title: Functional results in airflow improvement using a "flip-flap" alar technique: our experience.
abstract: BACKGROUND
  Pinched nasal point can be arising as congenital malformation or as results of unsuccessfully surgery. The nasal valve alteration due to this problem is not only an esthetic problem but also a functional one because can modify the nasal airflow. Several surgical techniques were proposed in literature, we proposed our.
  
  
  OBJECTIVE
  The purpose of the study is the evaluation of nose airway flow using our flip-flap technique for correction of pinched nasal tip.
  
  
  METHODS
  This is a retrospective study conducted on twelve patients. Tip cartilages were remodeled by means of autologous alar cartilage grafting. The patients underwent a rhinomanometry pre and post-surgery to evaluate the results, and they performed a self-survey to evaluate their degree of satisfaction in term of airflow sensation improvement.
  
  
  RESULTS
  Rhinomanometry showed improved nasal air flow (range from 25% to 75%) in all patients. No significant differences were showed between unilateral and bilateral alar malformation (p=0.49). Patient's satisfaction reached the 87.5%.
  
  
  CONCLUSIONS
  Our analysis on the combined results (rhinomanometry and surveys) showed that this technique leads to improvement of nasal flow in patients affected by pinched nasal tip in all cases.
authors.affiliation: University La Sapienza, Rome, Italy. Electronic address: ariannadistadio@hotmail.com.
authors.forename: Arianna
authors.initials: A
authors.lastname: Di Stadio
authors.affiliation: Ospedale San Camillo-Forlanini, Dipartimento Chirurgia Maxillo-Facciale, Rome, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Macro
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055171:Nasal Cartilages / Q000033:anatomy & histology / Q000601:surgery*; D015508:Nasal Obstruction / Q000601:surgery*; D009666:Nose / Q000033:anatomy & histology / Q000601:surgery; D017060:Patient Satisfaction; D012189:Retrospective Studies; D025363:Rhinomanometry; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps
keywords: Alar cartilage; Cartilagem alar; Cirurgia; Estética funcional; Functional esthetic; Nose point; Ponta nasal; Rhinomanometry; Rinomanometria; Surgery