Closure of nasal septal perforation using an open rhinoplasty approach with nasal mucosal advancement flaps and a porcine collagen sandwich is a pertinent and reliable technique for the management of nasal septal perforation.
We usedtheIB-question Glasgow Benefit Inventory (GBI) to conduct a retrospective assessment of quality of life following nasal valve surgery. We telephoned 53 patients who had undergone open rhinoplasty for the treatment of nasal valve collapse overa 2-yearperiod. A totalof 39 patients-24 men and 15 women, aged 20 to 50 years (mean: 3B)-agreed toparticipate and answer the questions. Follow-up ranged from 3 to 12 months (mean: B). The spectrum of possible GBI scores ranges from-100 (maximum negative outcome) to 0 (no change) to +100 (maximum benefit); in ourgroup, the median totalscore was +56 (interquartile range: +32 to+90.5) andtheoverall totalscore was+5B. The three subscale components of the GBI-general benefit, physical benefit, andsocial benefitwere analyzed individually; the respective medianscores were +46 (+21 to +71), +67 (+25 to +91.5), and +50 (+17 to +100), and therespective overall scores were +60, +59, and +50. Based on these findings, we conclude that nasal valve surgery significantly improves qualityof life.
Our study shows a significant improvement in patient's symptoms following insertion of alar suspension sutures. It is, therefore, a reliable, safe, and effective technique in treating nasal obstruction secondary to nasal valve collapse.
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