Background: Is it a trouble! ʺtwisted nose ʺ̋, more than one procedure but no best possible technique for this problem.̏ Osteocartilaginous spreader graft Ì‹OCSG is one the techniques with a high achievement rate for Ì‹ twisted nosȅ.
Method: This crisis was come upon in 32patients from Benha University hospital outpatient clinic in the period between 2015 and 2017. All patients protested from deformed nose due to trauma. 
Results: Twenty patients (62.5%) were classified as excellent. In 8 patients (25%), there was a least residual deviation; the results were classified as fair. four patients (12.5%) insisted revision surgery and were categorized as the group with poor results according to both photographs and clinical examinations in the period one year of follow up.
Conclusion: OCSG "Osteocartilaginous spreader graft" is a successful effective method for twisted nose correction.
Keywords: Twisted nose, Osteocartilaginous, spreader graft.