Nasal Airway Preservation Using the Autospreader Technique: Analysis of Outcomes Using a Disease-Specific Quality-of-Life Instrument
Abstract
OBJECTIVE: To measure the efficacy of a specific midvault reconstruction technique (the autospreader flap) in dorsal reductive rhinoplasty with a validated quality-of-life instrument. DESIGN: A prospective observational outcomes study of patients desiring reduction of the nasal dorsum who either (1) had no breathing obstruction, who underwent purely aesthetic rhinoplasty, or (2) had concomitant severe nasal obstruction due to septal deviation, internal valve narrowing, and/or turbinate hypertrophy, who subsequently underwent combined functional and aesthetic rhinoplasty. Preoperative and postoperative evaluation was performed using the Nasal Obstruction Symptoms Evaluation (NOSE) scale. RESULTS: Thirty-eight patients completed preoperative and postoperative evaluation. No complications occurred. Patients in the purely aesthetic group were noted to have low preoperative NOSE scores, with no change postoperatively. There was a significant improvement in mean NOSE score postoperatively for the combined functional and aesthetic group (P < .001). CONCLUSIONS: Midvault reconstruction using the autospreader graft may help prevent postoperative nasal obstruction due to midvault collapse. Combining this procedure with dorsal reduction in functional rhinoplasty patients with traditional airway reconstruction techniques is effective in improving nasal airway function as measured by a patient-based, disease-specific quality-of-life instrument.
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Auto-spreader flap avoids harvesting and carving cartilage for grafting from other locations.
“This technique avoids harvesting and carving cartilage for grafting from other locations [29, 36].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [36]
Cites
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- Authors
- Yoo, S.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Yoo, Sirius
- Venue
- Archives of Facial Plastic Surgery
- Publisher
- SAGE Publications
- Published
- 2011-07-01
- Volume
- 13
- Issue
- 4
- Pages
- 231
- ISSN
- 1521-2491 (ISSN-L)
- OpenAlex
- W2098161490
- Cited by
- 76
- References
- 14
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 8 · 2023: 1 · 2022: 6 · 2021: 7 · 2020: 8 · 2019: 5 · 2018: 4 · 2017: 8 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 6 · 2012: 2
- FWCI
- 4.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Facial Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- nasal obstruction, septal deviation, turbinate hypertrophy, Nasal Obstruction Symptom Evaluation, quality of life, functional rhinoplasty, aesthetic rhinoplasty
- MeSH terms
- Adult, Humans, Nose, Prospective Studies, Quality of Life, Rhinoplasty, Nasal Obstruction, Treatment Outcome, Patient Satisfaction
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