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Published on: June 20, 2018
Functional rhinoplasty with batten and spreader grafts for correction of internal nasal valve incompetence
1Department of Otorhinolaryngology, Lister hospital, Stevenage, Hertfordshire, United Kingdom.
Objective:
We a describe technique for correction of internal nasal valve incompetence (INVI) using functional rhinoplasty (FRP) with combined cartilaginous batten and spreader grafts and report the functional and cosmetic outcomes.
Design:
Prospective series using subjective improvement in nasal airway and quality of life.
Setting:
Subregional ENT centre, one operating rhinologist.
Participants:
Twenty-three consecutive adults presenting to ENT department at North Hertfordshire NHS Trust with symptomatic INVI.
Main Outcomes Measures:
Pre and post-operative symptom scores for nasal obstruction and its impact on overall quality of life using visual analogue scales (1-100mm). Cosmetic outcome graded using subjective scores. Statistical analysis performed using the Wilcoxon signed rank test.
Results:
We found a median subjective improvement on the visual analogue scale of 55 mm for nasal patency (p<0.001) and of 49 mm for quality of life (p<0.001). Twenty-two patients felt that the appearance of their nose had not changed or had significantly improved post operatively.
Conclusion:
Combined use of batten and spreader grafts for the correction of INVI in normal or narrow nasal vaults is effective without compromising cosmesis.
