title: Primary Rhinoplasty.
abstract: Rhinoplasty is inherently a difficult procedure given the complexity of its structure and the functional and aesthetic impact of this anatomy. This report explores some of the remaining questions regarding the use of spreader grafts and autospreader flaps in the management of the middle vault in rhinoplasty, the performance of the open approach versus the endonasal rhinoplasty approach, corrective rhinoplasty in the younger patient, the use of the rib and other cartilage donor sites for grafting in rhinoplasty, and the use of filler materials in rhinoplasty.
authors.affiliation: Department of Surgery, The University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617, USA; Facial Plastic and Reconstructive Surgery, Otolaryngology/Head & Neck Surgery, The Hershey Medical Center, The Pennsylvania State University, 500 University Drive, Hershey, PA 17033, USA. Electronic address: drfredfedok@me.com.
authors.forename: Fred G
authors.initials: FG
authors.lastname: Fedok
mesh_terms: D002356:Cartilage / Q000637:transplantation; D000067548:Dermal Fillers; D006801:Humans; D009300:Nasal Septum / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D012272:Ribs
chemical_list: D000067548:Dermal Fillers
keywords: Autospreader flaps; Costal cartilage; Endonasal approach; Fillers in rhinoplasty; Nonsurgical rhinoplasty; Open approach; Pediatric nasal surgery; Spreader grafts