Comparative Outcomes in Functional Rhinoplasty With Open vs Endonasal Spreader Graft Placement

This study aimed to determine whether an endonasal spreader graft placement leads to equivalent postoperative outcomes using a standardized nasal obstruction symptom score and whether there is a significant difference in operative time between the 2 approaches. Design A retrospective review of functional rhinoplasties by a single facial plastic surgeon over a 2-year period was conducted. Setting Facial plastic surgery practice at a tertiary academic medical center. Participants Fifty patients with a single surgeon over a 22-month period with a minimum of 1-year follow-up were included in the study. Age, sex, and preoperative Nasal Obstruction Symptom Evaluation (NOSE) scores of patients were equivalent between the 2 groups. For time analysis, 56 of 107 patients were analyzed, with exclusion of patients undergoing combined procedures and autologous cartilage grafting from sites besides the nasal septum. Interventions Patients who underwent functional rhinoplasty through either an open or an endonasal (closed) approach were compared. Preoperative approach decision was based on the need for cosmetic tip, dorsal, or anterior septal work, and all decisions were made before the development of this study. Main outcome measures were as follows: improvement in NOSE scores recorded preoperatively and at 1-year minimum postoperative follow-up as well as difference in operative times. Results No significant difference (P = 0.92) was found between patients having open or en...
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research