Objective Comparison Between Spreader Grafts and Flaps for Mid-Nasal Vault Reconstruction: A Randomized Controlled...

Area of Science:

• Otolaryngology
• Plastic Surgery
• Rhinology

Background:

• Rhinoplasty outcomes must consider nasal function alongside aesthetics.
• Techniques like dorsal hump reduction can cause nasal valve dysfunction.
• Mid-nasal vault reconstruction is crucial, often using spreader grafts or flaps.

Purpose of the Study:

• To objectively compare the efficacy of spreader grafts versus spreader flaps for mid-nasal vault reconstruction.
• To address a gap in the literature regarding direct comparisons of these two techniques.
• To evaluate the impact on nasal function post-rhinoplasty.

Main Methods:

• A double-blind randomized controlled trial involving 40 patients.
• Patients were divided into two groups: spreader grafts (n=20) and spreader flaps (n=20).
• Active anterior rhinomanometry was used to compare pre-operative and 6-month post-operative nasal resistance.

Main Results:

• Both spreader grafts and spreader flaps significantly decreased nasal resistance in both nostrils 6 months post-surgery (P < .001).
• No statistically significant difference in efficacy was found when comparing the spreader graft group to the spreader flap group.
• Both methods demonstrated effectiveness in improving nasal airflow.

Conclusions:

• Spreader grafts and spreader flaps are comparable and effective techniques for mid-nasal vault reconstruction.
• Both methods successfully reduce nasal resistance, as measured by active anterior rhinomanometry.
• These findings support the use of either technique for functional nasal reconstruction during rhinoplasty.