A Comparative Analysis of Nasal Valve Surgery Methods

Gonçalo Caetano; Ricardo Matos; Mariana Santos; Duarte Morgado; Catarina Pinto; Inês Veloso; Raquel Robles; Rui Fonseca

doi:10.1055/a-2775-5859

Facial Plastic Surgery, Table of Contents

Facial Plast Surg
DOI: 10.1055/a-2775-5859

Original Research

A Comparative Analysis of Nasal Valve Surgery Methods

Authors

Gonçalo Caetano

¹Otorrinolaringologia, Hospital da Senhora da Oliveira Guimarães, Guimaraes, Portugal (Ringgold ID: RIN70893)
Ricardo Matos

²Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimaraes, Portugal (Ringgold ID: RIN70893)
Mariana Santos

²Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimaraes, Portugal (Ringgold ID: RIN70893)
Duarte Morgado

²Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimaraes, Portugal (Ringgold ID: RIN70893)
Catarina Pinto

²Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimaraes, Portugal (Ringgold ID: RIN70893)
Inês Veloso

²Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimaraes, Portugal (Ringgold ID: RIN70893)
Raquel Robles

²Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimaraes, Portugal (Ringgold ID: RIN70893)
Rui Fonseca

²Otorrinolaringologia, Hospital da Senhora da Oliveira, Guimaraes, Portugal (Ringgold ID: RIN70893)

Abstract

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Introduction: Internal nasal valve insufficiency is a major cause of nasal obstruction. Alar batten grafts (ABG) are commonly used, but data on lateral crural tensioning (LCT) remain limited. Objectives & Hypotheses: To compare the efficacy of ABG and LCT techniques in improving nasal airflow. Primary outcomes were NOSE score and revision surgery rate; secondary outcome was complication rate. Study Design: Retrospective cohort study (PICOS). Methods: Twenty-two patients undergoing rhinoplasty for nasal valve insufficiency (2017–2023) were included: 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. Conclusions: LCT showed greater symptom improvement and no revisions. Further randomized trials are needed to confirm efficacy.

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