The Effects of Lateral Crural Strut Flap Technique on Improvement of Nasal Valve Collapse
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 2 No. 2 (2016),
2 Esfand 2016
,
Page pp. 43-46
https://doi.org/10.22037/orlfps.v2i2.14324
Abstract
Background: The nasal valve area is a functional unit that deformity and or obstruction of it can certainly influence the quality of life of patients. In order to resolve this problem, there are various surgical and non-surgical procedures. In the surgical procedure, the different techniques are recommended in patients with nasal value collapse and nasal tip pinching. One of these is lateral crural strut flap that can be preferred for correcting nasal tip.
Purpose: The evaluation of improvement nasal value collapse and nasal tip pinching with the lateral crural strut flap technique in rhinoplasty.
Methods: This quasi- experimental study was conducted on 25 patients with nasal obstruction and nasal tip pinching in Loghman Hakim hospital, Tehran, Iran. All patients underwent elective rhinoplasty using the lateral crural strut flap technique. Wilcoxon rank sum test was used to compare the clinical findings of before and after operation; The significant level was considered less than 0.05.
Results: There was statistically significant difference before and after rhinoplasty findings (p-value< 0.001). Eighteen out of 25 (72%) patients had high satisfaction for surgical outcomes
Conclusion: The lateral crural strut flap technique was shown to be a successful surgical procedure for resolving nasal value collapse and nasal tip pinching.
- Rhinoplasty
- Nasal Alar Collapse
- Surgical Flaps
How to Cite
References
Toriumi DM. Management of the middle nasal vault in rhinoplasty. Operative Techniques in Plastic and Reconstructive Surgery. 1995;2(1):16-30.
Tardy Jr M. Rhinoplasty in midlife. Otolaryngologic clinics of North America. 1980;13(2):289-303.
Ng L, Lo S. Management of the internal nasal valve. AIJOC. 2013;5:43-5.
Gunter JP, Rohrich RJ. Correction of the pinched nasal tip with alar spreader grafts. Plastic and reconstructive surgery. 1992;90(5):821-9.
Stucker FJ, De Souza C, Kenyon GS, Lian TS, Draf W, Schick B. Rhinology and facial plastic surgery: Springer Science & Business Media; 2009.
Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plastic and reconstructive surgery. 1984;73(2):230-7.
Kridel RW, Konior RJ, Shumrick KA, Wright WK. Advances in nasal tip surgery: the lateral crural steal. Archives of Otolaryngology–Head & Neck Surgery. 1989;115(10):1206-12.
Hamra ST. Repositioning the lateral alar crus. Plastic and reconstructive surgery. 1993;92(7):1244-53.
Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plastic and reconstructive surgery. 1997;99(4):943-52.
Constantian MB. Functional effects of alar cartilage malposition. Annals of plastic surgery. 1993;30(6):487-99.
Janis JE, Trussler A, Ghavami A, Marin V, Rohrich RJ, Gunter JP. Lower lateral crural turnover flap in open rhinoplasty. Plastic and reconstructive surgery. 2009;123(6):1830-41.
Ashtiani AK, Bohluli B, Bateni H, Fatemi MJ, Rashad A, Sadr-Eshkevari P. Lateral crural transposition flap in tip correction: Tehran retrospective rhinoplasty experience. Annals of plastic surgery. 2013;71(1):50-3.
Apaydin F. Lateral crural turn-in flap in functional rhinoplasty. Archives of facial plastic surgery. 2012;14(2):93-6.
Tan S, Rotenberg B. Functional outcomes after lateral crural J-flap repair of external nasal valve collapse. Annals of Otology, Rhinology & Laryngology. 2012;121(1):16-20
- Abstract Viewed: 278 times
- PDF Downloaded: 314 times