otolaryngol Head Neck Surg. 2008;16(1):10-3. [DOI:10.1097/MOO.0b013e3282f396ef] [PMID]
5. Andre' RF, Paun SH, Vuyk HD. Endonasal spreader graft placement as treatment for internal nasal valve insufficiency: no need to divide the upper lateral cartilage from the septum. Arch Facial Plast Surg. 2004;6(1):36-40. [DOI:10.1001/archfaci.6.1.36] [PMID]
6. ElBestar M, Abou-Zeid MA, Lasheen H, et al. Spreader flap versus spreader graft in dorsal reconstruction following hump resection in primary closed rhinoplasty. Egypt J Ear Nose Throat Ally Sci.2020;21(3):192-201. [DOI:10.21608/ejentas.2020.32090.1221]
7. Zeid NG, Mohamed AS, ElSayed M,et al. Objective comparison between spreader grafts and flaps for mid-nasal vault reconstruction: A randomized controlled trial. Plast Surg (Oakv). 2020;28(3):137-41. [DOI:10.1177/2292550319880919] [PMID] [PMCID]
8. Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstruct Surg. 1984;73(2):230-9. [DOI:10.1097/00006534-198402000-00013]
9. Fomon S, Gilbert JG, Caron AL, Segal S. Collapsed Ala: pathologic physiology and management. Arch Otolaryngol. 1950;51(4):465-84. [DOI:10.1001/archotol.1950.00700020488001]
10. Teymoortash A, Fasunla JA, Sazgar AA. The value of spreader grafts in rhinoplasty critical review. Eur Arch Otorhinolaryngol. 2012;269(5):1411-6. [DOI:10.1007/s00405-011-1837-y] [PMID] [PMCID]
11. Shafaeei Y, Jafari Zare N. A comparison of the aesthetics outcomes and respiratory side effects of the use of spreader flap and spreader graft techniques in open rhinoplasty. J Craniofac Surg. 2019;30(8):2546-8. [DOI:10.1097/SCS.0000000000005744] [PMID]
12. Rhee JS, Arganbright JM, McMullin BT, Hannley M. Evidence supporting functional rhinoplasty or nasal valve repair: a 25-year systematic review. Otolaryngol Head Neck Surg. 2008;139(1):10-20. [DOI:10.1016/j.otohns.2008.02.007] [PMID]
13. Aydoğdu I, Bayram AA, Aydoğdu Z. Assessment of functional outcomes of an auto spreader flap and spreader graft in rhinoplasty. J Craniofac Surg. 2022;33(3):e257-e60. [DOI:10.1097/SCS.0000000000008044] [PMID]
14. Ingles KJ, Orphan KS, van Heerbeek N. The effect of spreader grafts on nasal dorsal width in patients with nasal valve insufficiency. Arch Facial Plast Surg. 2008;10(5):354-6. [DOI:10.1001/archfaci.10.5.354] [PMID]
15. Omranifard M, Abdali H, Rasti Ardakani M, Ahmadnia A. Comparison of the effects of spreader graft and overlapping lateral crural technique on rhinoplasty by rhinomanometry. World J Plast Surg. 2013;2(2):99-103.
16. Gerecci D, Perkins SW. The use of spreader grafts or spreader flaps- or not-in hump reduction rhinoplasty. Facial Plast Surg. 2019;35(5):467-75. [DOI:10.1055/s-0039-1695727] [PMID]
17. Cabbarzade C. Mucoperichondrial spreader flap application for middle vault reconstruction in rhinoplasty: A review of 857 cases. Aesth Surg J. 2021;41(6):NP701-5. [DOI:10.1093/asj/sjaa333] [PMID]
18. Faris C, Koury E, Kothari P, Frosh A. Functional rhinoplasty with batten and spreader grafts for correction of internal nasal valve incompetence. Rhinol. 2006;44(2):114.
19. Kim L, Papel ID. Spreader grafts in functional rhinoplasty. Facial Plast Surg. 2016;32(01):029-35. [DOI:10.1055/s-0035-1570127] [PMID]
20. Kovacevic M, Riedel F, Göksel A, Wurm J. Options for middle vault and dorsum restoration after hump removal in primary rhinoplasty. Facial Plast Surg. 2016;32(04):374-83. [DOI:10.1055/s-0036-1586124] [PMID]
21. Ulusoy S, Dinç ME, Dalğıç A, Dizdar D, Avınçsal MÖ, Külekçi M. Effects of spreader grafts on olfactory function in septorhinoplasty. Aesth Plast Surg. 2016;40(1):106-13. [DOI:10.1007/s00266-015-0597-2] [PMID]
22. Hassanpour SE, Heidari A, Moosavizadeh SM, Tarahomi MR, Goljanian A, Tavakoli S. Comparison of aesthetic and functional outcomes of spreader graft and auto spreader flap in rhinoplasty. World J Plast Surg. 2016;5(2):133-8.
23. Xavier R, Azeredo-Lopes S, Papoila A. Spreader grafts: functional or just aesthetical? Rhinol. 2015;53(4):332-9. [DOI:10.4193/Rhino13.069] [PMID]
24. Bermudez P, Quereshy FA. Nasal tip deformities after primary rhinoplasty. Oral Maxillofac Surg Clin North Am. 2021;33(1):111-7. [DOI:10.1016/j.coms.2020.09.005] [PMID]
25. Rahbar R, Esfandiar AA, Dahhaz M, Dastoorpoor M. A comparison of the aesthetic appeal and functional consequences of spreader flaps and grafts in patients with humps larger than three millimeters. Nat Volatiles Essent Oils J. 2021;8(5):8041-9.
26. Atighechi S, Sarafraz Z, Baradaranfar M, et al. The effect of spreader graft and mattress suture technique on rhinoplasty in patients with nasal hump smaller than 3 mm. J Craniofac Surg. 2018;29(8):2110-3. [DOI:10.1097/SCS.0000000000005078] [PMID]
27. Gruber RP, Park E, Newman J, Berkowitz L, Oneal R. The spreader flap in primary rhinoplasty. Plast Reconstr Surg. 2007;119(6):1903-10. [DOI:10.1097/01.prs.0000259198.42852.d4] [PMID]
28. Naguib MB, Ahmed MR, Madian YT, Elnahriry TM, Eldeeb WE. Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal. Egypt J Otolaryngol. 2020;36(1):1-6. [DOI:10.1186/s43163-020-00058-6]
29. Goffart Y, Karelle S, Daele J. Free spreader grafts in rhinoplasty. Eur J Plast Surg 2015; 38(5):355-62. [DOI:10.1007/s00238-015-1085-2] [PMID] [PMCID]
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