André R F, D'Souza A R, Kunst H P, Vuyk H D
Department of Otolaryngology/Facial Plastic Surgery, Rijnland Hospital, Leiderdorp, The Netherlands.
Rhinology. 2006 Jun;44(2):118-22.
To describe and evaluate the functional results of a surgical technique for treating nasal valve incompetence, in which a cartilage graft called a sub-alar batten graft is placed along the undersurface of the lateral crus of the lower lateral cartilage.
The functional outcomes of 27 patients who had sub-alar batten grafts placed on 39 sides were evaluated by means of clinical examination and subjective self-assessment.
Of a total of 39 sides operated upon, 10 (26%) were rated as optimal, 15 (39%) as improved, 13 (33%) as equal and 1 (2%) as worse. Overall on 25 sides (65%) the post-operative situation was considered to be better than pre-operatively. In all cases in which there was a wish for cosmetic improvement, besides the functional indication, this was obtained, and in no case did the grafts give cause to cosmetic grievances or other complications.
Placement of sub-alar battens had a positive effect on nasal valve function in roughly two thirds of cases in this series. Although in our opinion this result was slightly disappointing from a purely functional point of view, they can improve the cosmetic result and continue to be considered in cases in which avoidance of surface irregularities is a primary concern or as a preventative measure in rhinoplasty patients at risk for post-operative valve collapse.
描述并评估一种治疗鼻瓣膜功能不全的手术技术的功能效果，该技术是将一种名为鼻翼下撑条移植物的软骨移植物沿着下外侧软骨外侧脚的下表面放置。
通过临床检查和主观自我评估，对27例接受鼻翼下撑条移植物植入手术的39侧患者的功能结果进行评估。
在总共39侧接受手术的病例中，10侧（26%）被评为最佳，15侧（39%）有所改善，13侧（33%）无变化，1侧（2%）变差。总体而言，25侧（65%）的术后情况被认为优于术前。在所有除功能指征外还希望改善美观的病例中，美观问题均得到解决，且移植物均未引起美观方面的不满或其他并发症。
在本系列中，约三分之二的病例中鼻翼下撑条的放置对鼻瓣膜功能有积极影响。尽管从纯粹功能的角度来看，我们认为这一结果略显令人失望，但它们可以改善美观效果，对于主要关注避免表面不平整的病例或作为隆鼻术后有瓣膜塌陷风险患者的预防措施时，仍可继续考虑使用。
