What are spreader grafts and what are they used for in rhinoplasty?

Question:

What are spreader grafts and what are they used for in rhinoplasty?

Answer:

A spreader graft usually refers to the cartilage that is placed between the upper level cartilages and the septal cartilage, and they have both functional as well as cosmetic indications. From a functional aspect, by opening up or spreading open the attachment of the upper level cartilages to the top of the septal cartilage, the breathing passages are widened and thus breathing is improved and, as well, the collapse that can sometimes be seen on deep aspiration can at times be avoided.

From a cosmetic aspect, the placement of these grafts fills in any cosmetic absence of tissue and, thus, gives a more even and essentially balanced appearance to the nose. These grafts are placed in rhinoplasty surgery and most commonly involve the use of septal cartilage but other sources of cartilage can be used.

Posted by Jeffrey S. Epstein, MD, FACS