Facial plast Surg 2016; 32(06): 638-645
DOI: 10.1055/s-0036-1597144
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Rebuilding the Middle Vault in Rhinoplasty: A New Classification of Spreader Flaps/Grafts

Fazil Apaydin1
  • 1Department of Otorhinolaryngology, Ege University Medical Faculty, Bornova, İzmir, Turkey
Further Information

Publication History

Publication Date:
29 December 2016 (online)

Abstract

After hump removal in reduction rhinoplasty, one of the main steps is to rebuild the middle vault. Spreader grafts have long been the main tool for the surgeon. Within the last two decades, the spreader flaps have started to be very popular as well. In accordance with the experience and technical preferences of the surgeon, there are many different options. In this article, the spreader grafts are classified as traditional, modified, splinting, and reconstructive. The spreader flaps are designed in accordance with their relationship with the septum and the spreader grafts.