Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patients
Objective: This study aimed to use validated measures to evaluate the functional and esthetic outcomes in patients who underwent functional rhinoplasty for Internal Nasal Valve Dysfunction (INVD) in Korea. Methods: A retrospective review of consecutive patients who underwent functional rhinoplasty f...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-07-01
|
| Series: | Brazilian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869424000454 |
| _version_ | 1797214888216494080 |
|---|---|
| author | Hahn Jin Jung Min Woo Park Woo Sub Shim Jee Hye Wee |
| author_facet | Hahn Jin Jung Min Woo Park Woo Sub Shim Jee Hye Wee |
| author_sort | Hahn Jin Jung |
| collection | DOAJ |
| description | Objective: This study aimed to use validated measures to evaluate the functional and esthetic outcomes in patients who underwent functional rhinoplasty for Internal Nasal Valve Dysfunction (INVD) in Korea. Methods: A retrospective review of consecutive patients who underwent functional rhinoplasty for INVD confirmed by endoscopic findings and the modified Cottle test between 2016 and 2018 was performed. Nasal obstruction was assessed with the Visual Analog Scale (VAS) and nasal obstruction symptom evaluation (NOSE) scale. Acoustic rhinometry was performed pre- and post-operatively. The Minimal Cross-Sectional Area (MCA) of the nose was measured. Objective assessment of the esthetic outcomes was performed with the Objective Rhinoplasty Outcome Score (OROS), which assesses tip rotation, projection, width, dorsal height, width, length, symmetry, and the overall result. Results: Fifty-seven patients (46 men and 11 women; mean age, 30.5 ± 12.3 years) who underwent functional rhinoplasty were included in this study. The VAS and NOSE scores indicated functional improvement in all cases (all p < 0.001). There were no significant between-group differences (VAS score, p = 0.274; NOSE score, p = 0.952). The objective functional outcomes evaluated using MCA on the concave (p = 0.478) and convex (p = 0.631) sides did not differ significantly pre- and post-operatively. The subjective evaluation of esthetic satisfaction revealed no between-group difference. Moreover, 31 out of 44 patients (70.5%) with static INVD and nine out of 14 patients (64.3%) with dynamic or combined INVD showed excellent outcomes. Regarding objective esthetic outcomes, scores for the eight factors were >3, and there was no significant difference between the two groups (all p > 0.05). Conclusions: Functional rhinoplasty, including extracorporeal septoplasty and spreader grafting, may be a viable option for correcting INVD with functional and esthetic improvement. Dynamic INVD is less prevalent among Asians, and there was no significant difference in the surgical outcomes compared with those of static INVD. Level of Evidence: Level 4. |
| first_indexed | 2024-04-24T11:21:19Z |
| format | Article |
| id | doaj.art-515a8ce50acb4acb97ebeda56c86964c |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-04-24T11:21:19Z |
| publishDate | 2024-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-515a8ce50acb4acb97ebeda56c86964c2024-04-11T04:40:57ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942024-07-01904101430Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patientsHahn Jin Jung0Min Woo Park1Woo Sub Shim2Jee Hye Wee3Chungbuk National University College of Medicine, Chungbuk National University Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, Cheongju, South KoreaKangdong Sacred Heart Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, Seoul, South KoreaChungbuk National University College of Medicine, Chungbuk National University Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, Cheongju, South KoreaHallym University College of Medicine, Hallym University Sacred Heart Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, Anyang, South Korea; Corresponding author.Objective: This study aimed to use validated measures to evaluate the functional and esthetic outcomes in patients who underwent functional rhinoplasty for Internal Nasal Valve Dysfunction (INVD) in Korea. Methods: A retrospective review of consecutive patients who underwent functional rhinoplasty for INVD confirmed by endoscopic findings and the modified Cottle test between 2016 and 2018 was performed. Nasal obstruction was assessed with the Visual Analog Scale (VAS) and nasal obstruction symptom evaluation (NOSE) scale. Acoustic rhinometry was performed pre- and post-operatively. The Minimal Cross-Sectional Area (MCA) of the nose was measured. Objective assessment of the esthetic outcomes was performed with the Objective Rhinoplasty Outcome Score (OROS), which assesses tip rotation, projection, width, dorsal height, width, length, symmetry, and the overall result. Results: Fifty-seven patients (46 men and 11 women; mean age, 30.5 ± 12.3 years) who underwent functional rhinoplasty were included in this study. The VAS and NOSE scores indicated functional improvement in all cases (all p < 0.001). There were no significant between-group differences (VAS score, p = 0.274; NOSE score, p = 0.952). The objective functional outcomes evaluated using MCA on the concave (p = 0.478) and convex (p = 0.631) sides did not differ significantly pre- and post-operatively. The subjective evaluation of esthetic satisfaction revealed no between-group difference. Moreover, 31 out of 44 patients (70.5%) with static INVD and nine out of 14 patients (64.3%) with dynamic or combined INVD showed excellent outcomes. Regarding objective esthetic outcomes, scores for the eight factors were >3, and there was no significant difference between the two groups (all p > 0.05). Conclusions: Functional rhinoplasty, including extracorporeal septoplasty and spreader grafting, may be a viable option for correcting INVD with functional and esthetic improvement. Dynamic INVD is less prevalent among Asians, and there was no significant difference in the surgical outcomes compared with those of static INVD. Level of Evidence: Level 4.http://www.sciencedirect.com/science/article/pii/S1808869424000454RhinoplastyNasal obstructionNasal septum |
| spellingShingle | Hahn Jin Jung Min Woo Park Woo Sub Shim Jee Hye Wee Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patients Brazilian Journal of Otorhinolaryngology Rhinoplasty Nasal obstruction Nasal septum |
| title | Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patients |
| title_full | Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patients |
| title_fullStr | Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patients |
| title_full_unstemmed | Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patients |
| title_short | Functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in Asian patients |
| title_sort | functional and esthetic outcomes of redundante rhinoplasty for internal nasal valve dysfunction in asian patients |
| topic | Rhinoplasty Nasal obstruction Nasal septum |
| url | http://www.sciencedirect.com/science/article/pii/S1808869424000454 |
| work_keys_str_mv | AT hahnjinjung functionalandestheticoutcomesofredundanterhinoplastyforinternalnasalvalvedysfunctioninasianpatients AT minwoopark functionalandestheticoutcomesofredundanterhinoplastyforinternalnasalvalvedysfunctioninasianpatients AT woosubshim functionalandestheticoutcomesofredundanterhinoplastyforinternalnasalvalvedysfunctioninasianpatients AT jeehyewee functionalandestheticoutcomesofredundanterhinoplastyforinternalnasalvalvedysfunctioninasianpatients |