Reconstruction of the Internal Nasal Valve: Modified Splay Graft Technique With Endonasal Approach

Abstract

Modified splay technique is an effective graft method that can be easily applied and has minimal complications and morbidity.

Surgical techniques for the treatment of nasal valve collapse

“…Acoustic rhinometry measures anatomic cross‐sectional area, which can be helpful in assessing patients with nasal obstruction due to stenosis at the valve area. Two authors30, 43 present improvement in cross sectional area in 91% to 94% of patients. Peak inspiratory nasal flow is also a valid tool in assessing changes in nasal conductance but no studies present results with this technique.…”

“…The surgical techniques described addressed collapse of the INV or ENV or both. The studies were grouped on this basis and are presented in Tables I, II, and III 7–48. The lack of any high‐quality studies precludes the pooling of data and thus meta‐analysis is neither possible nor appropriate.…”

Anatomy of the Upper Lateral Cartilage along the Lateral Pyriform Aperture

“…The few techniques described to treat lateral internal nasal valve collapse include lateral suture suspension, 8 the flaring suture, 9 the upper lateral splay graft, 10 the modified endonasal splay graft, 11 the butterfly graft, 12 and most recently the upper lateral strut graft. Although many different surgical techniques have been used to manage internal nasal valve narrowing, the majority of techniques aim to treat the internal nasal valve angle medially.…”

Association of inferior turbinate enlargement, concha bullosa and nasal valve collapse with the convexity of septal deviation

“…A cerumen curette was used to lateralize the upper lateral cartilage to confirm the presence of internal valvular collapse [11].…”