Functional Role of Scroll Reconstruction in Open Rhinoplasty.
Nasal obstruction
Rhinoplasty
Scroll reconstruction
Journal
Aesthetic plastic surgery
ISSN: 1432-5241
Titre abrégé: Aesthetic Plast Surg
Pays: United States
ID NLM: 7701756
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
18
10
2020
accepted:
28
12
2020
pubmed:
29
1
2021
medline:
6
8
2021
entrez:
28
1
2021
Statut:
ppublish
Résumé
The scroll area of the nose is important for breathing; thereby, its reconstruction can improve the nasal patency. To evaluate the effect of scroll reconstruction on breathing in patients following open rhinoplasty. Using the prospective controlled study design, we enrolled a cohort of patients undergoing open rhinoplasty. The patients were randomly divided into two groups (each group with n = 14). The predictor variable was scroll reconstruction (yes/no). The main outcome variables include pre- and postoperative third-month peak nasal inspiratory flowmeter (PNIF) value (ml/min) and 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). Appropriate statistics were computed, and a P < 0.05 was considered significant. There was no demographic difference between both groups. Scroll reconstruction was associated with significantly improved PNIF post-surgery (P = 0.047). However, postoperative mean SCHNOS-O and SCHNOS-C was not different between the study and control groups (P = 0.58) CONCLUSIONS: This study suggests that scroll reconstruction helps improve nasal patency during forced inspiration in open rhinoplasty patients and provides a similar aesthetic outcome compared to the non-scroll-reconstructed group. Future research works should be done in a larger patient cohort. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Sections du résumé
BACKGROUND
The scroll area of the nose is important for breathing; thereby, its reconstruction can improve the nasal patency.
OBJECTIVE
To evaluate the effect of scroll reconstruction on breathing in patients following open rhinoplasty.
METHODS
Using the prospective controlled study design, we enrolled a cohort of patients undergoing open rhinoplasty. The patients were randomly divided into two groups (each group with n = 14). The predictor variable was scroll reconstruction (yes/no). The main outcome variables include pre- and postoperative third-month peak nasal inspiratory flowmeter (PNIF) value (ml/min) and 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). Appropriate statistics were computed, and a P < 0.05 was considered significant.
RESULTS
There was no demographic difference between both groups. Scroll reconstruction was associated with significantly improved PNIF post-surgery (P = 0.047). However, postoperative mean SCHNOS-O and SCHNOS-C was not different between the study and control groups (P = 0.58) CONCLUSIONS: This study suggests that scroll reconstruction helps improve nasal patency during forced inspiration in open rhinoplasty patients and provides a similar aesthetic outcome compared to the non-scroll-reconstructed group. Future research works should be done in a larger patient cohort.
LEVEL OF EVIDENCE IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Identifiants
pubmed: 33507350
doi: 10.1007/s00266-020-02125-y
pii: 10.1007/s00266-020-02125-y
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
1732-1737Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.
Références
Vaiman M, Shlamkovich N, Kessler A, Eviatar E, Segal S (2005) Biofeedback training of nasal muscles using internal and external surface electromyography of the nose. Am J Otolaryngol 26(5):302–307
doi: 10.1016/j.amjoto.2005.02.004
Saban Y, Amodeo CA, Hammou JC, Polselli R (2008) An anatomical study of the nasal superficial musculoaponeurotic system: surgical applications in rhinoplasty. Arch Facial Plast Surg 10:109–115
doi: 10.1001/archfaci.10.2.109
Bitik O, Uzun H, Konas E (2019) Scroll reconstruction: fine tuning of the interface between middle and lower thirds in rhinoplasty. Aesthet Surg J 39(5):481–494
doi: 10.1093/asj/sjx264
Moubayed SP, Ioannidis JP, Saltychev M, Most SP (2018) The 10-item standardized cosmesis and health nasal outcomes survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg 20(1):37–42
doi: 10.1001/jamafacial.2017.1083
Gode S, Ozturk A, Sahin M, Berber V, Apaydin F (2019) Turkish validation of the standardized cosmesis and health nasal outcomes survey. Facial Plast Surg 35(04):397–399
doi: 10.1055/s-0039-1693442
Toriumi DM (2005) Structure approach in rhinoplasty. Facial Plast Surg Clin North Am 13(1):93–113
doi: 10.1016/j.fsc.2004.07.004
Sajjadian A, Guyuron B (2010) Primary rhinoplasty. Aesthet Surg J 30(4):527–539
doi: 10.1177/1090820X10380388
Most SP (2008) Trends in functional rhinoplasty. Arch Facial Plast Surg 10(6):410–413
doi: 10.1001/archfaci.10.6.410
Daniel RK, Palhazi P (2018) The nasal ligaments and tip support in rhinoplasty: an anatomical study. Aesthet Surg J 38(4):357–368
doi: 10.1093/asj/sjx192
Mann DG, Sasaki CT, Fukuda H, Suzuki M, Hernandez JR (1977) Dilator naris muscle. Ann Otol Rhinol Laryngol 86(3):362–370
doi: 10.1177/000348947708600314
Guyuron B, Bigdeli Y, Sajjadian A (2015) Dynamics of the alar rim graft. Plast Reconstr Surg 135(4):981–986
doi: 10.1097/PRS.0000000000001128
Cakır B, Oreroglu AR, Doğan T, Akan M (2012) A complete subperichondrial dissection technique for rhinoplasty with management of the nasal ligaments. Aesthet Surg J 32(5):564–574
doi: 10.1177/1090820X12445471
Daniel RK, Palhazi P, Gerbault O, Kosins AM (2014) Rhinoplasty: the lateral crura-alar ring. Aesthet Surg J 34(4):526–537
doi: 10.1177/1090820X14528464