The diagnosis and treatment of nasal valve collapse

Wittkopf, Maria; Wittkopf, Justin; Ries, William Russell

doi:10.1097/moo.0b013e3282f396ef

Cited by 80 publications

(79 citation statements)

References 12 publications

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“…The importance of these complications has led to tailored surgical techniques to improve functional and aesthetic results. 11,12 Conservative reduction of the volume of the cephalic portion of the LC and preserving the greater part of the crus while maintaining a complete (uninterrupted) strip of LLC is preferred. The LSCT technique improves nasal tip rotation while maintaining nasal tip support and strength.…”

Section: Commentmentioning

confidence: 99%

Lateral Crural Setback With Cephalic Turn-in Flap

Sazgar¹

2010

Arch Facial Plast Surg

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Herein, I describe lateral crural setback with cephalic turn-in flap as a new technique for management of the drooping nose. I report a technique for reinforcement of the alar cartilage after partial removal of its caudal portion used in 23 patients during open rhinoplasty. An objective assessment, which included measurement of nasal tip rotation and projection, was applied preoperatively and postoperatively. The average follow-up period was 11 months. Satisfactory results were achieved that resulted in an increase in the degree of nasal tip rotation. The mean increase of the nasolabial angle was 12°. This technique allows increasing the nasal tip rotation in an incremental fashion with preservation of nasal valve function and the strength and stability of the tip complex.

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Section: Commentmentioning

confidence: 99%

Lateral Crural Setback With Cephalic Turn-in Flap

Sazgar¹

2010

Arch Facial Plast Surg

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“…[51] The graft is placed over the scroll area and acts to widen the nasal valve angle (Figures 6 and 7). [5] Clark et al reported that all of their subjects experienced subjective improvement in nasal breathing and only 2 reported that the results made their nose look worse. In a follow up study by Friedman et al, they examined the usefulness of the butterfly graft in primary functional rhinoplasty.…”

Section: Butterfly Graftmentioning

confidence: 99%

“…The internal nasal angle is the area between the upper lateral cartilage and septum, which is normally 10 to 15 degrees in Caucasians and slightly wider in African Americans and Asians. [4][5][6][7] The nasal valve area is recognized as the area of highest resistance in the airway. Obstruction at the valve can be either static or dynamic and could lead to increased resistance to airflow.…”

Section: Anatomy and Physiologymentioning

confidence: 99%

Update on the evidence for functional rhinoplasty techniques

Chan

Shipchandler

2015

Current Opinion in Otolaryngology & Head and Neck Surgery

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Purpose of reviewFunctional rhinoplasty is a term that is commonly used to describe any technique used to address nasal obstruction in the nasal valve region. Etiology of nasal valve collapse differs based on the site. Internal valve collapse may be idiopathic or associated with previous rhinoplasty, trauma, or weakened cartilage in older patients. External valve collapse is usually idiopathic and less likely to be associated with previous surgery. Various techniques have been developed over time, and the data in support of functional rhinoplasty continues to increase. Recent findingsThis article discusses popular techniques currently in use as well as newer techniques that have been described over the past several years. In addition, there is a trend toward utilizing objective testing and validated assessment scales to assess post-operative changes. SummaryFunctional rhinoplasty utilizes a multitude of techniques to address nasal valve collapse. While high-level data is lacking, the current literature is in support of nasal valve correction to improve nasal breathing. Most importantly, the technique employed is unique for each patient.

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“…T he internal nasal valve (INV) has the smallest cross-sectional area in the nasal passage and constitutes more than two-thirds of nasal airway resistance (1). The valve is delineated superiorly by the angle between the caudal margins of the upper lateral cartilages (ULCs) and septum, laterally by the inferior turbinate and inferiorly by floor of the nose (2).…”

mentioning

confidence: 99%