Spreader graft placement as a treatment for internal nasal valve in insufficiency

ABSTRACT

The objective of this study was to evaluate and describe the results of the surgical procedures to treat internal nasal valve insufficiency by using spreader grafts placed via an external approach of rhinoplasty. Thirty-five patients with complaints of nasal obstruction, in part due to internal nasal valve insufficiency, underwent this operation on 63 sides in a private practice setting. Only autologous material was used. The technique of insertion of spreader graft between the upper lateral cartilage and the septum was done through an external rhinoplasty approach. All patients were prospectively studied and subjective self-assessment was judged to quantify the result of the operation. On 47 sides, nasal breathing was described as "optimal" and on 13 sides, the result was described as "improved". On two sides, no change was noted and on one side, the postoperative situation was judged worse