Evaluation of functional outcomes of spreader graft and spreader flap used in rinoplasty
Burak Erden1, Burak Mustafa Taş2
1Mersin Şehir Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Mersin, Türkiye
2Kırıkkale Yüksek İhtisas Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Kırıkkale, Türkiye
Keywords: Nasal Obstruction Symptom Evaluation Scale, rhinoplasty, Sinonasal Outcome Test-22, spreader flap, spreader graft.
Abstract
OBJECTIVE: In this study, we aimed to compare the functional results of spreader graft and spreader flap used in middle roof reconstruction in open technique rhinoplasty.
METHODS: Between April 2018 and June 2019, a total of 40 patients (18 males, 22 females; mean age: 25.5±6.1 years; range, 18 to 42 years) were included in the study. The patients were divided into two groups as those receiving spreader grafts (Group 1, n=20) and those receiving spreader flaps (Group 2, n=20). Functional outcomes and quality of life of the patients were evaluated using the Nasal Obstruction Symptom Evaluation (NOSE) Scale and Sinonasal Outcome Test-22 (SNOT-22) preoperatively and at six months postoperatively.
RESULTS: There was no significant difference between the groups in terms of age and sex. The postoperative scores of NOSE and SNOT-22 were significantly lower than the preoperative scores in both groups (p<0.001). When the groups were compared with each other, no significant difference was found in the NOSE and SNOT-22 scores (p>0.05).
CONCLUSION: The functional outcomes of spreader grafts and spreader flaps, which are widely used in middle roof reconstruction in open technique rhinoplasty are similar with significant postoperative improvement rates.