caa a22 4500 606187049 CHVBK 20210128100839.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00405-014-3309-7 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3309-7 Modified autospreader flap for nasal valve support: utilizing the spring effect of the upper lateral cartilage [Elektronische Daten] [Wael Hussein, Samy Elwany, Motaz Montaser] Nasal valve dysfunction has a role in up to 13% of adults complaining of chronic nasal obstruction yet it is overlooked by many physicians. In rhinoplasty and other nasal surgeries, preserving nasal function is the most significant issue. The autospreader flap has proved to be an effective spreader graft alternative. Adding the spring effect proposed in this study to the autospreader flap increases the width of the internal nasal valve, thus gaining two factors supporting the internal nasal valve. The modified autospreader flap technique is described in detail. Patients in this study were classified into two groups. The first group had no obstructive complaints and the second group had nasal obstructive complaints. Quantitative analysis of NOSE scale scores, endoscopic evaluation, and tomographic evaluation before and after the surgery were performed using statistical analysis. Survey responses were received from 22 patients. Significant improvement in the nasal valve angle width was found in both groups by the endoscopic and tomographic evaluation. Subjective evaluation using NOSE scale scores showed improvement in both groups. The greatest advantage of this technique is that it adds to the autospreader flap a spring action that widens the valve area. We found this technique to be reliable and simple to be performed with fairly good results and patient satisfaction. Level of evidence V Evidence from systematic reviews of descriptive and qualitative studies. Springer-Verlag Berlin Heidelberg, 2014 Nasal valve nationallicence Rhinoplasty nationallicence Nasal obstruction nationallicence Autospreader flap nationallicence Hussein Wael Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt aut Elwany Samy Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt aut Montaser Motaz Department of Diagnostic Radiology, Alexandria Faculty of Medicine, Alexandria, Egypt aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/2(2015-02-01), 497-504 0937-4477 272:2<497 2015 272 405 https://doi.org/10.1007/s00405-014-3309-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3309-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hussein Wael Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt aut NATIONALLICENCE 700 1- Elwany Samy Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt aut NATIONALLICENCE 700 1- Montaser Motaz Department of Diagnostic Radiology, Alexandria Faculty of Medicine, Alexandria, Egypt aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/2(2015-02-01), 497-504 0937-4477 272:2<497 2015 272 405