Functional Outcomes of Septal Extension Grafting in Aesthetic Rhinoplasty: A Cohort Analysis

Patel, Priyesh N.; Abdelwahab, Mohamed; Shukla, Navika; Wadwha, Harsh; Grimm, David R.; Kandathil, Cherian K.; Most, Sam P.

doi:10.1089/fpsam.2020.0304

“…Nevertheless, the results of our study could find no significant difference in the functional improvement provided by SEG, TIG, or CS. These results agree with a recent study by Patel et al, 47 that did not find any functional effect of SEG when assessed through NOSE, VAS or Standardized Cosmesis and Health Nasal Outcomes Survey obstruction score (SCHNOS-O). This lack of functional effect was verified both in esthetic rhinoplasty and in combined functional and esthetic rhinoplasty.…”

Section: Discussionsupporting

confidence: 93%

“…This lack of functional effect was verified both in esthetic rhinoplasty and in combined functional and esthetic rhinoplasty. 47 Studying on cadaver specimens, Vachhani et al 48 found lateral crura stiffness to be higher after lateral crural strut graft than after cephalic turn-in and higher after cephalic turn-in than after cephalic resection. Another study, by Tellioglu and Cimen, 49 found lateral crural turn-in to be esthetically as effective as cephalic resection but providing reinforcement of the functional properties of the lateral crus.…”

Section: Discussionmentioning

confidence: 99%

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Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Xavier

¹

,

Azeredo‐Lopes

²

,

Menger

³

et al. 2022

Ann Otol Rhinol Laryngol

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Rhinoplasty makes use of a combination of surgical techniques selected to address the specific requirements of each individual nose. Several different surgical techniques may be used for addressing each section of the nose, with possible different functional effects. Objective: The purpose of this investigation is to compare the functional effect of the different surgical techniques used for addressing each section of the nose. Methods: Prospective study of 57 consecutive rhinoplasty patients. Patients were evaluated with peak nasal inspiratory flow (PNIF), Nasal Obstruction Symptom Evaluation (NOSE), and Visual Analog Scale (VAS) for nasal obstruction before and 1 year after rhinoplasty. Additionally, esthetic evaluation of the nose was obtained with Rhinoplasty Outcomes Evaluation (ROE). According to the surgical technique used to address each portion of the nose, groups of patients were created and the functional improvement of these groups was compared. Results: Using the TukeyHSD multiple pairwise-comparison test, the estimated difference of the increase of PNIF between using spreader grafts and using spreader flaps was 94.9 (95% CI 24.3, 165.5, P = .004) between spreader grafts and neither grafts or flaps was 79.2 (95% CI 5.8, 152.6, P = .03), between spreader grafts and bilateral spreader flaps plus a unilateral spreader graft was 90.2 (95% CI 22.1, 158.2, P = .005). In all other portions of the nose, no significant difference was found in the functional improvement between different surgical techniques. Conclusions: Spreader grafts increase PNIF more significantly than other surgical techniques used for dorsal mid-vault reconstruction. Spreader grafts should be preferred over other techniques whenever an improvement of nasal airflow is required. No significant differences were found between the functional effect of alternative techniques used in other sections of the nose. Additional cohort studies will be necessary to further confirm data from this investigation.

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“…16 Also, in a cohort study, Patel et al reported a meaningful improvement in patients' breathing condition after using the septal extension graft. 17 These findings show that SBEG in the caudal septum is an effective method in the correction of septum deviation and causes improvement in nasal obstruction. However, there are some detailed differences in the results of various studies, which are due to the patients' demographic data, details on surgery techniques, result in assessment methods, and difference in sample volume.…”

Section: Discussionmentioning

confidence: 71%

Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty

Hosnani,

Bastaninez,

Golchin

et al. 2023

Int Arch Otorhinolaryngol

0

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Introduction Correction of caudal septal deviations has always been a challenging subject in septorhinoplasty. The septum batten extension graft (SBEG) is a new graft that has potential properties in rhinoplasty. However, few reports have evaluated the surgical outcomes of this technique. Objective The purpose of this study was to evaluate the effectiveness of SBEG in correcting caudal septal deviation. Methods This cross-sectional study was conducted on patients with caudal septal deviation undergoing septorhinoplasty using SBEG at 2 different hospitals in 2019. We then retrospectively reviewed medical records and photographs of 50 patients at the preoperative period, as well as at 1-month, and 12-month postoperatively. Gross changes in nasolabial angle, columellar show, nasal tip projection, and dorsal nasal deviation were evaluated by a photographic analysis method, and nasal obstruction was assessed by patient satisfaction with breathing. Results There was a significant difference between the mean nasolabial angle and columellar show at 1 and 12-months postoperatively, compared with the previous values (p < 0.0001). The nasolabial angles were in a favorable position with an increase of 12 to 15 degrees compared with the preoperative state. The columellar show also improved by an average of 1.2 mm and was in good condition. The postoperative dorsal nasal deviation was significantly reduced, and projection was significantly increased (3.521 ± 0.087 mm vs. 0.719 ± 0.028; p < 0.0001; p < 0.001). Moreover, this method had a significant favorable effect on nasal obstruction (p = 0.049). Conclusion Our results showed that septorhinoplasty using SBEG is useful for correcting caudal septal deviation, with favorable surgical outcomes, and it has responded well to all five aforementioned criteria.

show abstract

“… 16 Also, in a cohort study, Patel et al reported a meaningful improvement in patients' breathing condition after using the septal extension graft. 17 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty

Hosnani,

Bastaninez,

Golchin

et al. 2023

Int Arch Otorhinolaryngol

0

1

View full text Add to dashboard Cite

Introduction Correction of caudal septal deviations has always been a challenging subject in septorhinoplasty. The septum batten extension graft (SBEG) is a new graft that has potential properties in rhinoplasty. However, few reports have evaluated the surgical outcomes of this technique. Objective The purpose of this study was to evaluate the effectiveness of SBEG in correcting caudal septal deviation. Methods This cross-sectional study was conducted on patients with caudal septal deviation undergoing septorhinoplasty using SBEG at 2 different hospitals in 2019. We then retrospectively reviewed medical records and photographs of 50 patients at the preoperative period, as well as at 1-month, and 12-month postoperatively. Gross changes in nasolabial angle, columellar show, nasal tip projection, and dorsal nasal deviation were evaluated by a photographic analysis method, and nasal obstruction was assessed by patient satisfaction with breathing. Results There was a significant difference between the mean nasolabial angle and columellar show at 1 and 12-months postoperatively, compared with the previous values (p < 0.0001). The nasolabial angles were in a favorable position with an increase of 12 to 15 degrees compared with the preoperative state. The columellar show also improved by an average of 1.2 mm and was in good condition. The postoperative dorsal nasal deviation was significantly reduced, and projection was significantly increased (3.521 ± 0.087 mm vs. 0.719 ± 0.028; p < 0.0001; p < 0.001). Moreover, this method had a significant favorable effect on nasal obstruction (p = 0.049). Conclusion Our results showed that septorhinoplasty using SBEG is useful for correcting caudal septal deviation, with favorable surgical outcomes, and it has responded well to all five aforementioned criteria.

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Functional Outcomes of Septal Extension Grafting in Aesthetic Rhinoplasty: A Cohort Analysis

Cited by 13 publications

References 27 publications

Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty

Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty

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