There is substantial level 4 evidence to support the efficacy of modern-day rhinoplasty techniques for treatment of nasal obstruction due to nasal valve collapse. More recent studies have incorporated validated patient-reported outcome measures, with more rigorous statistical analysis. Future study design improvements include the use of comparison cohorts and incorporating standardized objective outcome measures.
Both TC and MA are good treatment options for BVFP, with a low incidence of complications in postoperative voice or of swallowing difficulties and a consistent improvement of laryngeal airway restriction symptoms.
Validated outcome measures are present for many common facial plastic surgery conditions and have become more prevalent over the past decade, especially for patient-reported outcomes. Challenges remain in harmonizing patient-reported and clinical efficacy measures to produce standardized, clinically meaningful outcome measures.
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