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Spare Roof Technique: A Middle Third New Technique
10 February 2016 (online)
To our knowledge, the spare roof technique (SRT) is the first technique that is based on a complete skeletonization/preservation of the upper lateral cartilages. This technique is used to keep the natural roof of the nose's middle third, while dehumping and/or correcting the crooked septum. From January 2014 till March 2015, a total of 40 rhinoplasties were performed through the SRT: 28 reduction rhinoplasties, 6 complex crooked noses (with extracorporeal septoplasty), and 6 mixed cases. The SRT is an excellent middle third technique. The natural roof was kept and fitted the accurate new position in almost all cases with no surgical complexity. It is an easy technique with many applications and it is also very useful in the classical humpectomy of the Caucasian nose and correction of the crooked nose.
Miguel Gonçalves Ferreira was responsible for design, analysis, and interpretation, as well as writing of the manuscript; had full access to all the data in the study; and takes responsibility for the integrity of the data and accuracy of the data analysis.
Daniel Monteiro was responsible for analysis, interpretation, and writing of the manuscript.
Cláudia Reis and Cecilia Almeida e Sousa were responsible for writing of the manuscript.
- 1 Simon PE, Lam K, Sidle D, Tan BK. The nasal keystone region: an anatomical study. JAMA Facial Plast Surg 2013; 15 (3) 235-237
- 2 Natvig P, Sether LA, Gingrass RP, Gardner WD. Anatomical details of the osseous-cartilaginous framework of the nose. Plast Reconstr Surg 1971; 48 (6) 528-532
- 3 Daniel RK. Mastering Rhinoplasty: A Comprehensive Atlas of Surgical Techniques with Integrated Video Clips. Berlin, Germany: Springer; 2010
- 4 Rohrich RJ, Muzaffar AR, Janis JE. Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty. Plast Reconstr Surg 2004; 114 (5) 1298-1308 , discussion 1309–1312
- 5 Gruber RP, Perkins SW. Humpectomy and spreader flaps. Clin Plast Surg 2010; 37 (2) 285-291
- 6 Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984; 73 (2) 230-239
- 7 Toriumi DM. Management of the middle nasal vault in rhinoplasty. Oper Tech in Plas Reconstr Surg 1995; 2 (1) 16-30
- 8 Arslan E, Aksoy A. Upper lateral cartilage-sparing component dorsal hump reduction in primary rhinoplasty. Laryngoscope 2007; 117 (6) 990-996
- 9 Lohuis PJ, Faraj-Hakim S, Knobbe A, Duivesteijn W, Bran GM. Split hump technique for reduction of the overprojected nasal dorsum: a statistical analysis on subjective body image in relation to nasal appearance and nasal patency in 97 patients undergoing aesthetic rhinoplasty. Arch Facial Plast Surg 2012; 14 (5) 346-353
- 10 Gruber RP, Park E, Newman J, Berkowitz L, Oneal R. The spreader flap in primary rhinoplasty. Plast Reconstr Surg 2007; 119 (6) 1903-1910
- 11 Huizing EH. Push-down of the external nasal pyramid by resection of wedges. Rhinology 1975; 13 (4) 185-190
- 12 Pinto RM. On the “let-down” procedure in septorhinoplasty. Rhinology 1997; 35 (4) 178-180
- 13 Roostaeian J, Unger JG, Lee MR, Geissler P, Rohrich RJ. Reconstitution of the nasal dorsum following component dorsal reduction in primary rhinoplasty. Plast Reconstr Surg 2014; 133 (3) 509-518
- 14 Boulanger N, Baumann C, Beurton R , et al. Septorhinoplasty by disarticulation: early assessment of a new technique for morphological correction of crooked noses. Rhinology 2013; 51 (1) 77-87
- 15 Cottle MH, Loring RM. Corrective surgery of the external nasal pyramid and the nasal septum for restoration of normal physiology. Eye Ear Nose Throat Mon 1947; 26 (4) 207-212