A Comparative Analysis of Nasal Valve Surgery Methods

Abstract

Introduction

Internal nasal valve insufficiency is a major cause of nasal obstruction. Alar batten grafts (ABGs) are commonly used, but data on lateral crural tensioning (LCT) remain limited.

Objectives and Hypotheses

To compare the efficacy of ABG and LCT techniques in improving nasal airflow. Primary outcomes were nasal obstruction symptom evaluation (NOSE) score and revision surgery rate; secondary outcome was complication rate.

Study Design

Retrospective cohort study (PICOS).

Methods

The study included 22 patients undergoing rhinoplasty for nasal valve insufficiency (2017–2023): ABG (n = 8) and LCT (n = 14). NOSE scores were obtained via telephone survey. Data were collected from clinical records.

Results

Mean NOSE scores improved from 55 to 30.6 overall. ABG improved from 51.7 to 31.7, LCT from 56.7 to 30. One ABG patient required revision (12.5%), none in LCT group. Differences were not statistically significant between groups.

Conclusion

LCT showed greater symptom improvement and no revisions. Further randomized trials are needed to confirm efficacy.

Keywords

alar batten - lateral crural tensioning - nasal valve insufficiency

Publication History

Received: 14 May 2025

Accepted after revision: 18 December 2025

Accepted Manuscript online:
22 December 2025

Article published online:
07 January 2026

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