Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience
Abstract Introduction The use of either an open or closed approach in rhinoplasty has been a topic of debate. Widening the narrow internal nasal valve area through internal nasal valve augmentation presents a strong case for an open approach. However, this study presents a direct method for fixing s...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-04-01
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| Series: | The Egyptian Journal of Otolaryngology |
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| Online Access: | https://doi.org/10.1186/s43163-025-00813-7 |
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| author | Eman Hamdy Fedaey Habaza Hossam Elsisi |
| author_facet | Eman Hamdy Fedaey Habaza Hossam Elsisi |
| author_sort | Eman Hamdy |
| collection | DOAJ |
| description | Abstract Introduction The use of either an open or closed approach in rhinoplasty has been a topic of debate. Widening the narrow internal nasal valve area through internal nasal valve augmentation presents a strong case for an open approach. However, this study presents a direct method for fixing spreader grafts using a closed approach, which offers the benefits of precise placement and stability without an external scar. Materials and methods Nine patients with functional and/or cosmetic complaints that need spreader grafts insertion were enrolled in the study. Spreader grafts placed and fixed by stitches using a closed rhinoplasty approach with additional esthetic steps added as necessary. Results Valve collapse was secondary in 2 cases, and the spreader graft was inserted bilaterally in all but one patient. Their complaint was either functional (44%), cosmetic (22%), or both (33%). NOSE scores showed improvement in all patients with a mean operative time was (68.68 ± 12.45 SD) minutes and postoperative complications were acceptably low. Conclusion In this report, we describe fixation of spreader graft through a closed technique with visualization of the entire septal cartilage frame. This method combines the advantages of direct manipulation and fixation with all the benefits of a closed approach. |
| format | Article |
| id | doaj-art-a531d80a89ac419cbe7d6b4596fa2564 |
| institution | OA Journals |
| issn | 2090-8539 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj-art-a531d80a89ac419cbe7d6b4596fa25642025-08-20T02:30:18ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392025-04-014111610.1186/s43163-025-00813-7Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experienceEman Hamdy0Fedaey Habaza1Hossam Elsisi2Mansoura UniversityMansoura UniversityMansoura UniversityAbstract Introduction The use of either an open or closed approach in rhinoplasty has been a topic of debate. Widening the narrow internal nasal valve area through internal nasal valve augmentation presents a strong case for an open approach. However, this study presents a direct method for fixing spreader grafts using a closed approach, which offers the benefits of precise placement and stability without an external scar. Materials and methods Nine patients with functional and/or cosmetic complaints that need spreader grafts insertion were enrolled in the study. Spreader grafts placed and fixed by stitches using a closed rhinoplasty approach with additional esthetic steps added as necessary. Results Valve collapse was secondary in 2 cases, and the spreader graft was inserted bilaterally in all but one patient. Their complaint was either functional (44%), cosmetic (22%), or both (33%). NOSE scores showed improvement in all patients with a mean operative time was (68.68 ± 12.45 SD) minutes and postoperative complications were acceptably low. Conclusion In this report, we describe fixation of spreader graft through a closed technique with visualization of the entire septal cartilage frame. This method combines the advantages of direct manipulation and fixation with all the benefits of a closed approach.https://doi.org/10.1186/s43163-025-00813-7Efficacy of simple placement of spreaders in a pocket in closed rhinoplastyWide dissection and suturing spreaders in closed rhinoplastySuture fixation of spreaders with promising long-lasting results |
| spellingShingle | Eman Hamdy Fedaey Habaza Hossam Elsisi Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience The Egyptian Journal of Otolaryngology Efficacy of simple placement of spreaders in a pocket in closed rhinoplasty Wide dissection and suturing spreaders in closed rhinoplasty Suture fixation of spreaders with promising long-lasting results |
| title | Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience |
| title_full | Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience |
| title_fullStr | Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience |
| title_full_unstemmed | Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience |
| title_short | Spreader graft fixation through a closed rhinoplasty approach: descriptive study and preliminary clinical experience |
| title_sort | spreader graft fixation through a closed rhinoplasty approach descriptive study and preliminary clinical experience |
| topic | Efficacy of simple placement of spreaders in a pocket in closed rhinoplasty Wide dissection and suturing spreaders in closed rhinoplasty Suture fixation of spreaders with promising long-lasting results |
| url | https://doi.org/10.1186/s43163-025-00813-7 |
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