The Safety and Efficacy of Spreader Grafts and Autospreaders in Rhinoplasty: A Systematic Review and Meta-analysis

Buba, Cibele Madsen; Patel, Priyesh N.; Saltychev, Mikhail; Kandathil, Cherian K.; Most, Sam P.

doi:10.1007/s00266-021-02735-0

Cited by 8 publications

(4 citation statements)

References 67 publications

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“…In spite of the above challenges, some notable comparison studies are worthy of highlighting. Buba et al 3 performed a systematic review and meta‐analysis comparing the functional effects of auto‐spreader flaps and spreader grafts. The two techniques are amenable to quality comparisons given the significant overlap of indications, that is, static narrowing of the internal nasal valve.…”

Section: Literature Reviewmentioning

confidence: 99%

Functional Rhinoplasty—What Really Works?

2023

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Throughout the evolution of functional rhinoplasty, numerous techniques have been described and shown to be successful. Controversy exists regarding which techniques are most effective to address various deformities. The goal of this article is to review the available literature to examine the question, which surgical techniques within functional rhinoplasty are most successful in treating nasal airway obstruction. Based on the available data, it is not currently possible to draw conclusions about the superiority of a single graft or technique in functional rhinoplasty.

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Section: Literature Reviewmentioning

confidence: 99%

Functional Rhinoplasty—What Really Works?

2023

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“…The example was a systematic review from 2022 looking at the safety and efficacy of autospreaders during rhinoplasty which found a total of 1129 studies, less than 2% of which included any quantifiable data. 7 The goal of this article to is to discuss the role of evidence-based medicine in the setting of rhinoplasty. In particular, this text aims to highlight the standardized aspects of rhinoplasty workup and evaluation as well as outcomes data used to measure functional or aesthetic success after surgery with the associated literature to support these methods.…”

Section: (Figure 2-levels Of Evidence Pyramid)mentioning

confidence: 99%

Evidence-Based Medicine: Rhinoplasty Surgical Outcomes

Kimura

Most

2023

Facial Plast Surg

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“…Despite all technological, anatomical and surgical advancements, achieving a straight nose may not be possible in a significant group of patients. Several techniques, such as double or asymmetric osteotomies, spreader grafts, cartilage scoring, and several onlay graft techniques, have been described in the literature (1)(2)(3)(4). Since a significant number of patients still undergo revision surgeries for crooked nose, we believe that this problem has not yet been fully resolved.…”

Section: Introductionmentioning

confidence: 99%

Mobile Bony Cap (Meysem Yorgun Technique): An Innovative Technique in Preservation Rhinoplasty for Crooked Nose Deformity

Yorgun¹,

Çekiç

Evlice³

2022

Preprint

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Introduction Crooked nose deformity is a vertical axis deviation of the nasal pyramid; despite all advancements, it remains a significant problem to resolve. In this study, we present our I- and C-shaped crooked nose rhinoplasty results with this new osteotomy technique. Method This study included 25 patients with I- or C-shaped crooked nose deformities who underwent correction with a closed-approach let-down procedure. In this technique, the middle vault is preserved, the bony cap is mobilized and preserved, and the lateral nasal bones are equalized by a piezo device or classical osteotomes. By the mobilization of the bony cap, tension on the dorsal septum is released, and slight asymmetries are hidden behind this mobile bony cap. Results The postoperative angles for both type I and C deformities were closer to the ideal angle, and the difference was statistically significant. All patients were satisfied with their aesthetic and functional results. Conclusion In this procedure, we correct asymmetries at the lower maxillary nasal junction, such as in the Let-down approach, as well as asymmetries at the K-point, such as in the structural approach. Thus, we combine the advantages of both techniques. Additionally, the mobile-bony cap left on the patient is very useful for releasing the tension of the septal dorsum and hiding slight asymmetries that remain below in the patients.

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The Safety and Efficacy of Spreader Grafts and Autospreaders in Rhinoplasty: A Systematic Review and Meta-analysis

Cited by 8 publications

References 67 publications

Functional Rhinoplasty—What Really Works?

Functional Rhinoplasty—What Really Works?

Evidence-Based Medicine: Rhinoplasty Surgical Outcomes

Mobile Bony Cap (Meysem Yorgun Technique): An Innovative Technique in Preservation Rhinoplasty for Crooked Nose Deformity

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