Evidence map›Paper›PMID 40922497›Full record

SynthesisOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Alar Battens Grafts Versus Lateral Crural Strut Grafts: A Systematic Review of Postoperative Outcomes.

Jarrett M Jackson, Nicole G DeSisto, Rahul K Sharma, Rachel Walden, Shiayin F Yang, Scott J Stephan, Priyesh N Patel

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jarrett M JacksonDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0001-5881-0266
Nicole G DeSistoDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Rahul K SharmaDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Rachel WaldenDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Shiayin F YangDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Scott J StephanDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Priyesh N PatelDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically compare functional outcomes and postoperative cosmetic satisfaction following alar batten graft (ABG) versus lateral crural strut graft (LCSG) placement for patients with nasal valve incompetence. DATA SOURCES: Pubmed and Embase searches (1995-2025) with terms for nasal obstruction, LCSG, ABG, and functional/cosmetic outcomes. REVIEW

methodsRelevant studies with documented preoperative nasal valve incompetence, confirmed surgical intervention with either ABG or LCSG, and their associated postoperative outcomes were identified. Review methods adhered to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Due to heterogeneous study designs and incomplete variance data, the findings are presented as ranges without a quantitative meta-analysis.

resultsFifteen studies (n = 1052 patients; LCSG = 690, ABG = 362) were included. Among eight LCSG studies, mean nasal obstruction symptom evaluation (NOSE) score improvements ranged from 15.8 to 65.6 points, and visual analog scale (VAS)-function improvements ranged from 10.1 to 44.3 points. Seven ABG studies demonstrated NOSE improvements of 25.6 to 69.0 points, and VAS-function improvements ranged from 24.0 to 54.5 points. Validated cosmetic patient-reported outcome measures (Standardized Cosmesis and Health Nasal Outcomes Survey [SCHNOS]-C, VAS-cosmesis, and Facial Aesthetic Clinical Evaluation-Questionnaire [FACE-Q]) were used in LCSG cohorts, showing consistent esthetic gains. No ABG studies employed a standardized cosmetic measure. Heterogeneity precluded pooled analysis.

conclusionBoth ABG and LCSG yield substantial functional improvements for nasal valve incompetence across numerous studies. Cosmetic satisfaction appears favorable for LCSG but is undercharacterized for ABG due to a lack of reported standardized patient outcome measures. Large, prospective, and multi-institutional studies investigating outcome differences are needed, given the significant heterogeneity across study methods in the existing literature.

Indexed as

Nasal CartilagesNasal ObstructionRhinoplastyHumansPatient SatisfactionTreatment Outcomealar batten graftlateral crural strut graftnasal obstructionrhinoplasty

Identifiers

PMID40922497
PMCPMC12661469

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.