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Using Porous Polyethylene Extended Spreader Grafts

Martyn Mendelsohn, MB, BS, FRACS

Arch Facial Plast Surg. 2005;7:74-80.

Objective  To evaluate a surgical technique used to straighten and support the crooked middle third of the nose.

Design  Retrospective review of 41 patients with a markedly crooked nose who underwent correction using extended spreader grafts made from high-density porous polyethylene. Follow-up ranged from 6 months to 2 years.

Results  Every patient had substantial improvement in the straightening of the middle third of the crooked nose and the airway in one procedure. There were no cases of extrusion or infection.

Conclusions  The extended spreader graft technique introduces structural reinforcement to permit straightening of the middle third of the nose. It is safe, effective, and reliable. The graft material provides increased strength against further trauma or the long-term forces of scar contracture. This technique has compelling benefits compared with all other techniques used to straighten the severely crooked middle third of the nose.

Author Affiliations: Sydney Ear, Nose, and Throat and Facial Cosmetic Day Surgery; and Department of Otolaryngology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

RELATED LETTERS

Straightening the Crooked Middle Third of the Nose: Use of High-Density Porous Polyethylene Extended Spreader Grafts
Ali Gürlek, Alpay Fariz, Mehmet Celik, Ayse Ersöz-Öztürk, and Ahmet Arslan
Arch Facial Plast Surg. 2005;7(6):420.
EXTRACT | FULL TEXT  

Straightening the Crooked Middle Third of the Nose: Use of High-Density Porous Polyethylene Extended Spreader Grafts—In Reply
Martyn S. Mendelsohn
Arch Facial Plast Surg. 2005;7(6):420-421.
EXTRACT | FULL TEXT  

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ABSTRACT | FULL TEXT  

Straightening the Crooked Middle Third of the Nose: Use of High-Density Porous Polyethylene Extended Spreader Grafts
Gurlek et al.
Arch Facial Plast Surg 2005;7:420-420.
FULL TEXT