A Useful Approach to I-Shaped Crooked Nose Correction: Cross-Spreader Graft Technique

Aesthetic Plast Surg. 2022 Apr;46(2):833-840. doi: 10.1007/s00266-021-02571-2. Epub 2021 Sep 23.


Objectives: Correction of crooked nose with long-term functional and aesthetic success remains a great challenge for rhinoplasty surgeons. The aim of this study was to present the aesthetic and functional results of the cross-spreader graft technique applied for the correction of I-shaped crooked nose.

Methods: A retrospective examination was made of 25 patients applied with open technique rhinoplasty using cross-spreader graft for the correction of I-shaped crooked nose between March 2016 and June 2019. The functional results of the patients were evaluated using the Nasal Obstruction Symptoms Evaluation scale. The Rhinoplasty Outcomes Evaluation was used to evaluate the subjective aesthetic results, and the external nose deviation angle was measured from the frontal aspect to evaluate the objective aesthetic results.

Results: Evaluation was made of 25 patients comprising 11 males and 14 females with a mean age of 26.64±7.08 years. The post-operative mean NOSE and ROE scores were significantly improved compared to the preoperative values (p<0.001). A statistically significant improvement was determined in the deviation angle values from preoperative to postoperative (p< 0.001).

Conclusion: According to the current study functional and aesthetic results of the cross-spreader graft technique applied for the correction of I-shaped crooked nose, this new technique appears to be an effective method for the treatment of I-shaped crooked nose deformity.

Level of evidence iv: 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 .

Keywords: Crooked nose; Cross-spreader graft; Rhinoplasty.

MeSH terms

  • Adult
  • Esthetics
  • Female
  • Humans
  • Male
  • Nasal Septum / surgery
  • Nose Deformities, Acquired* / surgery
  • Retrospective Studies
  • Rhinoplasty* / methods
  • Treatment Outcome
  • Young Adult