Patient-Reported Outcomes and Complications After Structural Rhinoplasty Using Septal Extension Grafts

Structural rhinoplasty with septal extension graft (SEG) is commonly used to achieve stable nasal tip support and predictable long-term outcomes. However, surgical success is not limited to structural stability alone and should also be evaluated from the patient's perspective. Patient-reported outcome measures (PROMs) have gained increasing importance in rhinoplasty, as they reflect patient satisfaction and perceived nasal function. Despite the widespread use of SEG, prospective studies evaluating PROMs together with postoperative clinical findings over time remain limited. This prospective observational cohort study aims to evaluate longitudinal changes in patient-reported outcomes and postoperative findings in adult patients undergoing primary structural rhinoplasty with SEG-based nasal tip support. Validated PROM instruments will be applied preoperatively and during routine postoperative follow-up visits at approximately 1, 3, and 6 months. In addition, postoperative complications and revision procedures will be recorded. The study aims to provide a more comprehensive understanding of patient-centered outcomes and their relationship with clinical findings in SEG-based rhinoplasty.

Inclusion Criteria: * Age 18 years or older * Undergoing primary structural rhinoplasty with septal extension graft * Able to understand and complete patient-reported outcome questionnaires (PROMs) * Willing to participate and provide written informed consent Exclusion Criteria: * History of previous nasal surgery (revision rhinoplasty) * Undergoing concomitant major craniofacial procedures * Missing preoperative PROM data * Unable to complete postoperative follow-up assessments