AI Article Synopsis
- - The study investigates the effectiveness of two surgical techniques, spreader graft and spreader flap, used in rhinoplasty to support the nasal mid-vault and improve nasal function and aesthetics.
- - A comprehensive review of literature up to April 2021 was conducted, analyzing multiple factors like aesthetic lines, patient satisfaction, and nasal airflow metrics, revealing no notable differences between the two techniques in most functional aspects.
- - Results showed that while both methods performed similarly overall for aesthetic and functional outcomes, the spreader graft technique was associated with higher patient satisfaction concerning aesthetic results.
Article Abstract
Background: Insufficient support of the nasal mid-vault during rhinoplasty can cause significant complications. Accordingly, surgeons have recently paid much more attention to the preservation of nasal patency. The spreader graft is the gold standard technique for the reconstruction of nasal mid-vault.
Objectives: The objective of this study was to compare the spreader graft and spreader flap in terms of aesthetic and functional outcomes.
Methods: An inclusive search was performed with PubMed/Medline, Google Scholar, and Cochrane Library databases up to April 2021. Multiple aesthetic and functional factors, including dorsal aesthetic lines restoration, satisfaction rate, internal nasal valve angle improvement, nasal obstruction symptom evaluation scale, and active anterior rhinomanometry were evaluated. Also, a meta-analysis was performed on the included articles that provided adequate data for mentioned factors.
Results: After excluding papers that did not conform with the selection criteria, 10 articles with a total sample size of 567 cases with a mean age of 27.7 years (range, 18-65 years) were finally included. Analysis of the data revealed no statistically significant difference between the spreader graft and spreader flap techniques in terms of dorsal aesthetic lines restoration, internal nasal valve angle improvement, nasal obstruction symptom evaluation scale, and anterior rhinomanometry.
Conclusions: However, in terms of satisfaction rate, the analyzes indicated that spreader graft has significantly superior aesthetic outcomes. Generally, in case of appropriately selected patients, there is no statistically significant difference between spreader graft and spreader flap techniques in terms of aesthetic and functional outcomes.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/asj/sjab409 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Study Aims: To evaluate and compare the growth of gingiva around dental implants following the use of collagen matrices and connective tissue grafts (CTG).
Materials And Methods: The study included 80 study participants, who were divided into four groups based on the type of material used to enhance gingival thickness. Two groups utilized collagen matrices, Fibro-Gide and FibroMatrix as materials, while the other two groups utilized CTG obtained from the hard palate or tubercle area of the maxilla as controls.
Closed Treatment of the Internal Nasal Valve.
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA; Our Lady of the Lake Regional Medical Center, Baton Rouge, LA, USA. Electronic address:
The internal nasal valve, the narrowest portion of the nasal airway, is prone to collapse and is often targeted for improvement in nasal reconstruction and rhinoplasty. Endonasal techniques can reduce surrounding trauma and reduce operative times compared to traditional open methods. Options include the use of spreader, butterfly and alar batten grafts, suspension and flaring sutures, and Z-plasty for scarring.
View Article and Find Full Text PDFNasal Obstruction Outcomes in Medial Flap Turbinoplasty and Inferior Turbinate Submucous Resection.
Laryngoscope
December 2024
Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Orange, California, U.S.A.
Objectives: To compare longitudinal improvement in nasal obstruction quality-of-life outcomes between medial flap turbinoplasty (MFT) and inferior turbinate submucous resection (SMR) concurrently performed with functional septorhinoplasty.
Methods: Retrospective review of a prospectively collected cohort of patients undergoing functional septorhinoplasty between 2015 and 2022 at a tertiary academic center. Outcomes were assessed using the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire preoperatively and over 12 months postoperatively.
Comparison Of Surgical Techniques Used In Post-Traumatic And Non-Traumatic Rhinoseptoplasty.
Otolaryngol Pol
December 2024
Department of Otolaryngology and Laryngological Oncology with Clinical Department of Craniofacial Surgery, Military Medical Institute - National Research Institute, Warsaw, Poland.
Introduction: The main goals of septorhinoplasty are to correct cosmetic and functional defects, which may occur in a patient with no history of previous trauma. As the most prominent facial feature, the nose has an increased risk of injury. Nasal fracture may eventually result in significant defects; posing challenges to the surgeon.
View Article and Find Full Text PDFSecondary cleft lip rhinoplasty. Our experience of two decades.
Ann Chir Plast Esthet
December 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, AP-HM, Conception University Hospital, 147, boulevard Baille, 13005 Marseille, France.
Patients who underwent cleft lip surgery in childhood may develop nasal malformation later in life. Various procedures have been described to correct these malformations. This study aims to describe our surgical approach and assess the morphometric outcomes of secondary cleft-lip rhinoplasty performed at the plastic surgery department in Marseille between 2002 and 2022.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!