Tas, Burak MustafaErden, Burak2025-01-212025-01-2120210937-44771434-4726https://doi.org/10.1007/s00405-020-06270-7https://hdl.handle.net/20.500.12587/24390Purpose This study aimed to compare open technique rhinoplasty with spreader graft and Let Down rhinoplasty using Nasal Symptom Obstruction Evaluation (NOSE), Sinonasal Outcome Test-22 (SNOT-22), and Visual Analog Scale (VAS). Materials and methods A total of 50 patients were included in the study. Patients with a hump greater than 4 mm and mild septal deviation participated in the study. The patients were divided into two groups. Group 1 consisted of 26 patients who underwent Let Down rhinoplasty, while Group 2 consisted of 24 patients who underwent open rhinoplasty with spreader graft. NOSE, SNOT-22, and VAS scales were completed by both groups preoperatively and postoperatively. Results There was no significant difference between the groups in terms of age and gender. Postoperative values of scales were significantly lower than preoperative values in Group 1 (p < 0.001). In Group 2, postoperative values were significantly lower than preoperative values (p < 0.001). There was no significant difference between the two groups according to NOSE, SNOT-22 and VAS scores. Conclusion According to the comparison of scale scores, both Let Down rhinoplasty and open technique rhinoplasty using spreader graft improved nasal functional results such as nasal obstruction.eninfo:eu-repo/semantics/closedAccessLet down; NOSE; Open technical rhinoplasty; SNOT-22; Spreader graftArticle278237137710.1007/s00405-020-06270-732789709WOS:000559404800002Q2