Systematic literature review regarding efficacy and complication rates of securing nasoenteral tubes with nasal bridles. Studies included: systematic reviews, randomized controlled trials or comparative studies comparing nasal bridles with one or more other method of securing nasoenteral tubes. No restriction on age, language, year of publication or methodology quality was imposed. 18 studies were included. Data extraction was conducted by one reviewer and verified by another. Outcomes evaluated included: rate of tube dislodgement, rate of tube replacement, tube dwelling time, quantified enteral nutrition, cost, complications, and PEG-related morbidity/mortality. Nasal bridling is associated with lower tube dislodgement rate, lower replacement rate and increased length of time of tube in situ, resulting in better delivery of nutrition via nasoenteral tubes secured with nasal bridles compared to conventional methods. However, there is higher incidence of epistaxis/nasal ulceration with nasal bridling compared to conventional methods. Nasal bridle is an easily inserted device that improves nasoenteral tube dwelling time and, subsequently, ability to deliver optimal nutrition.

Displaying a bedside photograph as a visual reminder of the patient in the pre‑illness state helps preservation of an individual's dignity, a core concept in patient‑centered care.

Introduction: The nasal valve is the main regulator of airflow in the nose. Consequently, the collapse of the nasal valve has a significant impact on nasal obstruction and hence quality-of-life of patients. Several nasal valve rhinoplasty techniques are being used, from cartilage grafts to endonasal resection of the upper lateral cartilage. We describe a new endonasal approach to nasal valve rhinoplasty, the Triangular Technique, and assess its efficacy and complication rate over ten years. Materials and Methods: A retrospective study of patients who underwent nasal valve rhinoplasty at three regional hospitals from Jan 2004 to May 2014 was conducted. Subjective reports were used to assess the improvement of nasal obstruction. 24 patients were included. Results: 3 months postoperatively, 19 patients reported improvement in nasal obstruction. 4 patients required revision surgery. 2 of these 4 patients had substantial symptom resolution post revision surgery. 10 patients were followed up for more than 5 years (range: 5.8 to 10.3 years), 9 of who reported continued satisfaction and none or minimal nasal obstruction after nasal valve rhinoplasty compared to before surgery. There were no reported complications. Discussion: The Triangular Technique is a straightforward endonasal technique to address collapsed nasal valves with minimal associated co-morbidities.

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