Management of the narrow nose

2009 ◽  
Vol 123 (9) ◽  
pp. 945-951 ◽  
Author(s):  
H Wallace ◽  
S Sood ◽  
A Rafferty
Keyword(s):  
Nasal Obstruction ◽  
Correct Diagnosis ◽  
Surgical Techniques ◽  
Complex Problem ◽  
Graft Material ◽  
Nasal Valve ◽  
Surgical Experience ◽  
Management Planning ◽  
Nasal Valve Collapse ◽  
Choice Of Technique

AbstractNasal obstruction is one of the most common complaints in the otolaryngology clinic. It can be a complex problem and may be multifactorial. Nasal valve dysfunction can be a cause of nasal obstruction, particularly in patients who have undergone previous reduction rhinoplasty. The exact site of the nasal valve is contentious and is frequently subdivided into the internal and external nasal valves. Accurate assessment is crucial for correct diagnosis and management planning. Various surgical and non-surgical techniques for addressing the problem of nasal valve collapse have been described in the literature. The choice of technique will depend on the causative pathology, availability of graft material, surgical experience and patient preference.

Management of the Internal Nasal Valve

2013 ◽  
Vol 5 (1) ◽  
pp. 21-23
Author(s):  
Ng Li Shia ◽  
Lo Stephen
Keyword(s):  
Nasal Obstruction ◽  
Previous History ◽  
Graft Material ◽  
Nasal Valve ◽  
Management Planning ◽  
History Of ◽  
Nasal Trauma ◽  
Valve Pathology ◽  
Nasal Valve Collapse ◽  
Underlying Pathology

ABSTRACT Nasal obstruction is one of the most common nose complaints. Internal nasal valve dysfunction is an important cause of nasal obstruction, particularly in patients who have a previous history of nasal trauma or reduction rhinoplasty. Correct assessment is crucial for accurate diagnosis and appropriate management planning. Various surgical and nonsurgical modalities for addressing the problem of internal nasal valve collapse are being reviewed in this paper. Each technique have their own advantages and disadvantage, and the choice depends on the underlying pathology, patient preference, availability of graft material. The rhinoplasty surgeon should have a thorough understanding of the available options as part of his/her armamentarium in dealing with internal nasal valve pathology.

scholarly journals Management of the Internal Nasal Valve

2013 ◽  
Vol 5 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Ng Li Shia ◽  
Lo Stephen
Keyword(s):  
Nasal Obstruction ◽  
Previous History ◽  
Graft Material ◽  
Nasal Valve ◽  
Management Planning ◽  
History Of ◽  
Nasal Trauma ◽  
Valve Pathology ◽  
Nasal Valve Collapse ◽  
Underlying Pathology

ABSTRACT Nasal obstruction is one of the most common nose complaints. Internal nasal valve dysfunction is an important cause of nasal obstruction, particularly in patients who have a previous history of nasal trauma or reduction rhinoplasty. Correct assessment is crucial for accurate diagnosis and appropriate management planning. Various surgical and nonsurgical modalities for addressing the problem of internal nasal valve collapse are being reviewed in this paper. Each technique have their own advantages and disadvantage, and the choice depends on the underlying pathology, patient preference, availability of graft material. The rhinoplasty surgeon should have a thorough understanding of the available options as part of his/her armamentarium in dealing with internal nasal valve pathology. How to cite this article Shia Ng L, Lo S. Management of the Internal Nasal Valve. Int J Otorhinolaryngol Clin 2013;5(1):43-45.

scholarly journals Bioabsorbable Implant for Treatment of Nasal Valve Collapse with or without Concomitant Procedures

2021 ◽  
Author(s):  
Douglas M. Sidle ◽  
Pablo Stolovitzky ◽  
Ellen M. O'Malley ◽  
Randall A. Ow ◽  
Nathan E. Nachlas ◽  
...  
Keyword(s):  
Adverse Events ◽  
Nasal Obstruction ◽  
Large Population ◽  
Inferior Turbinate ◽  
Nasal Valve ◽  
Serious Adverse Events ◽  
Vas Scores ◽  
Nasal Implant ◽  
Nasal Valve Collapse

AbstractThe aim of the study is to report outcomes after treatment of nasal valve collapse with a bioabsorbable nasal implant. It involves two prospective, multicenter, post-market studies evaluating long-term effectiveness of the LATERA implant for severe to extreme nasal obstruction. Participants underwent implant alone or with concomitant inferior turbinate reduction (ITR) and/or septoplasty. Outcome measures included the change from baseline Nasal Obstruction Symptom Evaluation (NOSE) scores, NOSE responder rates, visual analog scale (VAS) scores, and adverse events. A total cohort of 277 participants (109 implants only, 67 implants + ITR, 101 implants + septoplasty + ITR) enrolled at 19 U.S. centers was available for analysis with 177 participants (69 implants only, 39 implants + ITR, 69 implants + septoplasty + ITR) available at 2 years. The mean changes from baseline in NOSE scores and VAS scores were statistically significant (p < 0.001) at all follow-up periods. The baseline NOSE score of 77.8 ± 13.6 was improved to 24.2 ± 23.6 at 24 months. Greater than 90% of participants were NOSE responders across all follow-up periods, 6.1% withdrew for lack of treatment effect. The baseline VAS score of 66.7 ± 18.8 was improved to 21.1 ± 23.9 at 24 months. There were no serious adverse events related to the device or implant procedure. Implant retrieval rate was 4.0% (22/543 implants). Nonserious adverse events were mild to moderate in severity, typically occurred within 6 months of implant, and resolved or were stable. Significant reductions in NOSE and VAS scores and high responder rates from our large population of patients with nasal obstruction who had nasal valve implants confirm sustained effectiveness at 24 months after treatment. The studies are registered on www.clinicaltrials.gov (NCT02952313 and NCT02964312).

scholarly journals Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Maged Baher Naguib ◽  
Mohamed Rifaat Ahmed ◽  
Yasser Taha Madian ◽  
Tarek Mohamady Elnahriry ◽  
Wael Elshahat Eldeeb
Keyword(s):  
Nasal Obstruction ◽  
Operative Time ◽  
Nasal Valve ◽  
Spreader Graft ◽  
Spreader Flap ◽  
The Mean ◽  
The Difference ◽  
A New Technique ◽  
Nasal Valve Collapse ◽  
Duration Of Operation

Abstract Background Following the reduction of the nasal hump to a desired level, spreader grafts are usually positioned to prevent the complication of nasal valve collapse. Auto-spreader flap is a new technique that gained more popularity recently and can be used as an alternative to spreader graft. This RCCT compared between both techniques aesthetically and functionally as well as the operative time. Results Forty patients, 17 males (42.5%) and 23 females (57.5%), were included. The mean duration of operation in auto-spreader flap was 11.8 ± 3.4 min, while it was 19.2 ± 3.2 min in spreader graft. The difference between the two procedures was statistically significant (P < 0.05). Functional assessment of nasal obstruction was done for all patients in both groups preoperative that was (75.6 ± 19.9) which showed marked improvement when re-evaluated 3 moths postoperatively (18.9 ± 14.7), and after 6 months NOSE scale was (29.1 ± 20.2). The overall aesthetic satisfaction was 62.5% (25 of 40) irrespective of the surgery done. Sixteen out of 20 patients in spreader group and 9 out of 20 in auto-spreader flap group. Conclusion Auto-spreader flap and spreader graft are very effective surgical procedure for treatment of nasal obstruction due to internal nasal valve dysfunction, but the auto-spreader flap had shorter operative time. However, spreader graft has a superior aesthetic outcome.

scholarly journals A functional tool to differentiate nasal valve collapse from other causes of nasal obstruction: the FRIED test

2016 ◽  
Vol 121 (1) ◽  
pp. 343-347 ◽  
Author(s):  
Ramzi Maalouf ◽  
Emilie Bequignon ◽  
Marie Devars du Mayne ◽  
Françoise Zerah-Lancner ◽  
Daniel Isabey ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Nasal Valve ◽  
Nasal Valve Collapse

Posttraumatic Nasal Valve Collapse: Is Alar Batten Graft the Answer?

2016 ◽  
Vol 9 (3) ◽  
pp. 125-129
Author(s):  
Avinash Das
Keyword(s):  
Nasal Obstruction ◽  
Visual Analog Scale ◽  
Nasal Valve ◽  
Analog Scale ◽  
Interventional Study ◽  
Symptom Evaluation ◽  
Vas Scores ◽  
Nasal Valve Collapse

ABSTRACT Introduction Posttraumatic nasal valve collapse (NVC) is an underdiagnosed cause of nasal obstruction causing significant symptoms and has been treated by various techniques, the results of which have been variable. In our study, alar batten graft (ABG) has been used to strengthen the nasal wall. Techniques A prospective interventional study was done on 13 patients of posttraumatic NVC using an ABG to reinforce the ala, and results were measured on the basis of standardized nasal obstruction symptom evaluation (NOSE) and nasal obstruction visual analog scale (NO-VAS) scores at 6 months. Results There was a statistically significant improvement in 12 out of 13 patients, with mean improvement of 25.62 on NOSE and 2.4 on NO-VAS scores. There was a visible improvement in the extent of collapse also. Conclusion Posttraumatic NVC can be treated effectively using ABG, with significant improvement in standard scores as well as the symptomatology. How to cite this article Maggon NV, Sethi A, Das A. Posttraumatic Nasal Valve Collapse: Is Alar Batten Graft the Answer? Clin Rhinol An Int J 2016;9(3):125-129.

Surgical techniques for the treatment of nasal valve collapse: a systematic review

2008 ◽  
Vol 33 (3) ◽  
pp. 302-302
Author(s):  
P.M. Spielmann ◽  
J. Sanders ◽  
P.S. White ◽  
S.S.M. Hussain
Keyword(s):  
Systematic Review ◽  
Surgical Techniques ◽  
Nasal Valve ◽  
Nasal Valve Collapse
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