Functional rhinoplasty with batten and spreader grafts for correction of internal nasal valve incompetence

We a describe technique for correction of internal nasal valve incompetence (INVI) using functional rhinoplasty (FRP) with combined cartilaginous batten and spreader grafts and report the functional and cosmetic outcomes. Prospective series using subjective improvement in nasal airway and quality of life. Subregional ENT centre, one operating rhinologist. Twenty-three consecutive adults presenting to ENT department at North Hertfordshire NHS Trust with symptomatic INVI. Pre and post-operative symptom scores for nasal obstruction and its impact on overall quality of life using visual analogue scales (1-100mm). Cosmetic outcome graded using subjective scores. Statistical analysis performed using the Wilcoxon signed rank test. We found a median subjective improvement on the visual analogue scale of 55 mm for nasal patency (p