Facial plast Surg 2013; 29(06): 515-519
DOI: 10.1055/s-0033-1360590
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Spreader Graft in Closed Rhinoplasty: The “Rail Spreader”

Alberto Scattolin1, Niana Orlando1, Luca D'Ascanio2
  • 1Department of Otolaryngology, Villa Donatello Clinic, Piazzale Donatello, Florence, Italy
  • 2Department of Otolaryngology-Head and Neck Surgery, “Carlo Poma” Civil Hospital, Mantova, Italy
Further Information

Publication History

Publication Date:
10 December 2013 (online)


Spreader grafts (SGs) have been widely used for both aesthetic and functional reasons to prevent middle vault collapse and treat internal nasal valve insufficiency. Although SG precise fixation can be easily achieved in open rhinoplasty, the difficulties of SG placement in closed rhinoplasties can be discouraging. In the present report, we describe a new custom-made SG (called “rail spreader”) and the personal easy method of application of such graft in “endonasal” rhinoplasty. The technical details and results are reported along with the advantages of our technique over previously described approaches.