Sub-alar batten grafts as treatment for nasal valve incompetence; description of technique and functional evaluation
| Autor: | Andre, R.F., D'Souza, A.R., Kunst, H.P.M., Vuyk, H.D. |
|---|---|
| Rok vydání: | 2006 |
| Předmět: | |
| Zdroj: | Rhinology, 44, 118-22 Rhinology, 44, 2, pp. 118-22 |
| ISSN: | 0300-0729 |
| Popis: | Item does not contain fulltext OBJECTIVE: To describe and evaluate the functional results of a surgical technique for treating nasal valve incompetence, in which a cartilage graft called a sub-alar batten graft is placed along the undersurface of the lateral crus of the lower lateral cartilage. METHODS: The functional outcomes of 27 patients who had sub-alar batten grafts placed on 39 sides were evaluated by means of clinical examination and subjective self-assessment. RESULTS: Of a total of 39 sides operated upon, 10 (26%) were rated as optimal, 15 (39%) as improved, 13 (33%) as equal and 1 (2%) as worse. Overall on 25 sides (65%) the post-operative situation was considered to be better than pre-operatively. In all cases in which there was a wish for cosmetic improvement, besides the functional indication, this was obtained, and in no case did the grafts give cause to cosmetic grievances or other complications. CONCLUSION: Placement of sub-alar battens had a positive effect on nasal valve function in roughly two thirds of cases in this series. Although in our opinion this result was slightly disappointing from a purely functional point of view, they can improve the cosmetic result and continue to be considered in cases in which avoidance of surface irregularities is a primary concern or as a preventative measure in rhinoplasty patients at risk for post-operative valve collapse. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|