Functional Rhinoplasty

Kim, David W.; Rodriguez-Bruno, Krista

doi:10.1016/j.fsc.2008.09.011

Cited by 30 publications

(21 citation statements)

References 37 publications

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“…The nasal valves have been proposed to be a major regulator of nasal airflow, causing resistance and preventing airflow from exceeding the capacity to warm and humidify inspired air [2, 3]. The external nasal valve describes an area of the nasal vestibule bounded by the alar rim, nasal sill, and caudal septum [4, 5].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Modified Cottle Maneuver in Predicting Outcomes in Functional Rhinoplasty

Fung

Hong

Moore

et al. 2014

Plastic Surgery International

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Objective. To assess the outcomes of functional rhinoplasty for nasal valve incompetence and to evaluate an in-office test used to select appropriate surgical techniques. Methods. Patients with nasal obstruction due to nasal valve incompetence were enrolled. The modified Cottle maneuver was used to assess the internal and external nasal valves to help select the appropriate surgical method. The rhinoplasty outcomes evaluation (ROE) form and a 10-point visual analog scale (VAS) of nasal breathing were used to compare preoperative and postoperative symptoms. Results. Forty-nine patients underwent functional rhinoplasty evaluation. Of those, 35 isolated batten or spreader grafts were inserted without additional procedures. Overall mean ROE score increased significantly (P < 0.0001) from 41.9 ± 2.4 to 81.7 ± 2.5 after surgery. Subjective improvement in nasal breathing was also observed with the VAS (mean improvement of 4.5 (95% CI 3.8–5.2) from baseline (P = 0.000)). Spearman rank correlation between predicted outcomes using the modified Cottle maneuver and postoperative outcomes was strong for the internal nasal valve (Rho = 0.80; P = 0.0029) and moderate for the external nasal valve (Rho = 0.50; P = 0.013). Conclusion. Functional rhinoplasty improved subjective nasal airflow in our population. The modified Cottle maneuver was effective in predicting positive surgical outcomes.

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Section: Introductionmentioning

confidence: 99%

The Effectiveness of Modified Cottle Maneuver in Predicting Outcomes in Functional Rhinoplasty

Fung

Hong

Moore

et al. 2014

Plastic Surgery International

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“…The NVA is formed by a combination of the internal nasal valve (INV), the external nasal valve (ENV), and the intervalve area (IVA) [6,8]. The INV is the most narrow point of the anterior nasal airway.…”

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confidence: 99%

Preservation of the Nasal Valve Area With a Lateral Crural Hinged Flap: A Cadaveric Study

2011

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“…Several different types of grafts have been used such as lateral crural strut grafts and spreader grafts [1], sometimes in combination with alar batten grafts [8]. It is difficult to assess the effectiveness of alar batten graft placement alone.…”

Section: Discussionmentioning

confidence: 99%

“…Functional rhinoplasty procedures for INVI have evolved over the past decade. A wide range of techniques exists in which surgeons use alar batten and/or spreader grafts, butterfly grafts, lateral crural strut grafts, alar rim grafts [1], and lateral suspension sutures. Alar batten grafts were first shown by Toriumi et al [2] as an effective technique for correction of internal nasal valve collapse.…”

Section: Introductionmentioning

confidence: 99%

Internal Nasal Valve Incompetence Is Effectively Treated Using Batten Graft Functional Rhinoplasty

Bewick

Buchanan

Frosh

2013

International Journal of Otolaryngology

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Introduction. Internal nasal valve incompetence (INVI) has been treated with various surgical methods. Large, single surgeon case series are lacking, meaning that the evidence supporting a particular technique has been deficient. We present a case series using alar batten grafts to reconstruct the internal nasal valve, all performed by the senior author. Methods. Over a 7-year period, 107 patients with nasal obstruction caused by INVI underwent alar batten grafting. Preoperative assessment included the use of nasal strips to evaluate symptom improvement. Visual analogue scale (VAS) assessment of nasal blockage (NB) and quality of life (QOL) both pre- and postoperatively were performed and analysed with the Wilcoxon signed rank test. Results. Sixty-seven patients responded to both pre- and postoperative questionnaires. Ninety-one percent reported an improvement in NB and 88% an improvement in QOL. The greatest improvement was seen at 6 months (median VAS 15 mm and 88 mm resp., with a P value of <0.05 for both). Nasal strips were used preoperatively and are a useful tool in predicting patient operative success in both NB and QOL (odds ratio 2.15 and 2.58, resp.). Conclusions. Alar batten graft insertion as a single technique is a valid technique in treating INVI and produces good outcomes.

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Functional Rhinoplasty

Cited by 30 publications

References 37 publications

The Effectiveness of Modified Cottle Maneuver in Predicting Outcomes in Functional Rhinoplasty

The Effectiveness of Modified Cottle Maneuver in Predicting Outcomes in Functional Rhinoplasty

Preservation of the Nasal Valve Area With a Lateral Crural Hinged Flap: A Cadaveric Study

Internal Nasal Valve Incompetence Is Effectively Treated Using Batten Graft Functional Rhinoplasty

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