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Koen J. A. O. Ingels, MD, PhD; Kadir S. Orhan, MD; Niels van Heerbeek, MD, PhD

Arch Facial Plast Surg. 2008;10(5):354-356.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The use of spreader grafts is a common procedure in rhinoplasty. Originally they served to widen the nasal valve,¹ but they also proved to be very helpful in aesthetic corrections and repairing of the middle nasal vault.² Especially in nasal surgery, changes in function often imply a change in outer appearance as well. It is supposed that a nasal valve angle narrower than 10° to 15° will cause inspirational obstruction.³ A positive Cottle sign⁴ is considered to be suggestive of nasal valve insufficiency.

Because spreader grafts are placed between the caudal end of the nasal septum and the upper lateral cartilages, they are supposed to widen the nasal valve. To our knowledge, there are no studies that can clearly demonstrate this mechanical theory, but general agreement exists about their positive effect on nasal patency.⁵ . . . [Full Text of this Article]

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