A Comparative Analysis of Nasal Valve Surgery Methods.

IF 1.5 4区医学 Q3 SURGERY

Facial Plastic Surgery Pub Date : 2026-08-01 Epub Date: 2025-12-22 DOI:10.1055/a-2775-5859

Gonçalo Caetano, Ricardo Matos, Mariana Santos, Duarte Morgado, Catarina Pinto, Inês Veloso, Raquel Robles, Rui Fonseca

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引用次数: 0

Abstract

Introduction: Internal nasal valve insufficiency is a major cause of nasal obstruction. Alar batten grafts (ABGs) are commonly used, but data on lateral crural tensioning (LCT) remain limited.

Objectives and hypotheses: To compare the efficacy of ABG and LCT techniques in improving nasal airflow. Primary outcomes were nasal obstruction symptom evaluation (NOSE) score and revision surgery rate; secondary outcome was complication rate.

Study design: Retrospective cohort study (PICOS).

Methods: The study included 22 patients undergoing rhinoplasty for nasal valve insufficiency (2017-2023): ABG (n = 8) and LCT (n = 14). NOSE scores were obtained via telephone survey. Data were collected from clinical records.

Results: Mean NOSE scores improved from 55 to 30.6 overall. ABG improved from 51.7 to 31.7, LCT from 56.7 to 30. One ABG patient required revision (12.5%), none in LCT group. Differences were not statistically significant between groups.

Conclusion: LCT showed greater symptom improvement and no revisions. Further randomized trials are needed to confirm efficacy.

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鼻瓣膜手术方法的比较分析。

鼻内瓣膜功能不全是鼻塞的主要原因。翼侧木条移植物（ABG）是常用的，但关于侧脚张拉（LCT）的数据仍然有限。目的与假设：比较ABG和LCT技术改善鼻腔气流的效果。主要结局为鼻翼评分和翻修手术率；次要结果为并发症发生率。研究设计：回顾性队列研究（PICOS）。方法：选取2017-2023年22例因鼻瓣膜功能不全而行鼻整形手术的患者：ABG （n=8）和LCT （n=14）。鼻子得分是通过电话调查获得的。数据从临床记录中收集。结果：平均鼻翼评分从55分提高到30.6分。ABG从51.7提高到31.7；LCT由56.7降至30。1例ABG患者需要翻修（12.5%）；LCT组无。组间差异无统计学意义。结论：LCT表现出更大的症状改善，没有改善。需要进一步的随机试验来证实疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Facial Plastic Surgery 医学-外科

CiteScore

1.80

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures. Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.