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Assessment of effectiveness of cantilever versus spreader grafts in functional septorhinoplasty: an interventional cohort study

2026/01/21 by Shruthi G.S., Shruthi GS, Kapil Soni +5 · 1 voice
Biochemistry, Genetics and Molecular Biology · Medicine · #Cleft Lip and Palate Research #Nasal Surgery and Airway Studies #Sinusitis and nasal conditions

paper · doi:10.1017/s0022215126104356

crossref issued 2026/01/21 · crossref published 2026/01/21 · crossref published-online 2026/01/21 · openalex publication_date 2026/01/21 · crossref created 2026/01/21 · openalex created_date 2026/01/22 · crossref published-print 2026/06/01 · openalex updated_date 2026/07/07 · crossref deposited 2026/07/17 · crossref indexed 2026/07/30

Abstract

Abstract Objectives This study aims to compare the effectiveness of the spreader grafts and cantilever grafts in correcting the narrow internal nasal valve in patients undergoing functional septorhinoplasty. Methods This ambispective interventional cohort study, involving 50 patients who underwent septorhinoplasty between December 2020 and November 2023 at our tertiary-care referral hospital, with 25 receiving spreader grafts (control group) and 25 undergoing surgery with cantilever grafts. Results The results showed a significant improvement in nasal airflow in both groups post-operatively, with the cantilever graft group showing a slightly higher improvement than the spreader graft group, although not statistically significant ( p = 0.062). Conclusions Septorhinoplasty is a surgical procedure that aims to improve both the aesthetic appearance of the nose and nasal function. While spreader grafts are considered a standard technique for aesthetic improvement, the balanced cantilever graft offers a promising alternative for functional enhancement, particularly in patients with a narrow internal nasal valve.

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