title: Extended osteocartilaginous spreader graft for reconstruction of deviated nose.
abstract: OBJECTIVE
  Correction of a deviated nose is a challenging problem for which different approaches may be considered. This study was designed to introduce a new technique for correction of a deviated nose with a high success rate.
  
  
  METHODS
  The study was a prospective follow-up of 59 patients with deviated nose who had undergone corrective surgery.
  
  
  METHODS
  An extended osteocartilaginous spreader graft was harvested from the quadrangular septum and the perpendicular plate of the ethmoid. After a medial osteotomy that was performed on the concave side, the nasal bone was lateralized and an extended osteocartilaginous spreader graft was inserted between the nasal bone and the septum to prevent further retraction of the concave side due to fibrotic scar tissue. On the contralateral side, a low lateral osteotomy was done as routine.
  
  
  METHODS
  The operation was done on the 59 cases with deviated nose. The subjects were followed up during a period of 8 months to 4 years. According to physical examination, postoperative photography, and patients' satisfaction, the final results were categorized as excellent, fair, or poor.
  
  
  RESULTS
  Forty-eight patients (81.3%) were categorized as having excellent results. Eight patients (13.6%) showed fair improvement, while the results of surgery in only 3 patients (5.1%) were classified as poor.
  
  
  CONCLUSIONS
  An extended osteocartilaginous spreader graft, with medial osteotomy and lateralization of the nasal bone on the concave side, is a new technique with a high success rate for correction of deviated nose.
authors.affiliation: Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Sadooghi
authors.forename: Matin
authors.initials: M
authors.lastname: Ghazizadeh
mesh_terms: D000328:Adult; D005004:Ethmoid Bone / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000637:transplantation*; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D010027:Osteotomy; D011446:Prospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome