Functional and Radiological Assessment After Preservation Rhinoplasty – A Clinical Study

Abstract

Background/Aim: We hypothesized that improved functional outcome after preservation rhinoplasty can be validated by radiological analyses. Patients and Methods: In this retrospective study, five patients were included. Radiological assessment was evaluated by cone-beam computed tomography. Patient satisfaction regarding nasal function was evaluated by a Likert scale from 0 to 10 (0=poor result; 10=very satisfied). Results: After a mean follow-up of 5±1 months (range=4-6 months), significantly improved function was noted by all patients, with a mean Likert scale of 9.2±0.45 (preoperative score=2.8±0.8, p=0.0079). These results are in line with the radiological results, showing an improved internal nasal valve angle (preoperative=26.2˚±1.8v s. postoperative=32.3˚±1.2˚, p=0.02). Conclusion: Our study showed that besides nasal appearance, nasal function can also be dramatically improved after preservation rhinoplasty.

Assessment and diagnostic methods of internal nasal valve: Systematic review and meta-analysis

“…Sample sizes ranged between 5 and 136 patients. INV angle readings were obtained by CT for 428 patients (62.5%) in 12 studies, 4 , 8 , 18 , 20 , 22 , 24 – 26 , 29 – 33 and endoscopy was used for 256 patients (37.5%) in 6 studies. 3 , 17 , 21 , 24 , 26 , 32 Studies included patients from seven ethnicities, including 160 Caucasians (26.4%), 4 , 18 , 21 , 24 , 25 , 28 – 31 99 Egyptians (16.3%), 8 , 26 30 Mexican-Hispanics (5.0%), 3 46 Asians (7.6%), 20 , 25 28 Turkish (4.6%), 17 75 Indians (12.4%), 32 and 136 Koreans (22.4%).…”

Functional and aesthetic outcomes of no dissection nasal dorsum using sub dorsal Septal Excision in preservation rhinoplasty

“…The improvement of the nasal appearance has been shown by many authors to be associated with a dramatic improvement in the functional outcome. 17,18 The ability to avoid skin undermining eliminates the requirement for fascia grafts and leads to a fine, smooth appearance, faster operation, with less edema; subsequently, the dorsal aesthetic line will be more preserved, the risk of long-term thinning will be decreased, and also the risk of dorsal deformity will be decreased. No skin undermining A high subdorsal septal strip is removed, and osteotomies are performed with an osteotome, adopting an external approach to release the osteocartilaginous vault from the midface.…”

A Systematic Analysis of the Nasal Septum in Crooked Noses and Suggested Treatment Algorithm According to Preservation Rhinoplasty (PR) Principles

“…Our article has limitations: There is a lack of objective measurements such as rhinomanometry and validated subjective patient reported outcome measures. Nevertheless, it has just recently been reported that a high patient satisfaction after PR can be achieved, as evaluated by the ROE, which goes in line with aesthetics and function [41][42][43]. Lastly, further studies are needed by using also the septal extracorporeal reconstruction technique, even endonasally together with dorsum PR [4].…”