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
