# Autospreader Flaps in Closed Rhinoplasty: Our Technique and Long-Term Results

## TL;DR

This paper presents a modified autospreader flap technique in closed rhinoplasty, showing good long-term aesthetic and functional outcomes with low revision rates.

## Contribution

A modified autospreader flap technique in closed rhinoplasty without upper lateral cartilage scoring or suture fixation to the septum.

## Key findings

- Low revision rates of 13.6% were observed with the modified autospreader flap technique.
- A mean NOSE score of 18.1 ± 21.1 was recorded at 4.4 years of follow-up, indicating satisfactory functional outcomes.

## Abstract

Introduction: Rhinoplasty is a common and complex surgical procedure. Respiratory and aesthetic dissatisfaction are major causes of revision surgeries. Multiple techniques were described to reconstruct the middle nasal vault and improve functional outcomes. One of these techniques is the use of autospreader flaps. These flaps were constantly modified by different surgeons. In our practice, we use a modified technique of autospreader flaps in closed rhinoplasty. Neither upper lateral cartilage scoring nor suture fixation to the septum was done.

Methods: We conducted a retrospective study on 183 patients, analyzing revision rates and long-term functional results using the NOSE scale. Data analysis was done using IBM Corp. Released 2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp.

Results: Long-term results showed satisfactory aesthetic outcomes with low revision rates (13.6%). Concerning the NOSE score, it was completed by 87 of the 183 patients, yielding a response rate of 47.5%. A mean NOSE score of 18.1 +/- 21.1 at 4.4 years of follow-up was obtained.

Conclusion: Autospreader flaps offer simplicity, reproducibility, and effectiveness in closed rhinoplasty. It represents a valuable option for selected patients, especially in populations with high dorsal reduction surgery demand.