Algorithm for the treatment of external nasal valve insufficiency

Dolci, Eduardo Landini Lutaif; Dolci, José Eduardo Lutaif

doi:10.1016/j.bjorl.2019.02.008

Cited by 6 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The width of the lateral crura must be at least 12 mm to preserve enough lateral crura to prevent alar rim fragility, which may lead to alar notching and/or malposition. 24 42 This technique is associated with a low rate (5%) of need for revision surgery. 41…”

Section: Methods For Managing Dynamic Nasal Valve Collapsementioning

confidence: 99%

“…18 The main surgical options for external nasal valve insufficiency are: alar batten grafts, alar rim grafts, articulated alar rim grafts, lateral crural strut grafts, and lateral crural turn-in flaps. 24 Alar rim grafts Alar rim grafts are indicated in patients with mild to moderate external nasal valve collapse with or without aesthetic concerns of their nasal tip. 25 This procedure is ideal for lower lateral crura width smaller than < 12 mm.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Suturing through the graft can lead to cartilage fracture. 24,27,28 Articulated alar rim graft A major drawback of the conventional alar rim graft is the lack of rigid integration into the tip framework and subsequent risk of graft migration. Articulated alar rim grafts (AARG) reduce this risk and may be used in moderate to severe cases of external nasal valve insufficiency with concomitant aesthetic complaints regarding the nasal tip.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…They are used to address mild to severe external nasal valve collapse. 24 For external nasal valve collapse, the grafts are placed in a pocket caudal to cephalically positioned lateral crura.…”

Section: Alar Batten Graftmentioning

confidence: 99%

“…AARGs reduce this risk and may be used in moderate to severe cases of external nasal valve insufficiency with concomitant aesthetic complaints regarding the nasal tip. 24 The AARG is an integrated structural extension of the tip complex that is secured to the tip framework with multipoint suture fixation to provide strong cantilevered support to the alar margin. 29 A caudal septal extension graft (CSEG) is often used concomitantly to help achieve rigid immobilization of the AARG.…”

Section: Articulated Alar Rim Graftmentioning

confidence: 99%

See 4 more Smart Citations

Surgical Treatment of Dynamic Nasal Collapse

Krane

2022

Facial Plast Surg

View full text Add to dashboard Cite

Nasal obstruction is a prevalent issue that significantly impacts patient quality of life and contributes to a large-scale financial burden. Internal or external nasal valve collapse may play a role in nasal obstruction, with varying etiologies. Surgical correction of nasal valve collapse is indicated when septal and/or turbinate surgery alone are not sufficient in correcting the nasal obstruction. The choice of how to address nasal valve repair depends on presenting findings, associated aesthetic concerns, particularly of the nasal tip, patient anatomy, and surgeon preference. This article provides a methodical approach to the diagnosis of nasal valve collapse, indications for repair, and provides detailed explanation of the operative techniques used to address nasal valve collapse, while also discussing the advantages and disadvantages of each approach.

show abstract

Section: Methods For Managing Dynamic Nasal Valve Collapsementioning

confidence: 99%