A novel technique for spreader graft placement without dorsum resection during septoplasty.
OBJECTIVE
This paper presents a novel method for spreader graft placement without dorsum resection in patients who have a deviated septum with a narrow internal nasal valve angle.


METHODS
A Killian incision was used for the endonasal septoplasty, and all spreader grafts were harvested from excised deviated septal cartilages. Procedures were conducted under general anaesthesia at the same centre by the same surgical team that performed the endonasal procedure. Successful placement of spreader grafts was achieved endonasally.


CONCLUSIONS
Although the endonasal placement of spreader grafts seems to be more difficult than placement conducted by an open approach technique, an endonasal procedure has many advantages. Our technique provides surgeons with the opportunity to shorten operation time, obtain autologous septal graft material and secure the columellar architecture. Surgeons familiar with the classical (endonasal) septoplasty procedure can easily apply this technique to widen a narrow internal nasal valve angle, without corrupting nasal integrity.
Department of Otorhinolaryngology,Eskişehir Osmangazi University,Eskişehir,Turkey.
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E
Kaya
Department of Otorhinolaryngology,Bozyaka Teaching and Research Hospital,Izmir,Turkey.
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T
Catli
Department of Otorhinolaryngology,Eskişehir Military Hospital,Turkey.
H
H
Soken
Department of Otorhinolaryngology,Eskişehir Osmangazi University,Eskişehir,Turkey.
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C
Cingi
D006801:Humans; D055171:Nasal Cartilages / Q000637:transplantation*; D009300:Nasal Septum / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D061646:Operative Time; D012225:Rhinoplasty / Q000379:methods*
Cartilage; Grafts; Nose; Rhinoplasty