Autospreading Spring Flap Technique for Reconstruction of the Middle Vault

Eren, Sabri Baki; Tuğrul, Selahattin; Özüçer, Berke; Meriç, Ayşenur; Özturan, Orhan

doi:10.1007/s00266-014-0292-8

Cited by 21 publications

(32 citation statements)

References 18 publications

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“…However, the ideal follow‐up duration after functional septorhinoplasty has not yet been determined. Previous literature utilizing NOSE scores report variable follow‐up, ranging from 1 month to 4 years …”

Section: Introductionmentioning

confidence: 99%

Nasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty

et al. 2018

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Objectives/Hypothesis The time interval at which Nasal Obstruction Symptom Evaluation (NOSE) scores stabilize after functional septorhinoplasty has not been determined. Our goal was to characterize longitudinal trends of patient‐reported outcomes of nasal obstruction using the NOSE survey instrument following functional septorhinoplasty. Study Design Prospective longitudinal cohort study. Methods Adult patients (≥18 years) with nasal obstruction who underwent functional septorhinoplasty by three different surgeons at a single academic, tertiary referral center were identified. NOSE scores were obtained preoperatively and prospectively during three postoperative intervals defined as early (1–3 months), middle (4–6 months), and late (≥10 months.) Longitudinal analysis included repeated measures analysis of variance and adjustments for multiple comparisons. Results A total of 49 patients met inclusion criteria. For the total cohort, mean NOSE scores significantly improved between preoperative and early postoperative evaluations (71.4, standard deviation [SD] ± 17.0 vs. 24.2, SD ± 19.5; P < .001) but did not significantly change between early and middle (20.6, SD ± 19.1; P = .543) or middle and late (23.1, SD ± 24.9; P > .999) time intervals. Conclusions Patients with nasal obstruction who undergo functional septorhinoplasty can be expected to have significant improvement in self ‐reported nasal obstruction as early as 1 to 3 months postoperatively with a continued, durable, long‐standing benefit lasting at least 10 months after surgery. Future studies can consider the 3‐month time frame as a proxy for 1 year outcomes to help reduce survey burden. Level of Evidence 2c Laryngoscope, 129:841–846, 2019

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Section: Introductionmentioning

confidence: 99%

Nasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty

et al. 2018

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“…One of the greatest challenges in rhinoplasty is maintaining endonasal integrity and functional nasal vault activity [ 5 , 6 ]. The endonasal vaults are the narrowest part of the airway.…”

Section: Introductionmentioning

confidence: 99%

“…Many authors have described different methods to improve nasal vault function, including spreader grafts [ 10 ], spreader flaps [ 13 , 14 ], also known as turnover flaps [ 15 ], alar batten flaps [ 16 ], splay grafts [ 17 ], flaring sutures [ 18 ], the auto-spreading spring flap [ 6 ], or double-layered stepped spreader graft [ 19 ]. Overall, 81% of patients receiving spreader grafts experience significant nasal airflow improvement [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Alar cartilage—an alternative for spreader graft in primary rhinoplasty

Uebel

Matta

2017

Eur J Plast Surg

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BackgroundAlar cartilage can be very useful for tip and dorsum grafts. Depending on its size and thickness, it can be an important alternative for spreader grafts to improve endonasal functional deficiencies, correct deviated noses, and prevent inverted “V” deformities. Caucasian patients with bulbous tips are the most common candidates to achieve such benefits. It is easy to obtain and to frame into a desired graft.MethodsThe authors describe a surgical technique using the alar cartilages as spreader grafts. All Caucasian patients with bulbous tips who underwent primary rhinoplasty were included. All patients have been evaluated after 3 to 4 months and after 1 and 2 years by aesthetical and functional criteria.ResultsThirty-four patients (28 female and 6 male) underwent this procedure between 2001 and 2015: 94% reported a better airflow, 91% reported very good aesthetic results and were very satisfied 2 years postoperatively, and 12% had nasal deviations that were corrected with a one side double-layered spreader grafts. Two patients presented supra-tip deformities and one patient had a columella scar that was revised surgically. No cases of inverted “V” deformity were reported 2 years postoperatively.ConclusionsPatients with functional satisfaction and with a straight and smooth dorsum seem to be the most important benefits that were achieved with this technique using alar cartilage spreader grafts, an alternative that can be offered to improve airflow and to prevent deviated and inverted “V” deformities.Level of Evidence: IV, therapeutic study.

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“…En el último tiempo, se han publicado numerosos reportes describiendo una variación a la técnica original del injerto espaciador desarrollada por Sheen 1,[5][6][7][8][9][10]12 . Esta variación emplea los mismos principios, pero utilizando el propio cartílago lateral superior como espaciador; la primera publicación formal en una revista científica, fue efectuada por Lerma en 1995, quien la bautizó con el nombre de lapel technique (técnica de la solapa) 6 .…”

Section: Introductionunclassified