{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:19:32Z","timestamp":1788477572916,"version":"build-2803163510"},"reference-count":3,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The lateral crura of the lower lateral cartilages are crucial in tip rhinoplasty. Their deformity or malposition causes aesthetic imbalance, alar insufficiency, and functional airway compromise.<\/jats:p>\n                  <jats:p>The objective of this study is to describe a classification system for lateral crura deformity and evaluate the outcomes of a structured surgical management algorithm.<\/jats:p>\n                  <jats:p>This is a retrospective\u2013prospective study.<\/jats:p>\n                  <jats:p>This study included patients undergoing primary or revision rhinoplasty involving lateral crural intervention between 2022 and 2025. Outcomes were assessed using standardized photographic analysis, a 5-point Likert scale for patient satisfaction, and the Nasal Obstruction Symptom Evaluation (NOSE) scale for valve stability.<\/jats:p>\n                  <jats:p>This study included 50 patients (primary: 80%, revision: 20%). The mean follow-up was 14.2 months (range: 6\u201324). The mean preoperative NOSE score improved. Patient satisfaction scores were high, 90% of patients reported significant improvement in both aesthetic and functional outcomes, and two patients (4%) required revision surgery for minor asymmetry correction.<\/jats:p>\n                  <jats:p>Lateral crural deformity management should prioritize preservation and restoration over excessive excision. An algorithmic, preservation-based approach improves predictability, airway stability, and long-term nasal tip support. Modern management should focus on repositioning, reinforcement, and reconstruction.<\/jats:p>","DOI":"10.1055\/a-2940-5266","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T23:48:31Z","timestamp":1787269711000},"source":"Crossref","is-referenced-by-count":0,"title":["Management of Lateral Crura Deformity in Functional and Aesthetic Rhinoplasty: Classification, Surgical Algorithm, and Outcome-Based Approach"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8041-3136","authenticated-orcid":false,"given":"Sunil","family":"Tanvar","sequence":"additional","affiliation":[{"name":"Jaipur Doorbeen Hospital, Rajasthan, India","place":["Jaipur"],"department":["Department of ENT and and Rhinoplasty"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajveer","family":"Basu","sequence":"additional","affiliation":[{"name":"Jaipur Doorbeen Hospital, Rajasthan, India","place":["Jaipur"],"department":["Department of ENT and and Rhinoplasty"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"ref1","volume-title":"Dallas Rhinoplasty: Nasal Surgery by the Masters","author":"R J Rohrich","year":"2014"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1067\/maj.2002.122071","article-title":"Structural approach to primary rhinoplasty","volume":"22","author":"D M Toriumi","year":"2002","journal-title":"Aesthet Surg J"},{"key":"ref3","volume-title":"Aesthetic Rhinoplasty","author":"J Sheen","year":"1978"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2940-5266.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:00:36Z","timestamp":1788476436000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2940-5266"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,20]]},"references-count":3,"URL":"https:\/\/doi.org\/10.1055\/a-2940-5266","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8,20]]},"published":{"date-parts":[[2026,8,20]]}}}