gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

Alar batten graft modification in revision surgery of nasal valve stenosis

Meeting Abstract

  • corresponding author Frank Haubner - University of Regensburg, Regensburg, Deutschland
  • Holger G. Gassner - University of Regensburg, Regensburg, Deutschland
  • Uwe Müller-Vogt - University of Regensburg, Regensburg, Deutschland
  • Thomas Kühnel - University of Regensburg, Regensburg, Deutschland
  • Jürgen Strutz - University of Regensburg, Regensburg, Deutschland

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno100

DOI: 10.3205/09hno100, URN: urn:nbn:de:0183-09hno1009

Veröffentlicht: 22. Juli 2009

© 2009 Haubner et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Surgery of the nasal valve is challenging, especially in revision rhinoplasties. The reconstructed nasal valve has to counteract substantial contractile forces to provide a sufficient nasal airway.

Method: We demonstrate a modification of the established alar batten graft in 6 cases of open revision rhinoplasties. The patients had undergone one to three previous surgeries, including alar wedge excision. Due to substantial contraction, established techniques such as the alar batten graft, were not sufficient to treat these patients. We describe the placement of two costal cartilage grafts spanning from the pirifom aperture to the anterior septal angle. This resulted in a semicircular arc that withstands the collapsing forces of scar contracture well.

Results: In combination with further techniques the collapse of the nasal valve could be prevented. All patients reported an improvement of their nasal breathing with follow-up of 3 months to 3 years. An improvement of sleep quality was noticed in 4 of 6 cases. The favorable cosmetic results of this graft are depicted on representative postoperative photographs.

Conclusion: The described extended alar batten grafts represent an alternative technique for the correction of severe nasal valve collapse. Costal cartilage provides for enough length and strength to fashion the semicircular arc described herein.