The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS)

Ahmet Arslanoğlu; Erdi Özdemir

doi:10.65396/ejra.1967611

The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS)

Abstract

Objective Shield grafts are widely used in rhinoplasty to improve nasal tip projection, definition, and overall aesthetic harmony. However, objectively assessing their contribution remains challenging. This study aimed to evaluate the aesthetic impact of shield graft application using the Integrated Nasal Tip Aesthetic Score (INTAS), a multidimensional scoring system combining objective measurements, patient-reported outcomes, and independent observer evaluations. Methods The dataset of 60 rhinoplasty patients was generated for methodological demonstration. Variables included demographic characteristics, graft material, INTAS scores, Rhinoplasty Outcome Evaluation (ROE) scores, blinded evaluator assessments, patient satisfaction, and postoperative complications. Preoperative and postoperative outcomes were compared using paired statistical analyses. Furthermore, multivariable regression models were used to identify the anatomical predictors that most strongly correlated with improved aesthetic scores after graft placement. The results indicated a statistically significant improvement in overall aesthetic metrics across the cohort, with specific graft dimensions showing a strong correlation with enhanced nasal tip definition. Results The mean age of the cohort was 28.9 ± 7.4 years. Significant improvements were observed in all aesthetic outcome measures. INTAS total scores improved from 22.6 ± 5.3 preoperatively to 46.2 ± 4.8 postoperatively (p<0.001). ROE scores increased from 4.3 ± 1.6 to 8.6 ± 1.1 (p<0.001). Independent evaluator scores demonstrated substantial improvement in nasal tip aesthetics. Patient satisfaction was high (8.9 ± 1.0/10). Complications occurred in 6.7% of patients, while revision surgery was required in only 3.3%. Conclusion Within this methodological simulation, shield grafts demonstrated a substantial positive effect on nasal tip aesthetics, projection, and patient satisfaction. INTAS appears to be a useful multidimensional tool for evaluating nasal tip outcomes following rhinoplasty.

Keywords

Supporting Institution

N/A

Ethical Statement

19.03.2026, dated, No: 2026/101

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Ahmet Arslanoğlu ^*
Türkiye

Erdi Özdemir
Türkiye

Publication Date

August 5, 2026

Submission Date

June 9, 2026

Acceptance Date

June 11, 2026

Published in Issue

Year 2026 Volume: 9 Number: 2

DOI

https://doi.org/10.65396/ejra.1967611

IZ

https://izlik.org/JA65UU24DR

Cite

RIS / Bibtex

APA

Arslanoğlu, A., & Özdemir, E. (2026). The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS). European Journal of Rhinology and Allergy, 9(2), 91-97. https://doi.org/10.65396/ejra.1967611

AMA

1.Arslanoğlu A, Özdemir E. The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS). Eur J Rhinol Allergy. 2026;9(2):91-97. doi:10.65396/ejra.1967611

Chicago

Arslanoğlu, Ahmet, and Erdi Özdemir. 2026. “The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS)”. European Journal of Rhinology and Allergy 9 (2): 91-97. https://doi.org/10.65396/ejra.1967611.

EndNote

Arslanoğlu A, Özdemir E (August 1, 2026) The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS). European Journal of Rhinology and Allergy 9 2 91–97.

IEEE

[1]A. Arslanoğlu and E. Özdemir, “The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS)”, Eur J Rhinol Allergy, vol. 9, no. 2, pp. 91–97, Aug. 2026, doi: 10.65396/ejra.1967611.

ISNAD

Arslanoğlu, Ahmet - Özdemir, Erdi. “The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS)”. European Journal of Rhinology and Allergy 9/2 (August 1, 2026): 91-97. https://doi.org/10.65396/ejra.1967611.

JAMA

1.Arslanoğlu A, Özdemir E. The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS). Eur J Rhinol Allergy. 2026;9:91–97.

MLA

Arslanoğlu, Ahmet, and Erdi Özdemir. “The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS)”. European Journal of Rhinology and Allergy, vol. 9, no. 2, Aug. 2026, pp. 91-97, doi:10.65396/ejra.1967611.

Vancouver

1.Ahmet Arslanoğlu, Erdi Özdemir. The Effect of ⁠Modified Extended Shield Grafts on Nasal Tip Aesthetics: An Evaluation Using the Integrated Nasal Tip Aesthetic Score (INTAS). Eur J Rhinol Allergy. 2026 Aug. 1;9(2):91-7. doi:10.65396/ejra.1967611