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

Apaydin, Fazil MD

¹Department of Otorhinolaryngology, Ege University Medical Faculty, Bornova, İzmir, Turkey

Address for correspondence Fazil Apaydin, MD, Department of Otorhinolaryngology, Ege University Medical Faculty, Bornova 35100, İzmir, Turkey, [email protected][email protected]

Guest Editor, Fred G. Fedok, MD, FACS

Facial Plastic Surgery 32(6):p 638-645, December 2016. | DOI: 10.1055/s-0036-1597144

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.