Autospreader Flaps in Closed Rhinoplasty: Our Technique and Long-Term Results

Area of Science:

• Plastic Surgery
• Otolaryngology

Background:

• Rhinoplasty is a frequent and intricate surgery, with respiratory and aesthetic issues driving many revision procedures.
• Reconstruction of the middle nasal vault aims to enhance functional results, with autospreader flaps being a notable technique.
• A modified autospreader flap technique for closed rhinoplasty, omitting upper lateral cartilage scoring and septal fixation, was employed.

Purpose of the Study:

• To evaluate the efficacy of a modified autospreader flap technique in closed rhinoplasty.
• To assess revision rates and long-term functional outcomes using the Nasal Obstruction Symptom Evaluation (NOSE) scale.

Main Methods:

• A retrospective study included 183 patients undergoing closed rhinoplasty with the modified autospreader flap technique.
• Revision rates and long-term functional results (NOSE scale) were analyzed.
• Statistical analysis was performed using IBM SPSS Statistics.

Main Results:

• The study observed low revision rates (13.6%) and satisfactory long-term aesthetic results.
• The mean NOSE score was 18.1 (±21.1) at an average follow-up of 4.4 years, with 87 patients (47.5% response rate) completing the scale.
• The technique proved simple, reproducible, and effective.

Conclusions:

• Modified autospreader flaps are a valuable and effective option for closed rhinoplasty.
• The technique is particularly suitable for selected patients, especially those requiring significant dorsal reduction.
• Simplicity and reproducibility contribute to its effectiveness in improving functional outcomes.