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

Sazgar, Amir Arvin; Woodard, Charles R.; Most, Sam P.

doi:10.1007/s00266-011-9797-6

Cited by 12 publications

(8 citation statements)

References 11 publications

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“…This is also observed when utilizing the mini‐LCSG, because our current results showed significant improvement in both PROMs and objective outcomes of LWI zone 1. This is similar to prior findings of increased objective measurements of the nasal valve area when augmenting the cephalic portion of the LC . Meanwhile, zone 2 results did not show significant change owing to the predominant component of cosmetic subjects in this cohort with very low preoperative baseline zone 2 scores.…”

Section: Discussionsupporting

confidence: 88%

“…This is similar to prior findings of increased objective measurements of the nasal valve area when augmenting the cephalic portion of the LC. 28 Meanwhile, zone 2 results did not show significant change owing to the predominant component of cosmetic subjects in this cohort with very low preoperative baseline zone 2 scores.…”

Section: Discussionmentioning

confidence: 53%

“…[20][21][22][23][24][25][26] Though more conservative techniques for tip plasty are evolving, 27 less conservative techniques as incising, scoring, and particularly resecting portions of the lower lateral cartilage (LLC) are still heavily adopted. 3,9,28 Resection exceeding the tip structural stability threshold results in distortion and collapse of the tip framework, unless structural support is properly restored. Therefore, for optimum tip surgery outcomes, the inherent strength and position of the LLC should not be jeopardized as it forms the platform for the nasal tip complex.…”

Section: Discussionmentioning

confidence: 99%

“…Though more conservative techniques for tip plasty are evolving, less conservative techniques as incising, scoring, and particularly resecting portions of the lower lateral cartilage (LLC) are still heavily adopted . Resection exceeding the tip structural stability threshold results in distortion and collapse of the tip framework, unless structural support is properly restored.…”

Section: Discussionmentioning

confidence: 99%

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The miniature lateral crural strut graft: Efficacy of a novel technique in tip plasty

Abdelwahab

Most

2020

The Laryngoscope

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Objectives/Hypothesis: To describe a novel technique for tip plasty and determine its efficacy using validated patientreported outcome measures and objective measures. Study Design: Retrospective cohort study. Methods: This study was carried out at a tertiary center. Patients undergoing tip plasty using the miniature lateral crural strut grafts (mini-LCSG) in cosmetic/combined rhinoplasty between January 2016 and August 2019 with available outcome measures were included. We used the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS), Nasal Obstruction Symptom Evaluation (NOSE) scores, visual analog scale: functional and cosmetic, and lateral wall insufficiency (LWI) grades. Results: Among 52 patients, 33 were included; 26 had cosmetic whereas seven had combined functional and cosmetic rhinoplasty, with a follow-up up to 3 years. Both cosmetic and combined subjects showed significant improvement in SCHNOS-Cosmesis (C) scores (−57.31

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The miniature lateral crural strut graft: Efficacy of a novel technique in tip plasty

Abdelwahab

Most

2020

The Laryngoscope

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“…Surgeons have used various subjective means to measure changes in nasal airflow in the form of surveys and questionnaires. 1,2,7 These surveys and questionnaires have been used to compare objective measures with patients' perceptions of nasal airflow.…”

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confidence: 99%

Intraoperative Endoscopic Suction–Assisted Evaluation of the Nasal Valve

Marotta¹,

Becoats

2016

JAMA Facial Plast Surg

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IMPORTANCE The study sought to identify a new method for measuring internal nasal valve patency. OBJECTIVE To determine whether intraoperative endoscopic suction-assisted evaluation of the internal nasal valve is a useful technique to assess internal nasal valve area and function. DESIGN, SETTING, AND PARTICIPANTS A study of 20 patients undergoing cosmetic and functional septorhinoplasty from May 1 through October 31, 2012, at a private surgical practice was performed. A follow-up study was performed 3 years postoperatively on 7 patients. A photograph of the internal nasal valve was taken endoscopically with and without suction preoperatively, postoperatively, and at 3-year follow-up. Measurement of the internal nasal valve surface areas was then performed by an evaluator masked to patient groupings. MAIN OUTCOMES AND MEASURES Outcome measures were surface area of the internal nasal valve as measured by standardized, endoscopic photography preoperatively, postoperatively, and at 3 years with and without suction and Nasal Obstruction Symptom Evaluation (NOSE) scale scores at 3 years comparing preoperative and postoperative symptoms. RESULTS Among the 20 patients studied, 13 were female and the mean age was 26 years. No difference was found in the observed static surface area of the internal nasal valve comparing preoperative and postoperative values (72 418 vs 76 973 square pixels, P = .58). No difference was found in the observed static surface area of the internal nasal valve comparing preoperative (56 426 square pixels) and postoperative (60 011 square pixels) values (P = .58). No difference was found in the observed surface area of the internal nasal valve under negative pressure comparing preoperative (54 194 square pixels) and immediate postoperative (58 325 square pixels) values (P = .97). At 3 years, the resting surface area of the internal nasal valve was not increased with an internal nasal valve surface area mean of 56 426 square pixels preoperatively and 84 352 postoperatively (P = .09). The surface area of the internal nasal valve was increased when exposed to negative sniff pressures in the 3-year follow-up by 45% (P = .03). The surface area measured a mean of 47 683 square pixels preoperatively and 85 612 square pixels at the 3-year mark under negative pressure. CONCLUSIONS AND RELEVANCE The study outlines a novel technique for measuring internal nasal valve surface area and compliance preoperatively and postoperatively. Surgery on the internal nasal valve has a greater effect on the dynamic function of the internal nasal valve (ie, stiffness that can be accounted for by a mere increase in nasal valve size when measured endoscopically). The study lays the groundwork for future studies using this technique. LEVEL OF EVIDENCE 4.

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Nasal Valve Surgery

Torun

Çukurova

Лопатин

2019

All Around the Nose

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

Abstract: This preliminary study showed that the hinged flap is an option in nasal tip reduction surgery that may provide improved long-term aesthetic and functional outcomes through preservation of the nasal valve area.

Cited by 12 publications

References 11 publications

The miniature lateral crural strut graft: Efficacy of a novel technique in tip plasty

The miniature lateral crural strut graft: Efficacy of a novel technique in tip plasty

Intraoperative Endoscopic Suction–Assisted Evaluation of the Nasal Valve

Nasal Valve Surgery

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