The Use of Triangular Spreader Graft for Correction of Deviated Nasal Dorsum

Introduction: Deviated nasal dorsum constitutes a big challenge for rhinoplasty surgeons. Many techniques were described to overcome this problem. The presence of such many techniques is due to the tendency of the nose to return to its original shape and the reappearance of the deformity. In our study we used the triangular spreader graft to correct dorsal nasal deviation. Aim of the Work: Assessment of reliability of the triangular spreader graft in correction of dorsal nasal deviation. Patients and Methods: The population study is 15 patients with dorsal nasal deviation in which we used the insertion of the triangular spreader graft in the same side of deviation after performing osteotomies to correct the deviation and prevent its recurrence. Then assessment was done postoperative subjectively by patient satisfaction and by comparisons between the preoperative and the postoperative photographs. Results: Of fifteen patients subjected to this study only ten were available for the follow-up in which we found that there are five with excellent results, four with good results and one with fair results requiring revision surgery. Conclusion: The use of single triangular spreader graft in correction of deviated nasal dorsum proved to be helpful in combination with other techniques used in rhinoplasty for correction.