A New Surgical Method of Dynamic Nasal Valve Collapse

Seren, Erdal

doi:10.1001/archoto.2009.135

Cited by 27 publications

(23 citation statements)

References 21 publications

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“…The use of RF energy to stabilize the cartilage of the INV is not without precedent: Seren successfully used low-energy RF introduced to the ULC to stabilize the nasal valve (Celon-ProBreath; Celon AG Medical Instruments, Berlin, Germany) [24]. However, this procedure was more invasive as the access to the cartilage was created by an incision and the RF introduced via inserted probes with the incision closed with a suture after the intervention.…”

Section: Discussionmentioning

confidence: 99%

A prospective, non-randomized evaluation of a novel low energy radiofrequency treatment for nasal obstruction and snoring

Brehmer

Bodlaj

Gerhards

2019

Eur Arch Otorhinolaryngol

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BackgroundWeak or inward-bent cartilage of the nasal sidewall at the level of the internal nasal valve (INV) can produce narrowness or collapse of the nasal valve. This is a common cause of impaired nasal breathing during daily activities and there is also an established connection between nasal obstruction and snoring. The condition is often difficult to treat, although even a small enlargement of the lumen at the nasal valve can lead to a significant improvement in the ease of nasal breathing.MethodsThe primary objective of this prospective study was to evaluate the safety and efficacy of the Vivaer system for the treatment of narrowed nasal valves and to measure changes in the symptoms of nasal obstruction and snoring. The Vivaer system uses low energy radiofrequency to remodel the nasal sidewall in order to improve airflow.ResultsThe study involved 31 patients presenting from 1st September 2017 to 1st May 2018 with symptoms of nasal obstruction and snoring. In all patients, an improvement was observed in nasal breathing measured by NOSE score, sleep quality by SOS questionnaire and quality of life as measured by EQ-5D and SNOT-22.ConclusionVivaer intranasal remodeling can provide a durable and well-tolerated non-invasive treatment for those patients who are suffering congestion due to narrowness or collapse of the INV.

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Section: Discussionmentioning

confidence: 99%

A prospective, non-randomized evaluation of a novel low energy radiofrequency treatment for nasal obstruction and snoring

Brehmer

Bodlaj

Gerhards

2019

Eur Arch Otorhinolaryngol

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“…The malleable implant, lacking memory, is subject to deformation by external pressure requiring periodic manual readjustment after surgery 9. Radiofrequency thermotherapy applied submucosally to the nasal valve has been advocated recently 10. This also is a limited study with only a 16‐week follow‐up.…”

Section: Discussionmentioning

confidence: 99%

Lateralizing the collapsed nasal valves simplified: 10‐Year survey of a simple concealed suture technique

Rizvi

Gauthier

2010

The Laryngoscope

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Objective/Hypothesis: A number of innovative surgical procedures have been devised to correct nasal obstruction resulting from the combined deformities of the internal and external nasal valves. Although successful, they can be complex and manipulative, requiring experience and expertise. We submit an alternative surgical procedure for the repair of isolated internal nasal valve collapse that is simple to execute in the office under local infiltration anesthesia and within the grasp of any otolaryngologist interested in its repair. The long-term success and durability of the procedure have been tested and confirmed by a 10-year survey of its effectiveness.Study Design: Retrospective review.Results: Fifty-two (89.9%) of 58 respondents who underwent surgical repair for nasal valve collapse between 1999 and 2009 reported complete satisfaction with the improvement in their nasal airway that remained effective over time. Failures (10.1%) resulted from sutures coming loose from a variety of reasons that could be remedied quite easily.Conclusions: The simplified concealed suture lateralization of the collapsed internal nasal valve is highly successful and remains effective over many years with minimal complications and without any alteration in the nasal profile.

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“…29 Seren described this technique as a fast, effective, and safe alternative, where lowenergy radiofrequency is applied submucosally through a probe and results in tissue fibrosis and retraction. 30 Weissman and Most demonstrated the effectiveness in a trial of 13 patients, finding that this technique could significantly reduce nasal obstruction. 31 Another alternative technique, especially in cases of inadequate cartilage support and very weak, long, and floppy upper lateral cartilages, is the Mplasty technique.…”

Section: Alternative Techniquesmentioning

confidence: 98%

Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty

Wang

Friedman

2018

Facial plast Surg

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As rhinoplasty procedures become more common, the need for revision surgeries increases as well. Unlike primary rhinoplasties, revision rhinoplasties can be more challenging because of anatomic differences from initial surgery, a lack of available cartilage, tissue remodeling responses, and other complications. As such, surgeons should be prepared to address revision rhinoplasty patients differently from primary rhinoplasty patients. Here, the authors describe a generalizable approach to revision functional rhinoplasty patients and detail some of the surgical techniques that can be employed to achieve optimal outcomes, with particular attention paid to procedures that can be used in the middle vault.

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A New Surgical Method of Dynamic Nasal Valve Collapse

Abstract: This new method appears to be safe, quick, bloodless, and painless. These good, encouraging preliminary results must be confirmed by further study and long-term follow-up.

Cited by 27 publications

References 21 publications

A prospective, non-randomized evaluation of a novel low energy radiofrequency treatment for nasal obstruction and snoring

A prospective, non-randomized evaluation of a novel low energy radiofrequency treatment for nasal obstruction and snoring

Lateralizing the collapsed nasal valves simplified: 10‐Year survey of a simple concealed suture technique

Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty

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