Di Stadio Arianna, Macro Carlo
University La Sapienza, Rome, Italy.
Ospedale San Camillo-Forlanini, Dipartimento Chirurgia Maxillo-Facciale, Rome, Italy.
Braz J Otorhinolaryngol. 2018 Mar-Apr;84(2):166-172. doi: 10.1016/j.bjorl.2017.01.006. Epub 2017 Feb 21.
Pinched nasal point can be arising as congenital malformation or as results of unsuccessfully surgery. The nasal valve alteration due to this problem is not only an esthetic problem but also a functional one because can modify the nasal airflow. Several surgical techniques were proposed in literature, we proposed our.
The purpose of the study is the evaluation of nose airway flow using our flip-flap technique for correction of pinched nasal tip.
This is a retrospective study conducted on twelve patients. Tip cartilages were remodeled by means of autologous alar cartilage grafting. The patients underwent a rhinomanometry pre and post-surgery to evaluate the results, and they performed a self-survey to evaluate their degree of satisfaction in term of airflow sensation improvement.
Rhinomanometry showed improved nasal air flow (range from 25% to 75%) in all patients. No significant differences were showed between unilateral and bilateral alar malformation (p=0.49). Patient's satisfaction reached the 87.5%.
Our analysis on the combined results (rhinomanometry and surveys) showed that this technique leads to improvement of nasal flow in patients affected by pinched nasal tip in all cases.
鼻尖受压可由先天性畸形引起，也可能是手术失败的结果。由此问题导致的鼻瓣改变不仅是美观问题，也是功能问题，因为它会改变鼻气流。文献中提出了几种手术技术，我们提出了自己的技术。
本研究的目的是使用我们的翻转皮瓣技术矫正鼻尖受压来评估鼻气道流量。
这是一项对12例患者进行的回顾性研究。通过自体鼻翼软骨移植对鼻尖软骨进行重塑。患者在手术前后接受鼻阻力测量以评估结果，并进行自我调查以评估他们在气流感觉改善方面的满意度。
鼻阻力测量显示所有患者的鼻气流均有改善（范围为25%至75%）。单侧和双侧鼻翼畸形之间无显著差异（p = 0.49）。患者满意度达到87.5%。
我们对综合结果（鼻阻力测量和调查）的分析表明，该技术在所有情况下均可改善鼻尖受压患者的鼻气流。
