{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T23:06:29Z","timestamp":1783983989023,"version":"3.55.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spreader grafts (SG) are used in rhinoplasty to correct cartilaginous deviations. There are no studies that compare aesthetic and functional outcomes of unilateral (USG) and bilateral SG (BSG).<\/jats:p>\n                  <jats:p>Compare whether USG or BSG is better to correct cartilaginous deviations, if there are differences in dorsal width ratio (DWR) and in patient-perceived aesthetic and functional outcomes.<\/jats:p>\n                  <jats:p>Retrospective study of 35 patients who underwent septorhinoplasty with USG or BSG. Deviation angle and DWR were calculated in frontal images before and 6 months postsurgery. Aesthetic and functional results were measured using nasal obstruction symptom evaluation (NOSE) and visual analog scales (VAS).<\/jats:p>\n                  <jats:p>BSG significantly improved postoperative nasal deviation compared to USG (179.6\u2009degrees vs. 172.9\u2009degrees; p\u2009&lt;\u20090.05). In minor preoperative deviations, there were no significant differences between BSG and USG (179.57\u2009degrees vs. 177\u2009degrees, respectively; p\u2009&gt;\u20090.05). In major preoperative deviations, BSG provided better correction (179.62\u2009degrees vs. 170.5\u2009degrees; p\u2009&lt;\u20090.05). DWR increased more with BSG compared to USG (0.12 vs. 0.04; p\u2009&lt;\u20090.05). VAS and NOSE scores were similar in both groups.<\/jats:p>\n                  <jats:p>BSG is more effective in correcting major cartilaginous deviations, while both USG and BSG effectively correct minor deviations. Though BSG increases DWR, this does not negatively impact patient-perceived aesthetic or functional outcomes.<\/jats:p>","DOI":"10.1055\/a-2750-9411","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T01:11:34Z","timestamp":1763687494000},"page":"524-530","source":"Crossref","is-referenced-by-count":0,"title":["Unilateral Versus Bilateral Spreader Grafts to Correct Cartilaginous Deviations in Structural Rhinoplasty: A Comparative Study on the Aesthetic and Functional Outcomes"],"prefix":"10.1055","volume":"42","author":[{"given":"Laura","family":"Gimeno-Torres","sequence":"additional","affiliation":[{"name":"Otorhinolaringology Department, Hospital Cl\u00ednico Universitario de Valencia, University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Calvo-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Otorhinolaringology Department, Hospital Cl\u00ednico Universitario de Valencia, University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e0s","family":"P\u00e9rez-Carbonell","sequence":"additional","affiliation":[{"name":"Otorhinolaringology Department, Hospital Cl\u00ednico Universitario de Valencia, University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda V.","family":"Rosell\u00f3","sequence":"additional","affiliation":[{"name":"Publicis Sapient, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Vallejo-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Otorhinolaringology Department, Hospital Cl\u00ednico Universitario de Valencia, University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan C.","family":"Marrero-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Otorhinolaringology Department, Hospital Cl\u00ednico Universitario de Valencia, University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Marco-Algarra","sequence":"additional","affiliation":[{"name":"Otorhinolaringology Department, Hospital Cl\u00ednico Universitario de Valencia, University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"e3078","DOI":"10.1097\/GOX.0000000000003078","article-title":"Deviated nose: a systematic approach for correction","volume":"8","author":"A M Abu El-Wafa","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1001\/jamafacial.2018.2118","article-title":"Analysis of patient-perceived nasal appearance evaluations following functional septorhinoplasty with spreader graft placement","volume":"21","author":"J C Fuller","year":"2019","journal-title":"JAMA Facial Plast Surg"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"1512","DOI":"10.1097\/SCS.0000000000005296","article-title":"A novel approach to crooked nose in rhinoplasty: asymmetric level osteotomy combined with unilateral spreader graft","volume":"30","author":"U L Demir","year":"2019","journal-title":"J Craniofac Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/S1064-7406(03)00098-1","article-title":"Overly wide cartilaginous middle vault","volume":"12","author":"J R Thomas","year":"2004","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1001\/archoto.2007.46","article-title":"Classification of the deviated nose and its treatment","volume":"134","author":"Y J Jang","year":"2008","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1093\/asj\/sjab409","article-title":"Spreader graft vs spreader flap in rhinoplasty: a systematic review and meta-analysis of aesthetic and functional outcomes","volume":"42","author":"S O Keyhan","year":"2022","journal-title":"Aesthet Surg J"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/00006534-198402000-00013","article-title":"Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty","volume":"73","author":"J H Sheen","year":"1984","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"901e","DOI":"10.1097\/PRS.0000000000009060","article-title":"Ferreira-Ishida technique: spare roof technique B. 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