I had a primary rhinoplasty/septoplasty done in 2010 to repair a deviated septum/dorsal hump. my breathing issues ended up returning along with a small bump so I scheduled a revision surgery. I was told during my consultation that my own cartilage would be used to create bilateral spreader grafts and the small bump would be shaved down. After having my surgery today I found out silicone spreader grafts were used instead, which makes me uneasy. Any advice/opinions would help! Thanks!
Just Had Surgery for Silicone Bilateral Spreader Grafts?
Doctor Answers (5)
Silicone spreader grafts for rhinoplasty
I am not aware of any silicone spreader grafts, but you should check with your surgeon to see what was used. Personally, I strongly prefer using a patient's own cartilage for grafting. If there is not enough septum remaining, my preference is for conceal (ear) or costal (rib) cartilage.
Silicone Spreader Grafts
This was probably not silicone but another type of synthetic material, which can be used for reconstruction. Ask your plastic surgeon what this was specifically. Kenneth Hughes, MD Los Angeles, CA
Spreader graft questions
If spreader grafts are required and you do not have enough septal cartilage to perform the task then a synthetic material may be indicated. There are newer absorbable materials available for use as a spreader graft.
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I have not heard of silicone material used as a spreader graft. You may be referring to the use of plastic polymer material (PLLA/PGA resorbable polymers) used for septal support or spreader grafts which are FDA- approved for that indication. I would check with your surgeon or get a copy of your operative note as you may have the wrong information.
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