Spreader grafts is a versatile technique that no only straightens up the cartilagenous part of nose (lower two thirds of nasal dorsum) but also gives Burrows lines and prevents inverted V deformity. It's ideal to retrieve the cartilage from inside the nose however if that's not possible due to previous surgeries the it can be harvested from ear cartilage.
Yes, auricular cartilage is a common source for spreader grafts, likely the second most common after septal cartilage across the board.
Yes, ear cartilage can be used to make a perfectly acceptable spreader graft, batten graft and is the cartilage of choice for alar grafts.
Yes! Ear cartilage is somewhat floppy and weak. However, it is an excellent space filler. That is basically what you need out of a spreader graft, something to provide volume with or without rigidity. I have used ear cartilage many times for this purpose.
All plastic surgeons prefer the use of septal cartilage but when it is not available ear cartilage becomes a good secondary source for the purpose. Ear cartilage has good volume but is flexible and not as rigid as septal cartilage but for the purpose of simple spreader grafts to open your nasal airway and internal nasal valves I have used it many times successfully.
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California
Auricular cartilage is good for volume but is relatively soft and not rigid enough for some corrections. If it is just a spreader graft and nothing more is required for straightening the nose, then it is a good choice if septal cartilage isn't available. Best wishes.
Dear needrevisionAlthough auricular cartilage can be used for a spreader graft,as with everything in life, there is a catch. If you have a dorsal septal deformity, like a C shape, the spreader graft can serve to both reconstruct your internal valve and straighten the nose. The ear cartilage is not as good to straighten the nose but just as good to provide support for your internal nasal valve. Look for an experienced and well rained plastic surgeon, see more than one consultation and make a well informed decision.
Yes - ear cartilage can be used as spreader grafts if you do not have enough septal cartilage. The incision is placed behind the ear and is very well hidden. Because these grafts are very small, not much cartilage is needed and it should not cause a deformity in the ear.Best of luck and hope this information helps!- Dr. Roger Tsai
Ear cartilage can certainly be used for spreader grafts. These don't need to be large, or structurally rigid, so any source works. They are acting like shims or spacers to spread open the internal "valve" (tight spot) in your nasal airway.
Ear cartilage can be used for spreader grafts when there is a cartilage depleted nose from prior surgery. For more information, diagrams of spreader graft placement and many examples, please see the link and the video below