{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:38:27Z","timestamp":1767706707461,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,2,21]],"date-time":"2022-02-21T00:00:00Z","timestamp":1645401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to evaluate functional and aesthetic patient\u2010reported outcomes using validated metrics after component dorsal hump reduction (DHR) with spreader graft placement, which have not been previously reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective cohort study was conducted in a tertiary care medical center. Participants underwent septorhinoplasty (SRP) with spreader graft placement with cosmetic, component DHR (cosmetic DHR), or SRP with spreader graft placement without dorsal hump reduction (noncosmetic, non\u2010DHR). The Nasal Obstruction Symptom Evaluation (NOSE) scale and the FACE\u2010Q Satisfaction with Nose, Nostrils, and Social Functioning scales were administered to patients preoperatively and postoperatively (at 2, 4, 6, and\/or 12\u00a0months). Pre\u2010 and postoperative NOSE and FACE\u2010Q scores were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 226 patients underwent SRP with spreader graft placement; 113 (50.0%) with cosmetic DHR and 113 (50.0%) noncosmetic, non\u2010DHR (control). Patients who completed the NOSE and FACE\u2010Q surveys preoperatively and at least at one postoperative time point were included. Both cohorts had a statistically and clinically significant improvement in NOSE and FACE\u2010Q scores. There were similar improvements in NOSE scores in both cohorts. Postoperative FACE\u2010Q scores were higher in the cosmetic DHR cohort despite lower preoperative FACE\u2010Q scores when compared to the control cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although there are multiple techniques for DHR, component DHR with spreader graft placement has long been considered the standard. Therefore, it is important to note the significant postoperative cosmetic and functional improvements reported by patients who have undergone this procedure to compare to newer techniques as they evolve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 132:2157\u20132161, 2022<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30054","type":"journal-article","created":{"date-parts":[[2022,2,21]],"date-time":"2022-02-21T16:02:34Z","timestamp":1645459354000},"page":"2157-2161","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Impact of Component Dorsal Hump Reduction on <scp>Patient\u2010Perceived<\/scp> Nasal Aesthetics and Obstruction in Rhinoplasty"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9377-5715","authenticated-orcid":false,"given":"Ciersten A.","family":"Burks","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel E.","family":"Weitzman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery New York\u2010Presbyterian Hospital\u2014Columbia and Weill Cornell  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin W.","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2018.0317"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1964.00750040026007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197101000-00015"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2015.09.022"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000135861.45986.cf"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198402000-00013"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2021.0030"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0017"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2020.08.004"},{"key":"e_1_2_7_11_1","unstructured":"Vanderbilt University.Research electronic data capture website. 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