Evidence map›Paper›PMID 41549629›Full record

Trial reportAesthetic surgery journal2026

Internal Nasal Dilators After Septorhinoplasty: A Randomized Controlled Trial of Functional and Aesthetic Outcomes.

Raisa Chowdhury, Nisreen Al-Musaileem, Islam Alzayadneh, Aseel Doubi, Karanvir S Raman, Philip Solomon, Richard Rival

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Aesthetic surgery journal, 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. Review
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.

Nisreen Al-Musaileem
Aseel Doubi
Karanvir S Raman
Philip Solomon
Richard Rival

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative nasal obstruction and asymmetry can compromise satisfaction after rhinoplasty. Internal nasal dilators (INDs) may support early healing by maintaining valve patency and symmetry, but their postoperative efficacy has not been systematically evaluated.

objectivesThe aim of this study was to determine whether IND use after septorhinoplasty improves functional, aesthetic, and symmetry outcomes compared with standard care.

methodsIn this single-center, randomized, single-blinded trial, 128 adults undergoing primary septorhinoplasty were allocated (1:1) to IND plus standard care or standard care alone. Assessments were performed at baseline, 3 months, and 12 months using the validated Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) and a nostril-symmetry item (0 = perfect, 4 = very asymmetrical). The primary outcome was patient-reported nostril symmetry; secondary outcomes included functional and aesthetic SCHNOS scores, comfort, and adverse events.

resultsBaseline characteristics were comparable. Nostril-symmetry scores favored the IND group at 3 months (0.78 ± 0.92 vs 1.42 ± 1.09; P = .001) and 12 months (0.46 ± 0.71 vs 1.40 ± 1.20; P < .001). Functional SCHNOS improved in both groups, with a slightly greater gain in the IND group at 12 months (+10.2 ± 4.1 vs +7.9 ± 4.4; P = .048). Aesthetic SCHNOS scores improved similarly across groups (P = .73). Device comfort was high, as measured by a visual analog scale (VAS 8.1 ± 1.4/10), and no device-related complications occurred.

conclusionsINDs improved postoperative nostril symmetry and maintained favorable functional and aesthetic outcomes without added risk or discomfort. These findings support the adjunctive use of INDs to enhance symmetry and patient satisfaction after rhinoplasty. LEVEL OF EVIDENCE: 2 (THERAPEUTIC): For image description, please refer to the figure legend and surrounding text.

Indexed as

DilatationNasal ObstructionNasal SeptumPostoperative ComplicationsRhinoplastyAdultEstheticsFemaleHumansMaleMiddle AgedPatient SatisfactionSingle-Blind MethodTreatment OutcomeYoung Adult

Identifiers

PMID41549629
PMCPMC13371759

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.