A systematic review of the surgical techniques for the treatment of internal nasal valve collapse: where do we stand?

Goudakos, John; Fishman, Jonathan; Patel, Kalpesh

doi:10.1111/coa.12664

Cited by 27 publications

(17 citation statements)

References 55 publications

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“…The preoperative diagnosis of nasal valve dysfunction is commonly based on physical examination findings [ 12 ]. Particularly, the anatomic areas involving the internal and external valves require examination.…”

Section: Introductionmentioning

confidence: 99%

Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse

Ziai

Bonaparte

2018

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundNasal valve collapse is a common cause of nasal obstruction in otolaryngology practice. Common examination methods, such as the Cottle Maneuver and modified Cottle Maneuver are available. However, these methods are dichotomous and do not provide ordinal severity information. The Ottawa Valve Collapse Scale (OVCS) is a grading system for assessing and easily grading external nasal valve collapse in patients with a septal deviation. The primary objective was to assess the test-retest reliability and construct validity of the OVCS grading scale. A secondary objective was to perform the same assessments on the Cottle Maneuver.MethodsPatients with a septal deviation who were requesting surgical correction were prospectively enrolled in the study. All patients were assessed using both the Cottle Maneuver and the OVCS by one otolaryngologist at two visits separated by one month. The phi coefficient was calculated to assess the test-retest reliability of the instruments. Results of the Nasal Obstruction Symptom Evaluation (NOSE) Score was compared to determine construct validity.ResultsNinety-two patients met our inclusion criteria. The phi coefficient was 0.62 for the OVCS and 0.32 for the Cottle Maneuver. The scores on the NOSE instrument were positively associated with the OVCS scores (p = 0.01) while there was no association with the Cottle Maneuver (p = 047).ConclusionThis current preliminary analysis suggests that the novel Ottawa Valve Collapse Scale has good test-retest reliability and construct validity. This scale may help clinicians grade external nasal valve collapse in patients with a septal deviation. Future studies are required to determine if this scale assists surgeons in determining which patients need formal nasal valve surgery in addition to a standard septoplasty.

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Section: Introductionmentioning

confidence: 99%

Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse

Ziai

Bonaparte

2018

Journal of Otolaryngology - Head & Neck Surgery

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“…Left untreated, the internal nasal valve will remain narrowed and therefore continue to restrict breathing. The conventional method to address this is via open septorhinoplasty surgery and grafting …”

Section: Discussionmentioning

confidence: 99%

“…The conventional method to address this is via open septorhinoplasty surgery and grafting. 3 We report the modified z-plasty of the INV as an alternate simple method to improve INV patency.…”

Section: Discussionmentioning

confidence: 99%

Modified Z‐plasty of the internal nasal valve—To treat mechanical nasal obstruction: How we do it

Varadharajan

Choudhury

Saleh

2019

Clinical Otolaryngology

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“…The collapse of the nasal valve, which leads to closure of the airway during inspiration, is a frequent and less well-known cause of NO [235,236]. Sometimes it occurs after rhinoplasty and septal or turbinate surgery [237].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Position Paper on Nasal Obstruction: Evaluation and Treatment

Valero

Navarro²,

Cuvillo³

et al. 2018

J Investig Allergol Clin Immunol

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Nasal obstruction (NO) is defined as the subjective perception of discomfort or difficulty in the passage of air through the nostrils. It is a common reason for consultation in primary and specialized care and may affect up to 30%-40% of the population. It affects quality of life (especially sleep) and lowers work efficiency. The aim of this document is to agree on how to treat NO, establish a methodology for evaluating and diagnosing it, and define an individualized approach to its treatment. NO can be unilateral or bilateral, intermittent or persistent and may be caused by local or systemic factors, which may be anatomical, inflammatory, neurological, hormonal, functional, environmental, or pharmacological in origin. Directed study of the medical history and physical examination are key for diagnosing the specific cause. NO may be evaluated using subjective assessment tools (visual analog scale, symptom score, standardized questionnaires) or by objective estimation (active anterior rhinomanometry, acoustic rhinometry, peak nasal inspiratory flow). Although there is little correlation between the results, they may be considered complementary and not exclusive. Assessing the impact on quality of life through questionnaires standardized according to the underlying disease is also advisable. NO is treated according to its cause. Treatment is fundamentally pharmacological (topical and/or systemic) when the etiology is inflammatory or functional. Surgery may be necessary when medical treatment fails to complement or improve medical treatment or when other therapeutic approaches are not possible. Combinations of surgical techniques and medical treatment may be necessary.

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A systematic review of the surgical techniques for the treatment of internal nasal valve collapse: where do we stand?

Cited by 27 publications

References 55 publications

Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse

Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse

Modified Z‐plasty of the internal nasal valve—To treat mechanical nasal obstruction: How we do it

Position Paper on Nasal Obstruction: Evaluation and Treatment

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