Autospreading Spring Flap Technique for Reconstruction of the Middle Vault

Eren S. B., TUGRUL S., OZUCER B., MERIC A., Ozturan O.

AESTHETIC PLASTIC SURGERY, vol.38, no.2, pp.322-328, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 38 Issue: 2
  • Publication Date: 2014
  • Doi Number: 10.1007/s00266-014-0292-8
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.322-328
  • Keywords: Rhinoplasty, Spreader graft, Spreader flap, Middle vault, Upper lateral cartilage, Acoustic rhinometry, NASAL HUMP, PRESERVATION, RHINOPLASTY, REDUCTION, GRAFT
  • Bezmialem Vakıf University Affiliated: Yes


Reconstruction of the middle third of the nose is crucial and middle vault insufficiency is possible following dorsal reduction in a primary rhinoplasty unless additional surgical measures are taken. The aim of this study was to define a novel suturing technique autospreading spring flap for middle vault reconstruction by suturing only the medial aspect of both upper lateral cartilages with septal quadrangular cartilage in a unique mattress suture and to mimic the natural anatomical configuration of the upper lateral and septal cartilages. This technique is intended to create functionality with aesthetic dorsal lines.