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Functional results in airflow improvement using a "flip-flap" alar technique: our experience
Arianna Di Stadio1, Carlo Macro2
1University La Sapienza, Rome, Italy.
Brazilian Journal of Otorhinolaryngology
|March 11, 2017
Summary
This study demonstrates that the flip-flap technique effectively improves nasal airflow in patients with a pinched nasal tip. The surgical method enhanced breathing function and patient satisfaction, offering a viable solution for this condition.
Area of Science:
- Plastic Surgery
- Otorhinolaryngology
- Rhinology
Background:
- A pinched nasal tip can result from congenital issues or prior surgeries, causing aesthetic and functional nasal valve problems.
- Altered nasal airflow due to a pinched tip significantly impacts breathing and quality of life.
- Existing surgical techniques for correction have limitations, necessitating novel approaches.
Purpose of the Study:
- To evaluate the efficacy of a novel flip-flap surgical technique for correcting a pinched nasal tip.
- To assess the impact of the flip-flap technique on nasal airway flow and patient-reported outcomes.
Main Methods:
- A retrospective study involving twelve patients with pinched nasal tips.
- Autologous alar cartilage grafting was used to remodel the nasal tip cartilages.
- Pre- and post-operative rhinomanometry and patient satisfaction surveys were conducted.
Main Results:
- Rhinomanometry indicated a significant improvement in nasal airflow, ranging from 25% to 75% in all patients.
- Patient satisfaction with airflow sensation improvement was high, reaching 87.5%.
- No significant difference in outcomes was observed between unilateral and bilateral alar malformations (p=0.49).
Conclusions:
- The flip-flap technique, utilizing autologous alar cartilage grafts, effectively improves nasal airflow in patients with pinched nasal tips.
- Combined analysis of objective (rhinomanometry) and subjective (surveys) data confirms the technique's success.
- This surgical approach offers a reliable solution for functional nasal airway improvement in cases of pinched nasal tip.
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