{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:46:20Z","timestamp":1777423580145,"version":"3.51.4"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Difficulty in nasal ventilation is one of the most frequently occurring problems in otorhinolaryngology and its correct diagnosis is the key step to solve it. The dysfunctions in the valve area are a frequent cause of chronic nasal obstruction, though commonly ignored. The objective of the study is to analyze the clinical and functional outcomes in a group of patients with septal deviations and valve compromise treated with spreader graft with endonasal approach. Thirty-five patients with septal deviation with compromise of the internal nasal valve (INV; area II of Cottle), treated with spreader graft and a minimum follow-up of 12 months, were included for analysis. Patients were evaluated with video nasosinusal endoscopy, photography, the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire, and rhinomanometry (RM). Postoperative complications were recorded. The results obtained in the pre- and postoperative NOSE scores showed significant differences (p\u2009=\u20090.001), as also in pre- and postoperative RM tests (p\u2009&lt;\u20090.001). Two complications were reported in the 35 patients; thus the complication rate in our sample was 6%. The use of spreader grafts, with endonasal approach, as nasal septum's tutors improved perpendicular septal deviations with compromise of the INV (area II), reaching an effective functional improvement in the nasal airway, with low rate of complications.<\/jats:p>","DOI":"10.1055\/s-0040-1713794","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T23:19:39Z","timestamp":1595287179000},"page":"635-642","source":"Crossref","is-referenced-by-count":5,"title":["Spreader Graft for Severe Deviation of Nasal Septum with Obstruction of the Internal Nasal Valve: Clinical and Functional Results"],"prefix":"10.1055","volume":"36","author":[{"given":"Leandro","family":"Albergo","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Complejo Medico de la Policia Federal Argentina Churruca Visca, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernesto","family":"Desio","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Complejo Medico de la Policia Federal Argentina Churruca Visca, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Velia Elena","family":"Revelli","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Complejo Medico de la Policia Federal Argentina Churruca Visca, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micaela B.","family":"Acosta","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Complejo Medico de la Policia Federal Argentina Churruca Visca, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1001\/archotol.1958.00730020311003","article-title":"The maxilla-premaxilla approach to extensive nasal septum surgery","volume":"68","author":"M H Cottle","year":"1958","journal-title":"AMA Arch Otolaryngol"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1055\/s-2006-954845","article-title":"Nasal valves--importance and surgical procedures","volume":"22","author":"H Fischer","year":"2006","journal-title":"Facial Plast Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1017\/S0022215100133250","article-title":"Obstruction of the nasal valve","volume":"110","author":"S Elwany","year":"1996","journal-title":"J Laryngol Otol"},{"key":"ref4","first-page":"613","volume-title":"Nasal valve surgery","author":"E B Kern","year":"1993"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1097\/00006534-199405000-00010","article-title":"The treatment of nasal valve obstruction","volume":"93","author":"J F Teichgraeber","year":"1994","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1055\/s-2006-954842","article-title":"The severely deviated septum--the way I solve the problem","volume":"22","author":"L Gomulinski","year":"2006","journal-title":"Facial Plast Surg"},{"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":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1007\/s00266-013-0230-1","article-title":"Straight septum, crooked nose: an overlooked concept","volume":"38","author":"F Hafezi","year":"2014","journal-title":"Aesthetic Plast Surg"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1001\/jamafacial.2013.344","article-title":"Development of a severity classification system for subjective nasal obstruction","volume":"15","author":"M J Lipan","year":"2013","journal-title":"JAMA Facial Plast Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.otohns.2003.09.016","article-title":"Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale","volume":"130","author":"M G Stewart","year":"2004","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1001\/archfacial.2012.173","article-title":"Endonasal placement of spreader graft: experience in 41 consecutive patients","volume":"14","author":"D B Yoo","year":"2012","journal-title":"Arch Facial Plast Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/S1064-7406(23)00417-0","article-title":"Innovative surgical management of the crooked nose","volume":"1","author":"D M Toriumi","year":"1993","journal-title":"Facial PlastClin North AM"},{"key":"ref14","first-page":"163","article-title":"The crooked nose","volume":"33","author":"A Boccieri","year":"2013","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1177\/229255031502300411","article-title":"Spreader graft placement in endonasal rhinoplasty: technique and a review of 100 cases","volume":"23","author":"M Samaha","year":"2015","journal-title":"Plast Surg (Oakv)"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/MOO.0b013e32834e6306","article-title":"Airway assessment by four-phase rhinomanometry in septal surgery","volume":"20","author":"K Vogt","year":"2012","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"issue":"05","key":"ref17","first-page":"468","article-title":"Comparative outcomes in functional rhinoplasty with open vs endonasal spreader graft placement. Ann Plast Surg","volume":"80","author":"J Talmadge","year":"2018"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1007\/s00266-017-0916-x","article-title":"Osseous-cartilaginous spreader graft and nasal framework reconstruction","volume":"41","author":"S Ors","year":"2017","journal-title":"Aesthetic Plast Surg"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.otoeng.2016.06.003","article-title":"Assessment of nasal obstruction with rhinomanometry and subjective scales and outcomes of surgical and medical treatment","volume":"68","author":"H Lara-S\u00e1nchez","year":"2017","journal-title":"Acta Otorrinolaringol Esp"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1713794.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T11:36:07Z","timestamp":1723289767000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1713794"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,20]]},"references-count":18,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2020,12,24]]},"published-print":{"date-parts":[[2020,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1713794","relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,20]]}}}