The scroll area of the nose is important for breathing; thereby, its reconstruction can improve the nasal patency.
To evaluate the effect of scroll reconstruction on breathing in patients following open rhinoplasty.
Using the prospective controlled study design, we enrolled a cohort of patients undergoing open rhinoplasty. The patients were randomly divided into two groups (each group with n = 14). The predictor variable was scroll reconstruction (yes/no). The main outcome variables include pre- and postoperative third-month peak nasal inspiratory flowmeter (PNIF) value (ml/min) and 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). Appropriate statistics were computed, and a P < 0.05 was considered significant.
There was no demographic difference between both groups. Scroll reconstruction was associated with significantly improved PNIF post-surgery (P = 0.047). However, postoperative mean SCHNOS-O and SCHNOS-C was not different between the study and control groups (P = 0.58)
This study suggests that scroll reconstruction helps improve nasal patency during forced inspiration in open rhinoplasty patients and provides a similar aesthetic outcome compared to the non-scroll-reconstructed group. Future research works should be done in a larger patient cohort.
Level of evidence IV
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Conflict of Interest
None of the authors has declared any conflict of interest.
The ethics committee approval was received for this study from the Ege University Ethical Committee (IRB No: 19-5.1T/46).
Written informed consent was obtained from patients who participated in this study.
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Ozturk, A., Eroglu, S., Batmaz, T. et al. Functional Role of Scroll Reconstruction in Open Rhinoplasty. Aesth Plast Surg (2021). https://doi.org/10.1007/s00266-020-02125-y
- Nasal obstruction
- Scroll reconstruction