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Facial Plast Surg 2023; 39(01): 077-085
DOI: 10.1055/a-1760-1709
Original Research

Is There a Risk of Saddle Nose Deformity after Spreader Grafts and Flaps?

Ahmed Eweiss 
1   Department of Ear Nose and Throat, Barking Havering and Redbridge University Hospitals NHS Trust, Romford, United Kingdom of Great Britain and Northern Ireland
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Abstract

Spreader grafts have been used successfully for years to augment the nasal valves among other indications. Spreader flaps have been described as an alternative. However, the literature discussing the complications of these procedures is scarce. This study aims to report and discuss the improvements and complications resulting from using spreader grafts or flaps in a cohort of patients operated upon by the author. Particular stress is given to a group of patients who developed saddle nose deformity after surgery. This cohort included 80 cases of rhinoplasty involving the use of spreader grafts or/and flaps. There was a highly significant improvement in nasal functions postoperatively. Postoperative saddle nose deformity was observed in five patients (6.25%). Spreader grafts/flaps are highly effective in improving nasal functions, but saddle nose deformity appears to be a possible risk. This complication has not been previously reported in the literature in relation to these procedures.

Keywords

spreader graft - spreader flap - saddle nose - peak nasal inspiratory flow


Publication History

Accepted Manuscript online:
03 February 2022

Article published online:
13 September 2022

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