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Updated: Jan 8, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
A Comparative Analysis of Nasal Valve Surgery Methods
Gonçalo Caetano1, Ricardo Matos1, Mariana Santos1
1Department of Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimarães, Portugal.
Introduction:
Internal nasal valve insufficiency is a major cause of nasal obstruction. Alar batten grafts (ABGs) are commonly used, but data on lateral crural tensioning (LCT) remain limited.
Objectives And Hypotheses:
To compare the efficacy of ABG and LCT techniques in improving nasal airflow. Primary outcomes were nasal obstruction symptom evaluation (NOSE) score and revision surgery rate; secondary outcome was complication rate.
Study Design:
Retrospective cohort study (PICOS).
Methods:
The study included 22 patients undergoing rhinoplasty for nasal valve insufficiency (2017-2023): ABG (n = 8) and LCT (n = 14). NOSE scores were obtained via telephone survey. Data were collected from clinical records.
Results:
Mean NOSE scores improved from 55 to 30.6 overall. ABG improved from 51.7 to 31.7, LCT from 56.7 to 30. One ABG patient required revision (12.5%), none in LCT group. Differences were not statistically significant between groups.
Conclusion:
LCT showed greater symptom improvement and no revisions. Further randomized trials are needed to confirm efficacy.
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