Surgery to correct a deviated septum about 3 years ago - how safe is it to remove spreader grafts?

Question

I had surgery to correct a deviated septum about 3 years ago. As well as the septoplasty, I also underwent a turbinate reduction and had a conchal cartilage graft placed on the left side (left side only). While I have few complaints about the 2 former procedures, the spreader graft has caused me some discomfort. I would like to have it removed but would like to know: 1. How common is it to remove these grafts? 2. How safe is it? 3. What would I expect during the recovery? 4. Would you do it? My procedure was a closed septoplasty as apposed to an open one and that the graft was inserted as such.

Celal Alioglu, MD · Answer

Hello first I need to see your photos and make a control on your nose but with out getting out cartilages we can fix the problem

Ronald J. Edelson, MD · Answer

Every case is different. Removing the spreader grafts might not cause any problem. However if it’s not causing a cosmetic problem probably best to leave them alone

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Spreader grafts can be removed from an intranasal approach versus opening the nose. It can be challenging but not impossible. The major risk would be damage to the septum such as a perforation. And, asymmetries can develop if not carefully addressed upon removal of the support. The recovery would likely be straightforward unless the nose needed to be opened. I would try more conservative interventions first like taping, compressions, and possible steroid injections to determine if improvements can be made. Hope this helps!

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
The spreader graft is utilized during rhinoplasty to maintain patency of the nasal airway and relieve obstructed breathing. 
The internal nasal valve maintains patency of the nasal airway. If insufficient, collapse of the middle vault may occur with inspiration.
The presence of the graft should not cause physical discomfort. Before considering removal, you may wish to determine the nature of your discomfort. Perhaps it can be relieved without surgery.
The procedure of spreader graft removal is safe. 
Visit a board certified otolaryngologist or plastic surgeon for evaluation and discussion.

Surgery to correct a deviated septum about 3 years ago - how safe is it to remove spreader grafts?

Answers (4)

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