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To reconstruct the nose, a single-stage open rhinoplasty was conducted involving the placement of an independent L-shaped costal cartilage implant. Graft formation and fixation were performed according to the author-developed method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2012 to 2023, seven patients with severe saddle nose deformity underwent implantation of modified L-shaped costal cartilage strut grafts. Except for one complicated case, all patients reported satisfaction with the surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study, the visual appeal of the nose and the respiratory capabilities of the patients improved significantly. The L-shaped costal cartilage strut graft is an effective technique for saddle nose deformity correction. This technique provides excellent outcomes, including improved nasal function and aesthetics. Further studies with a larger sample size are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence II<\/jats:title>\n                    <jats:p>\n                      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 \u00a0\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-025-04892-y","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T16:24:49Z","timestamp":1747758289000},"page":"5440-5449","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nasal Reconstruction in Granulomatosis with Polyangiitis Using an L-shaped Cartilage Strut Graft"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6709-166X","authenticated-orcid":false,"given":"Lorand Imre","family":"Czimbalmos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsofia","family":"Bere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laszlo","family":"Kovacs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kovacs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laszlo","family":"Rovo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabor","family":"Vass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"key":"4892_CR1","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1016\/j.fsc.2006.06.008","volume":"14","author":"R Daniel","year":"2006","unstructured":"Daniel R, Brenner K. 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All authors have reviewed and approved the manuscript, and there are no other relationships or activities that could bias the work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"The ethical approval for this study was obtained from the institutional review board in charge of our clinic.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Each patient provided informed consent, demonstrating their willingness to undergo the surgery.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}