Computed Tomography Technique for Evaluation of the Nasal Valve
Abstract
OBJECTIVE: To compare measurements of the nasal valve on computed tomographic images obtained in the traditional coronal imaging plane with those obtained using the Nasal Base View (NBV) for evaluation of the sinonasal cavities. METHODS: Thirty computed tomograms of the sinuses were evaluated retrospectively. Coronal re-formations were performed in a plane perpendicular to the hard palate at the most anterior aspect of the nasal bones at the nasal dorsum. Re-formations of the NBVwere performed in a plane perpendicular to the anterior aspect of the estimated acoustic axis. Measurements of the nasal valve angle were performed for both imaging planes in each patient. RESULTS: Nasal valve angles measured in the traditional, coronal plane were found to have an angle of 8.3 degrees +/- 2.0 degrees (mean +/- SD). Nasal valve angles measured in the NBV had an angle of 11.4 degrees +/- 2.6 degrees. A significant difference was demonstrated (P<.001). CONCLUSIONS: The traditional coronal computed tomograms of the sinonasal cavities may underestimate the true nasal valve angle. The NBV may provide a more accurate assessment of the nasal valve, as the measured angles of the nasal valve in this plane were found to be more consistent with classic descriptions of 10 degrees to 15 degrees.
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Spreader grafts widen the nasal valve angle with variable degrees of success.
“Spreader grafts play a role in the treatment of nasal valve collapse by widening the nasal valve angle and maintaining the widened angle with variable degrees of success [5, 7, 11, 14].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [11]
Endonasal subperichondral placement of spreader grafts has advantage of not disrupting integrity of middle third of nose and preserving smoothness of nasal dorsum.
“Leaving the connection intact was explained to have the advantage of not disrupting the integrity of the middle third of the nose and preserving the smoothness of the nasal dorsum.”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [11]
Spreader grafts are limited in their ability to adequately support and lateralize the lateral nasal wall, reducing functional outcome.
“The spreader graft is limited in its ability to adequately support and lateralize the lateral nasal wall hence reducing its functional outcome [8, 11, 30, 31].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [11]
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The value of spreader grafts in rhinoplasty: a critical review
Teymoortash, A., Fasunla, J. A., & Sazgar, A. A. (2012) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-011-1837-y · Cited by 72 · see citing works
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Anatomy and Physiology of the Nasal Valves.
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- Authors
- Poetker, D. M., Rhee, J. S., Mocan, B. O., & Michel, M. A.
- Affiliations
- Medical College of Wisconsin (US)
- From the Departments of Otolaryngology and Communication Sciences (Drs Poetker and Rhee) and Radiology (Drs Mocan and Michel), Medical College of Wisconsin, Milwaukee.
- Corresponding author
- Rhee, John S.
- Venue
- Archives of Facial Plastic Surgery
- Publisher
- SAGE Publications
- Published
- 2004-07-01
- Volume
- 6
- Issue
- 4
- Pages
- 240-243
- ISSN
- 1521-2491 (ISSN-L)
- 1538-3660
- OpenAlex
- W2132742427
- Cited by
- 65
- References
- 7
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 1 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 4
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Facial Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Surgery › Head and Neck Surgical Oncology
- Keywords
- nasal valve, sinonasal cavity, nasal obstruction
- MeSH terms
- Body Weights and Measures, Humans, Paranasal Sinuses, Retrospective Studies, Tomography, X-Ray Computed
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