A Simple and Reliable Method of Patient Evaluation in the Surgical Treatment of Nasal Obstruction
Abstract
We have developed a simple method of evaluating nasal obstruction both before and after corrective surgery. With our system, patients self-rate their nasal patency on a 10-point visual analog scale under different conditions. After a baseline self-assessment, patients rate their breathing while the examiner lifts the lower lateral nasal cartilage with an ear curette and again during lifting of the upper lateral cartilage. Separate assessments during cartilage support are made before and after the patient has received nasal decongestion therapy. The results of these manipulations help identify the specific structural abnormality and its anatomic site, thereby serving as a reliable aid to planning surgery (i.e., open septorhinoplasty, turbinoplasty, external valve surgery with alar batten grafts, and/or internal valve surgery with spreader grafts with or without composite skin/cartilage grafts). We tested our method in preoperative evaluation and surgical planning on 19 patients with nasal obstructions. Our method was just as useful in making postoperative assessments. and it allowed us to judge the effectiveness of specific procedures in restoring nasal patency. Of the 19 patients, 18 (94.77%) reported that their nasal breathing had im proved following surgery.
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Modified Cottle's maneuver was found useful as a reliable aid in preoperative evaluation of nasal obstruction and postoperative assessment of nasal patency.
“Constantinides et al. [9] found the method to be useful as a reliable aid in preoperative evaluation of nasal obstruction and postoperative assessment of nasal patency.”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [9]
Cites
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Self-citationNasal Resistance, Sensation of Obstruction, and Rhinoscopic Findings Compared
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The value of spreader grafts in rhinoplasty: a critical review
Teymoortash, A., Fasunla, J. A., & Sazgar, A. A. (2012) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-011-1837-y · Cited by 72 · see citing works
“ModiWed Cottle’s maneuver was developed to identify the degree and location of speciWc anatomic abnormalities in the nose [9].”
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Self-citationThe Effect of Spreader Grafts on Nasal Dorsal Width in Patients With Nasal Valve Insufficiency
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- Authors
- Constantinides, M., Galli, S. K. D., & Miller, P. J.
- Affiliations
- New York University (US)
- Venue
- Ear, Nose & Throat Journal
- Publisher
- SAGE Publications
- Published
- 2002-10
- Volume
- 81
- Issue
- 10
- Pages
- 734-737
- ISSN
- 0145-5613 (ISSN-L)
- 1942-7522
- OpenAlex
- W2398583890
- Cited by
- 29
- References
- 8
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2021: 3 · 2020: 2 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 2 · 2012: 4
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Ear Nose & Throat Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Keywords
- nasal obstruction, nasal patency, patient self-assessment, visual analogue scale, lower lateral cartilage, upper lateral cartilages, surgical planning, septorhinoplasty, turbinoplasty, spreader grafts, postoperative outcomes
- MeSH terms
- Adolescent, Adult, Airway Resistance, Equipment Design, Equipment Safety, Female, Humans, Male, Middle Aged, Monitoring, Physiologic, Nasal Cavity, Otolaryngology, Postoperative Period, Preoperative Care, Prognosis, Prospective Studies, Sensitivity and Specificity, Severity of Illness Index, Nasal Obstruction, Treatment Outcome, Diagnostic Techniques and Procedures
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