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Background <p>Crooked 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.</p> Methods <p>We 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.</p> Results <p>Median follow-up was 3.7&#xa0;months (IQR 2.0–6.2; range 1.0–13.6). Nasal obstruction and patient-reported satisfaction improved significantly (both <i>P </i>&lt; 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 <i>P </i>&lt; 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.</p> Conclusion <p>In 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.</p> Level of Evidence III <p>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 <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Clinical Application and Outcomes of Endoscopic-Assisted Autologous Septal Cartilage Technique in Crooked Nose Correction

  • 期刊论文

  • 发表日期：

    2026年7月22日

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  • Qianru Li,
  • Tong Wang

摘要

Background

Crooked 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.

Methods

We 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.

Results

Median 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.

Conclusion

In 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.