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V. RESULTS (cont'd)
| Endoscopic sinus surgery patients |
83 patients underwent FESS |
| 87 patients underwent FESS and septoplasty |
| 3 of these patients had alar batten grafts |
| 10 of these patients also underwent cosmetic rhinoplasty without batten grafting |
| Septoplasty patients (21 of these 28 were referred by other otolaryngologists) |
43 patients underwent septoplasty |
| 21 patients underwent septoplasty with repair nasal vestibular stenosis |
| 7 patients underwent ear cartilage harvest with repair nasal vestibular stenosis |
| Septorhinoplasty patients |
67 patients underwent septorhinoplasty alone without battens |
| 1 patient underwent septorhinoplasty with battens |
| 6 patients underwent primary rhinoplasty alone |
| 2 patients underwent primary rhinoplasty with ear cartilage, no alar battens |
| Revision septorhinoplasty patients |
6 patients underwent revision SR with repair nasal vestibular stenosis |
10 patients underwent revision SR with ear cartilage and repair nasal vestibular stenosis |
| 6 patients underwent revision rhinoplasty with ear cartilage with repair nasal vestibular stenosis |
| 3 patients underwent revision rhinoplasty with ear cartilage, no alar battens |
Sixty-seven patients underwent primary septorhino plasty without alar batten grafts. Two patients underwent primary rhinoplasty with ear cartilage harvest but no alar battens. In these cases, valve col-lapse was evaluated but not identified.
One patient for primary septorhinoplasty under-went alar batten grafting because of a congenital abnormality of his lateral crura. Two patients had excessively concave lateral crura contributing to nasal obstruction; in these cases alar batten grafts were not placed, but the lateral crus was excised and "flipped" to achieve both aesthetic improvement and improvement in the nasal valve area (Fig. 3).
Six patients underwent revision septorhinoplasty with alar batten grafting, and ten patients underwent revision septorhinoplasty with ear cartilage harvest and alar batten grafting. These patients all reported improvement in their nasal breathing postoperatively.
Six patients underwent revision rhinoplasty (no septoplasty) with ear cartilage and battens (Fig. 4). Again, these patients hold special interest because noseptoplasty was performed. No other intranasal procedures were performed that affected nasal breathing. These patients did undergo tip rotation and projection resulting from the ptotic, droopy tip. Rotation and projection of the nasal tip does affect nasal breathing. All six of these patients reported significant improvement of their nasal breathing.
All patients were informed that the nasal sidewall would have a more full, less "pinched" appearance. All patients who underwent alar batten grafts were satisfi ed with the aesthetic appearance of this area.
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Ask Dr. Becker a question about revision rhinoplasty or make an appointment for a consultation, by calling 856-589-NOSE (6673) or emailing us at info@revisionrhinoplasty.com. |
