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Modified Dermal-Fat Flap Suspension Technique for Internal Nasal Valve Dysfunction: A Comparative Study With
Mustafa Akyurek1, Bahadir Cakir1, Gunes Hafiz1
1Department of Plastic Reconstructive and Aesthetic Surgery, Canakkale Onsekiz Mart University.
The Journal of Craniofacial Surgery
|March 10, 2025
Summary
A novel dermal-fat flap suspension technique offers an effective, less invasive alternative for treating iatrogenic internal nasal valve (INV) dysfunction after nasal surgery, showing comparable results to cartilage grafting with fewer complications.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Iatrogenic internal nasal valve (INV) dysfunction is a common complication following nasal surgery.
- Conventional treatment involves cartilage grafting, which carries risks like mucosal synechiae and septal perforations.
Purpose of the Study:
- To evaluate the efficacy of a modified dermal-fat flap suspension technique for INV reconstruction.
- To compare this technique with conventional spreader grafts in terms of efficacy and complications.
Main Methods:
- Retrospective review of 30 patients (March 2019-March 2023).
- 8 patients received the modified dermal suspension technique; 22 received spreader grafts.
- Preoperative and postoperative nasal obstruction symptom evaluation scores were analyzed.
Main Results:
- Both techniques showed significant postoperative improvement in nasal obstruction.
- No statistically significant difference in efficacy was found between the groups.
- The dermal-fat flap technique resulted in fewer complications and was performed under local anesthesia.
Conclusions:
- The modified dermal-fat flap suspension technique is a viable, less invasive alternative for INV reconstruction, especially for high-risk patients.
- This technique avoids extensive cartilage grafting and mucosal dissection.
- Further research with larger cohorts and objective measures is warranted.
