The Use of Spreader Grafts and Columellar Strut as Septal Extention Graft in Dorsal Nasal Deviation

Background: Shortening of the nose in rhinoplasty surgery specially in dealing with nasal dorsum in deviated noses caries a considerable risk. For that issue, we used certain technique which is the use of bilateral spreader grafts and collumellar struts as septal extension grafts to avoid this complication in our rhinoplasty series of surgeries for correction of deviated nasal dorsum. Aim of Work: Assessment of the use of bilateral spreader grafts with collumellar struts in rhinoplasty surgery for correction of deviated nasal dorsum to avoid shortening of the nose. Patients and Methods: The population study is 19 patients who are candidate for rhinoplasty surgery for correction of deviated nose. They underwent surgery through open approach rhinoplasty in which after correction of their deformity we used long spreader grafts with collumellar strut as septal extension grafts to achieve good tip projection. Assessment of patients done according to the photographs taken and patient’s satisfaction. Results: Of the 19 patients who have undergone this procedure, 15 were available for follow-up. Seven patients showed excellent results, six patients were considered as a good outcome and two patients attained fair results requiring a secondary operation. Conclusion: Bilateral spreader grafts if combined with collumellar strut and used as septal extension graft proved to be effective to guard against shortening of the nose in cases of deviated cartilaginous nasal dorsum.