ArticleAesthetic plastic surgery2026
Clinical Application and Outcomes of Endoscopic-Assisted Autologous Septal Cartilage Technique in Crooked Nose Correction.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCrooked nose deformity is challenging when septal deviation coexists with external malalignment. We evaluated an endoscopic-assisted approach using autologous septal cartilage to improve both function and aesthetics.
methodsWe retrospectively reviewed 186 consecutive patients (January 2023-June 2025) who underwent endoscopic-assisted septorhinoplasty with autologous septal cartilage grafting. Rohrich types were Type I (n = 58), C-type (n = 100), and S-type (n = 28). Outcomes included digital photographic measurements (dorsum/tip deviation angles, nasolabial angle, tip projection [Goode ratio]) and 10-point VAS scores for obstruction and satisfaction. Objective nasal function testing (volume, minimal cross-sectional area, expiratory resistance) was available in 112 patients. Complications and recurrent deviation were recorded.
resultsMedian follow-up was 3.7 months (IQR 2.0-6.2; range 1.0-13.6). Nasal obstruction and patient-reported satisfaction improved significantly (both P < 0.001). Morphological parameters, including dorsum deviation, tip deviation, nasolabial angle, and tip projection, also improved significantly. In the functional subset (n = 112), objective nasal function improved significantly, including increased nasal volume and minimal cross-sectional area and decreased expiratory resistance (all P < 0.001). Recurrent deviation occurred in 4.3% (8/186); complications in 7.5%, without major adverse events. Representative cases were shown in Figures 4-6.
conclusionIn this retrospective single-arm series, a structured refinement of established endoscopic septal and cartilage grafting principles appears associated with measurable improvements in nasal alignment, nasal patency, and patient-reported aesthetics. In the absence of a comparator group, these findings should be interpreted as observational rather than comparative. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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