Evidence map›Paper›PMID 41232094›Full record

ArticlePlastic and reconstructive surgery2026

Nasal Valve Tensioning versus Crural Strut Grafts in the Management of External Nasal Valve Dysfunction.

Kate Liang, Leonie G M Wijermars, Rhea Darbari Kaul, Peta-Lee Sacks, Adil Lathif, Tom Palesy, Mickey Kondo, Larry H Kalish, George N Marcells, Richard J Harvey

Abstract readComparative Study
In one paragraph

Article in Plastic and reconstructive surgery, 2026. 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

10 authors.

Kate LiangFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
Leonie G M WijermarsFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
Rhea Darbari KaulFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
Peta-Lee SacksFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
Adil LathifFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
Tom PalesyFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
Mickey KondoFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
Larry H KalishFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.
George N MarcellsDepartment of Otolaryngology and Facial Plastic Surgery, Prince of Wales Hospital.
Richard J HarveyFrom the Rhinology and Skull Base Research Group, Applied Medical Research Centre.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExternal nasal valve dysfunction, a common cause of nasal obstruction, is unlikely to be restored with septoplasty or turbinoplasty alone. This study assessed 2 rhinoplasty techniques for the prevention and treatment of external nasal valve dysfunction: lateral crural tensioning with articulated alar rim grafts (LCT/AARG) and lateral crural strut grafts (LCSG) in primary and revision rhinoplasty.

methodsA retrospective cohort analysis was performed. Patients received LCT/AARG or LCSG. Assessment occurred at baseline and at least 6 months after surgery. The primary outcome was nasal obstruction sensation, measured by a visual analog scale; the Nasal Obstruction Symptom Evaluation; and an ordinal nasal obstruction score. Secondary outcomes were nasal airflow (assessed by nasal peak inspiratory flow, nasal airway resistance, and minimum cross-sectional area) and patient-perceived aesthetic results (assessed by the Rhinoplasty Outcome Evaluation and a 13-point ordinal score).

resultsA total of 203 primary rhinoplasty and 108 revision rhinoplasty patients were included. Both techniques had positive effects in primary and revision cases. In primary rhinoplasty, LCT/AARG was more effective than LCSG in improving nasal obstruction (category improvement of 1 or greater in nasal obstruction score, 81% versus 64% [ P < 0.01]), nasal airflow (change in nasal peak inspiratory flow, 21.00 ± 46.43 L/min versus 4.32 ± 42.64 L/min [ P = 0.01] and change in nasal airway resistance on the obstructed side, -0.29 [-0.71 to 0.03] Pa/cm 3 /s versus -0.11 [-0.56 to 0.18] [ P = 0.03]), and Rhinoplasty Outcome Evaluation score (42 [21 to 54] versus 31 [13 to 46] [ P = 0.02]). Both techniques were similar in revision rhinoplasty.

conclusionLCT/AARG is a reliable technique offering improved airflow, reduced resistance, and better patient-reported outcomes compared with LCSG.

Indexed as

Nasal CartilagesNasal ObstructionRhinoplastyAdultFemaleHumansMaleMiddle AgedNasal SeptumReoperationRetrospective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID41232094
PMCPMC13290029

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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.