Will Spreader Grafts Prevent Bones and Cartilage from Shifting?

Spreader grafts are placed underneath the upper lateral cartilages to keep them held outward. To restraighten the nasal pyramid, both medial and lateral osteotomies need to be performed and when executed properly, the nose should remain straight. Spreader grafts are used to bolster outwards the upper lateral cartilage where it is concave, pushing down into the airway. This is referred to as valve collapse and vestibular stenosis. We always recommend that spreader grafts be done from the... more

I don't think many doctors are using implants for spreader grafts. Cartilage from the septum is the best. As a general rule, you don't want to be the first patient having the newest procedure. Better to wait and make sure it's going to work. 

Dear Canadian friend, Don't slide down the slippery slope of being hung up on technology. Non-human implants/parts can be great, but your condition does not sound simple and therefore much thought and care must be exercised. Do you know if your nose is crooked because of a deviated septum? If so, perhaps fixing that would be wise. Synthetic parts can be great but always carry some risk. Particularly if other surgery is done at the same time, they can slip and slide... more

Autolotogus spreader grafts are probably best.  I have no experience with this porous synthetic grafts.Spreadr grafts are used for two reasons, 1) to improve breathing, and 2) to camouflage asymmetries or improve curvatures.

Self Spreader grafts are the norm in the States, using artificial materials is not the usual. And the shifting will occur more commonly with these non self grafts.