Management of the nasal valve
Abstract
The nasal valve is an important consideration in patients presenting with nasal obstruction. Controversy exists regarding the anatomy, terminology, evaluation, and management of the nasal valve. Innumerable techniques with variable effects have been described in the literature. The evidence qualifying these techniques has been plentiful, though often lacking in quality. This article reviews the controversial aspects of nasal valve management applying the best available evidence to help clarify potential areas of confusion. Future research using standardized definitions, consistent methodologies, and validated outcome measures are necessary to improve the quality of evidence and impact surgical decision-making.
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The flaring suture increases the angle and cross-sectional area of the internal nasal valve.
“The flaring suture presents another technique employed to increase the angle and cross-sectional area of the internal nasal valve [14].”
From Functional Rhinoplasty. (2023) · cites this paper as [14]
Normal airflow within the nasal valve region relies on the principles outlined by Bernoulli and Poiseuille.
“Normal airflow within the nasal vale region relies on the principles outlined by Bernoulli and Poiseuille [14].”
From Functional Rhinoplasty. (2023) · cites this paper as [14]
Cites
Development and Validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale1
Stewart, M. G., Witsell, D. L., Smith, T. L., Weaver, E. M., Yueh, B., & Hannley, M. (2004) · Otolaryngology · doi:10.1016/j.otohns.2003.09.016 · Cited by 1,221 · see citing works
Spreader Graft: A Method of Reconstructing the Roof of the Middle Nasal Vault Following Rhinoplasty
Sheen, J. H. (1984) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-198402000-00013 · Cited by 614 · see citing works
Sheen JH. Plast Reconstr Surg 73:230-239 (2014) · CRC Press eBooks · doi:10.1201/b17524-46 · Cited by 517 · see citing works
Stewart, M. G., Smith, T. L., Weaver, E. M., Witsell, D. L., Yueh, B., Hannley, M. T., Johnson, J. T., & The Nose Study Investigators (2004) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2003.12.004 · Cited by 514 · see citing works
The site and function of the nasal valve
Haight, J. S. J., & Cole, P. (1983) · The Laryngoscope · doi:10.1288/00005537-198301000-00009 · Cited by 372 · see citing works
Use of Alar Batten Grafts for Correction of Nasal Valve Collapse
Toriumi, D. M., Josen, J., Weinberger, M., & Tardy, M. E. (1997) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1997.01900080034002 · Cited by 329 · see citing works
André, R. F., Vuyk, H. D., Ahmed, A., Graamans, K., & Trenité, G. J. N. (2009) · Clinical Otolaryngology · doi:10.1111/j.1749-4486.2009.02042.x · Cited by 319 · see citing works
Hol, M. K., & Eh, H. (2000) · PubMed · Cited by 218 · see citing works
Bridger, G. P. (1970) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1970.04310060015005 · Cited by 215 · see citing works
Clinical consensus statement: Diagnosis and management of nasal valve compromise
Rhee, J. S., Weaver, E. M., Park, S. S., Baker, S. R., Hilger, P. A., Kriet, J. D., Murakami, C. S., Senior, B. A., Rosenfeld, R. M., & DiVittorio, D. (2010) · Otolaryngology · doi:10.1016/j.otohns.2010.04.019 · Cited by 213 · see citing works
Maximum Nasal Inspiratory Flow and Nasal Resistance
Gp, B., & Proctor, D. F. (1970) · Annals of Otology Rhinology & Laryngology · doi:10.1177/000348947007900308 · Cited by 174 · see citing works
Most, S. P. (2006) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.8.5.306 · Cited by 164 · see citing works
The Spreader Flap in Primary Rhinoplasty
Gruber, R. P., Park, E., Newman, J., Berkowitz, L., & Oneal, R. (2007) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000259198.42852.d4 · Cited by 162 · see citing works
Nasal Valve Suspension: An Effective Treatment for Nasal Valve Collapse
Paniello, R. C. (1996) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1996.01890240050011 · Cited by 161 · see citing works
Statistical Consideration for Bilateral Cases in Orthopaedic Research
Park, M. S., Kim, S. J., Chung, C. Y., Choi, I. H., Lee, S. H., & Lee, K. M. (2010) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.i.00724 · Cited by 158 · see citing works
Kasperbauer, J. L., & Kern, E. B. (1987) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(20)31590-5 · Cited by 157 · see citing works
Nasal valve surgery improves disease-specific quality of life
Rhee, J. S., Poetker, D. M., Smith, T. L., Bustillo, A., Burzynski, M., & Davis, R. E. (2005) · The Laryngoscope · doi:10.1097/01.mlg.0000157831.46250.ad · Cited by 156 · see citing works
Siegel, N. S., Gliklich, R. E., Taghizadeh, F., & Chang, Y. (2000) · Otolaryngology · doi:10.1016/s0194-5998(00)70244-0 · Cited by 153 · see citing works
THE CORRECTION OF DEFLECTIONS OF THE NASAL SEPTUM WITH A MINIMUM OF TRAUMATISM.
Freer, O. T. (1902) · JAMA · doi:10.1001/jama.1902.62480100012002b · Cited by 143 · see citing works
The ‘Butterfly’ Graft in Functional Secondary Rhinoplasty
Clark, J. M., & Cook, T. A. (2002) · The Laryngoscope · doi:10.1097/00005537-200211000-00002 · Cited by 138 · see citing works
Evidence supporting functional rhinoplasty or nasal valve repair: A 25‐year systematic review
Rhee, J. S., Arganbright, J. M., McMullin, B. T., & Hannley, M. (2008) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2008.02.007 · Cited by 132 · see citing works
Outcomes of surgery for inferior turbinate hypertrophy
Bhandarkar, N. D., & Smith, T. L. (2010) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0b013e328334d974 · Cited by 132 · see citing works
Surgical techniques for the treatment of nasal valve collapse
Spielmann, P. M., White, P. S., & Hussain, S. S. M. (2009) · The Laryngoscope · doi:10.1002/lary.20495 · Cited by 120 · see citing works
Extended follow‐up of total inferior turbinate resection for relief of chronic nasal obstruction
Moore, G. F., Freeman, T. J., Ogren, F. P., & Yonkers, A. J. (1985) · The Laryngoscope · doi:10.1288/00005537-198509000-00015 · Cited by 120 · see citing works
Surgery for the Dysfunctional Nasal Valve
Schlosser, R. J., & Park, S. S. (1999) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.1.2.105 · Cited by 116 · see citing works
Nasal morphology and the emergence of Homo erectus
Franciscus, R. G., & Trinkaus, E. (1988) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330750409 · Cited by 115 · see citing works
Internal Nasal Valve: Revisited with Objective Facts
Miman, M. C., Deliktaş, H., Özturan, O., Toplu, Y., & Akarçay, M. (2006) · Otolaryngology · doi:10.1016/j.otohns.2005.08.027 · Cited by 86 · see citing works
Khosh, M. M., Jen, A., Honrado, C. P., & Pearlman, S. J. (2004) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.6.3.167 · Cited by 85 · see citing works
Trends in Functional Rhinoplasty
Most, S. P. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.6.410 · Cited by 84 · see citing works
Yoo, S. (2011) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2011.7 · Cited by 76 · see citing works
Disease‐specific quality of life outcomes in functional rhinoplasty
Lindsay, R. W. (2012) · The Laryngoscope · doi:10.1002/lary.23345 · Cited by 74 · see citing works
The Long-term Effects of Open Cosmetic Septorhinoplasty on Nasal Air Flow
Constantinides, M. S., Adamson, P. A., & Cole, P. (1996) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1996.01890130035005 · Cited by 73 · see citing works
Repeated measurements, bilateral observations and pseudoreplicates, why does it matter?
Ranstam, J. (2012) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2012.02.011 · Cited by 73 · see citing works
Turn-in Folding of the Cephalic Portion of the Lateral Crus to Support the Alar Rim in Rhinoplasty
Tellioğlu, A. T., & Çimen, K. (2007) · Aesthetic Plastic Surgery · doi:10.1007/s00266-006-0246-x · Cited by 72 · see citing works
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
Chambers, K., Horstkotte, K. A., Shanley, K., & Lindsay, R. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.0978 · Cited by 70 · see citing works
Radiofrequency Inferior Turbinate Reduction
Garzaro, M., Pezzoli, M., Landolfo, V., Defilippi, S., Giordano, C., & Pecorari, G. (2011) · Otolaryngology · doi:10.1177/0194599811423008 · Cited by 69 · see citing works
Alar Batten Cartilage Graft: Treatment of Internal and External Nasal Valve Collapse
Cervelli, V., Spallone, D., Bottini, J. D., Silvi, E., Gentile, P., Curcio, C. B., & Pascali, M. (2009) · Aesthetic Plastic Surgery · doi:10.1007/s00266-009-9349-5 · Cited by 68 · see citing works
Obstruction of the nasal valve
Elwany, S., & Thabet, H. (1996) · The Journal of Laryngology & Otology · doi:10.1017/s0022215100133250 · Cited by 67 · see citing works
Alar Rim Grafting in Rhinoplasty
Boahene, K. D. O., & Hilger, P. A. (2009) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2009.68 · Cited by 65 · see citing works
Saedi, B., Amali, A., Gharavis, V., Yekta, B. G., & Most, S. P. (2014) · American Journal of Rhinology and Allergy · doi:10.2500/ajra.2014.28.3991 · Cited by 65 · see citing works
LX Surgery of the Nasal Septum—New Operative Procedures and Indications
Cottle, M. H., & Loring, R. M. (1948) · Annals of Otology Rhinology & Laryngology · doi:10.1177/000348944805700309 · Cited by 58 · see citing works
Bohlin, L., & Dahlqvist, A. R. (1994) · PubMed · Cited by 56 · see citing works
The Effectiveness of Modified Cottle Maneuver in Predicting Outcomes in Functional Rhinoplasty
Fung, E., Hong, P., Moore, C., & Taylor, S. M. (2014) · Plastic Surgery International · doi:10.1155/2014/618313 · Cited by 55 · see citing works
Validation of a grading system for lateral nasal wall insufficiency
Tsao, G. J., Fijalkowski, N., & Most, S. P. (2013) · Allergy & Rhinology · doi:10.2500/ar.2013.4.0054 · Cited by 54 · see citing works
Nasal Airway Volumetric Measurement Using Segmented HRCT Images and Acoustic Rhinometry
Dastidar, P., Numminen, J., Heinonen, T. T., Ryymin, P., Markus, R., & Erkki, L. (1999) · American Journal of Rhinology · doi:10.2500/105065899782106706 · Cited by 54 · see citing works
Conchal cartilage butterfly graft in primary functional rhinoplasty
Friedman, O., & Cook, T. A. (2009) · The Laryngoscope · doi:10.1002/lary.20079 · Cited by 52 · see citing works
Murakami, C. S., Barrera, J. E., & Most, S. P. (2009) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2008.524 · Cited by 49 · see citing works
Alar Batten Grafting for Management of the Collapsed Nasal Valve
Millman, B. (2002) · The Laryngoscope · doi:10.1097/00005537-200203000-00030 · Cited by 48 · see citing works
Contemporary Review of Rhinoplasty
Angelos, P. C., Been, M. J., & Toriumi, D. M. (2012) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2012.577 · Cited by 48 · see citing works
Comparison of nasal sprays and irrigations in the delivery of topical agents to the olfactory mucosa
Lam, K. K., Tan, B. K., Lavin, J. M., Meen, E. K., & Conley, D. B. (2013) · The Laryngoscope · doi:10.1002/lary.24239 · Cited by 47 · see citing works
Lavinsky‐Wolff, M., Camargo, H. L., Barone, C. R., Rabaioli, L., Wolff, F. H., Dolci, J. E. L., & Polanczyk, C. A. (2012) · The Laryngoscope · doi:10.1002/lary.23628 · Cited by 45 · see citing works
Functional Rhinoplasty: Treatment of the Dysfunctional Nasal Sidewall
Ballert, J., & Park, S. S. (2006) · Facial Plastic Surgery · doi:10.1055/s-2006-939952 · Cited by 40 · see citing works
Acoustic rhinometry and its uses in rhinology and diagnosis of nasal obstruction
Lal, D., & Corey, J. P. (2004) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2004.04.002 · Cited by 40 · see citing works
Shadfar, S., Shockley, W., Fleischman, G., Dugar, A. R., McKinney, K., Frank-Ito, D., & Kimbell, J. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2014.395 · Cited by 40 · see citing works
Mlynski, G. H. (2006) · Facial Plastic Surgery · doi:10.1055/s-2006-954840 · Cited by 37 · see citing works
Treatment of external nasal valve (alar rim) collapse with an alar strut
Kalan, A., Kenyon, G. S., & Seemungal, T. (2001) · The Journal of Laryngology & Otology · doi:10.1258/0022215011909260 · Cited by 37 · see citing works
Barham, H. P., Knisely, A. J., Christensen, J. M., Sacks, R., Marcells, G. N., & Harvey, R. J. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.0925 · Cited by 35 · see citing works
Hussein, W. K. A., Elwany, S., & Montaser, M. (2014) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-014-3309-7 · Cited by 32 · see citing works
Surgery of the external nasal valve: the correlation between subjective and objective measurements
Menger, D. J., Swart, K. M. A., Nolst Trenité, G. J., Georgalas, C., & Grolman, W. (2014) · Clinical Otolaryngology · doi:10.1111/coa.12243 · Cited by 29 · see citing works
A Simple and Reliable Method of Patient Evaluation in the Surgical Treatment of Nasal Obstruction
Constantinides, M., Galli, S. K. D., & Miller, P. J. (2002) · Ear, Nose & Throat Journal · doi:10.1177/014556130208101015 · Cited by 29 · see citing works
Dobratz, E. J., & Park, S. S. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.03.003 · Cited by 26 · see citing works
Evidence-Based Medicine: Rhinoplasty.
Lee, M. K., & Most, S. P. (2015) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2015.04.004 · Cited by 21 · see citing works
Jalali, M. M. (2014) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-014-3327-5 · Cited by 20 · see citing works
Lerma, J. (1998) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199811000-00075 · Cited by 15 · see citing works
Kim, D. W., & Rodriguez-Bruno, K. (2009) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2008.09.011 · Cited by 12 · see citing works
Surgical Approach to Nasal Valves and the Midvault in Patients with a Crooked Nose
Antunes, M. B., & Goldstein, S. A. (2011) · Facial Plastic Surgery · doi:10.1055/s-0031-1288929 · Cited by 10 · see citing works
Cadaveric Analysis of Nasal Valve Suspension
Bae, J. H., & Most, S. P. (2012) · Allergy & Rhinology · doi:10.2500/ar.2012.3.0037 · Cited by 5 · see citing works
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Nasal Airway Obstruction: Prevalence and Anatomic Contributors
Clark, D., Signore, A. D. D., Raithatha, R., & Senior, B. (2018) · Ear, nose, & throat journal · doi:10.1177/014556131809700615 · Cited by 105 · see citing works
Surgical Management of the Internal Nasal Valve: A Review of Surgical Approaches
Sinkler, M. A., Wehrle, C. J., Elphingstone, J. W., Magidson, E., Ritter, E. F., & Brown, J. J. (2021) · Aesthetic Plastic Surgery · doi:10.1007/s00266-020-02075-5 · Cited by 43 · see citing works
In‐office treatment of nasal valve obstruction using a novel, bipolar radiofrequency device
Jacobowitz, O., Driver, M., & Ephrat, M. (2019) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.247 · Cited by 29 · see citing works
Treatment Paradigm for Nasal Airway Obstruction
Schuman, T. A., & Senior, B. A. (2018) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2018.05.003 · Cited by 33 · see citing works
Stolovitzky, P., Senior, B., Ow, R., Mehendale, N. H., Bikhazi, N., & Sidle, D. M. (2019) · International Forum of Allergy and Rhinology · doi:10.1002/alr.22362 · Cited by 30 · see citing works
The Laryngoscope: Table of contents
Sidle, D. M., Stolovitzky, P., Ow, R. A., Silvers, S., Matheny, K. E., Bikhazi, N., Wani, M. K., Scurry, W., & Most, S. P. (2019) · The Laryngoscope · doi:10.1002/lary.28151 · Cited by 15 · see citing works
Turbinate Hypertrophy, Allergic Rhinitis, and Otitis Media
Ciprandi, G., & Tosca, M. A. (2021) · Current Allergy and Asthma Reports · doi:10.1007/s11882-021-01021-y · Cited by 15 · see citing works
Regional Peak Mucosal Cooling Predicts Radiofrequency Treatment Outcomes of Nasal Valve Obstruction
Wu, Z., Krebs, J. P., Spector, B. M., Otto, B. A., Zhao, K., & Farag, A. A. (2020) · The Laryngoscope · doi:10.1002/lary.29223 · Cited by 15 · see citing works
Algorithm for the treatment of external nasal valve insufficiency
Dolci, E. L. L., & Dolci, J. E. L. (2019) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2019.02.008 · Cited by 14 · see citing works
Turbinate Hypertrophy, Allergic Rhinitis, and Otitis Media
Ciprandi, G., & Tosca, M. A. (2021) · Current Allergy and Asthma Reports · doi:10.1007/s11882-021-01016-9 · Cited by 14 · see citing works
Englhard, A. S., Wiedmann, M., Ledderose, G., Lemieux, B. T., Badran, A., Jing, J. C., Chen, Z., Volgger, V., & Wong, B. J. F. (2017) · The Laryngoscope · doi:10.1002/lary.26962 · Cited by 12 · see citing works
Use of Roof-Shaped Costochondral Cartilage for Correction of Saddle Nose Deformity
Irmak, F., Yazar, S. K., Şirvan, S. S., Yazar, M., & Karşıdağ, S. (2018) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000004459 · Cited by 12 · see citing works
The clinical importance of the nasal valve.
Gelardi, M., & Ciprandi, G. (2019) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v90i2-s.8105 · Cited by 12 · see citing works
Casale, M., Moffa, A., Giorgi, L., Pierri, M., Lugo, R., Jacobowitz, O., & Baptista, P. (2023) · Journal of Otolaryngology - Head and Neck Surgery · doi:10.1186/s40463-023-00644-7 · Cited by 10 · see citing works
Nasal Valve Insufficiency in Dermatologic Surgery
Barbosa, N. S., Baum, C. L., & Arpey, C. J. (2020) · Dermatologic Surgery · doi:10.1097/dss.0000000000002310 · Cited by 10 · see citing works
Internal and external nasal dilatator in patients who snore: a comparison in clinical practice.
Gelardi, M., Porro, G., Sterlicchio, B., Quaranta, N. A. A., Ciprandi, G., & Italian Study Group On Sonoring (2019) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v90i2-s.8096 · Cited by 9 · see citing works
The role of the nasal valve in patients with obstructive sleep apnea syndrome.
Gelardi, M., Intiglietta, P., Porro, G., Quaranta, V. N., Resta, O., Quaranta, N. A. A., & Ciprandi, G. (2019) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v90i2-s.8097 · Cited by 7 · see citing works
Management of Nasal Valve Dysfunction
Lee, D. Y., & Won, T. (2024) · Clinical and Experimental Otorhinolaryngology · doi:10.21053/ceo.2024.00073 · Cited by 6 · see citing works
Transcutaneous Columellar Strut for Correcting Caudal Nasal Septal Deviation
Ghorbani, J., Ganjali, M. R., Givehchi, G., & Zangi, M. (2018) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-018-1339-y · Cited by 6 · see citing works
Anatomy and Physiology of the Nasal Valves.
Liu, D. H., Chen, H., & Wong, B. J.-F. (2025) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.09.001 · Cited by 5 · see citing works
Balanced Cantilever Graft for Supporting the Cartilaginous Side Wall of Nose
Raghavan, U., Daoud, M., Heywood, E. G., & Ullas, G. (2021) · Aesthetic Surgery Journal · doi:10.1093/asj/sjab212 · Cited by 5 · see citing works
Anatomic Optical Coherence Tomography ( aOCT ) for Evaluation of the Internal Nasal Valve
Waters, C. M., Stepp, W. H., Conduff, J., Balakrishnan, S., Bu, R., Oldenburg, A. L., Kimbell, J. S., Shockley, W. W., & Clark, J. M. (2021) · The Laryngoscope · doi:10.1002/lary.29979 · Cited by 5 · see citing works
The Correlation of Computed Tomography in the Evaluation of Septoplasty Patients
Yazıcı, A., & Er, H. (2019) · Nigerian Journal of Clinical Practice · doi:10.4103/njcp.njcp_497_18 · Cited by 5 · see citing works
Nasal Valve Management in Rhinoseptoplasty
Lianou, A. D., Zarachi, A., Markou, K. D., Kastanioudakis, I. G., & Psychogios, G. V. (2022) · MAEDICA – a Journal of Clinical Medicine · doi:10.26574/maedica.2022.17.4.921 · Cited by 5 · see citing works
Nasal Obstruction after Mohs Surgery: Prevention and Correction
Rudy, S. F., & Moyer, J. S. (2020) · Facial Plastic Surgery · doi:10.1055/s-0040-1701481 · Cited by 4 · see citing works
Altidor, A., Ferri, F. A., Bakhos, F., & Mascaro-Pankova, A. (2023) · Cureus · doi:10.7759/cureus.45993 · Cited by 3 · see citing works
“The thin cartilage graft spans the alar rim region and improves the contour and strength of the rim [14].”
BackgroundMethodInfluentialModified alar batten grafts for treatment in nasal valve dysfunction: Our experience
Raposo, A., Lajara, J., Guillén, A., & Garcia-Purriños, F. J. (2021) · Auris Nasus Larynx · doi:10.1016/j.anl.2021.08.006 · Cited by 3 · see citing works
An Alternative Method for Midvault Restoration: “T-Splay Graft”
Kopal, C., & Kapı, E. (2021) · Aesthetic Plastic Surgery · doi:10.1007/s00266-021-02632-6 · Cited by 3 · see citing works
Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty
Xavier, R., Lopes, S. A., Menger, D. J., Carvalho, H. C., & Spratley, J. E. F. (2022) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894221111096 · Cited by 3 · see citing works
Jung, H. J., Park, M. W., Shim, W. S., & Wee, J. H. (2024) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2024.101430 · Cited by 3 · see citing works
Erdoğan, M. M., & Uğur, L. (2023) · Journal of Health Sciences and Medicine · doi:10.32322/jhsm.1250202 · Cited by 3 · see citing works
Closed Treatment of the Internal Nasal Valve
Boyce, C., Ovaitt, A. K., & Hetzler, L. T. (2025) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.08.012 · Cited by 2 · see citing works
Jeon, Y. J., Lee, T.-H., Joo, Y.-H., & Kim, S. (2025) · Life · doi:10.3390/life15040546 · Cited by 2 · see citing works
Comparison of the Effect of Spreader and T-Splay Graft in Internal Nasal Valve Management
Kapı, E., Kopal, C., Seyhan, T., & Çelik, Y. (2022) · Aesthetic Plastic Surgery · doi:10.1007/s00266-022-02822-w · Cited by 2 · see citing works
Preoperative Assessment of the Nasal Valve
Eng, J., & Robitschek, J. M. (2025) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.07.011 · Cited by 2 · see citing works
Kim, H. C., Cho, Y. T., & Kim, J. S. (2018) · Journal of Clinical Otolaryngology Head and Neck Surgery · doi:10.35420/jcohns.2018.29.2.269 · Cited by 2 · see citing works
Clark, C. M., Hakimi, A. A., Parsa, K. M., Tanenbaum, Z. G., Wang, H., Chu, E. E., & Reilly, M. J. (2022) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894221121405 · Cited by 2 · see citing works
Update on the Evaluation and Management of Nasal Valve Collapse
Khanwalkar, A. R., & Welch, K. C. (2021) · Current Otorhinolaryngology Reports · doi:10.1007/s40136-021-00374-2 · Cited by 2 · see citing works
A customized nasal dilator and breather for patient with deviated nasal septum
Tomar, B. S., Singh, S., Shrivastava, A., & Noble, S. A. (2024) · The Journal of Indian Prosthodontic Society · doi:10.4103/jips.jips_301_23 · Cited by 1 · see citing works
A Repair Technique for Internal Nasal Valve Collapse Using Lateral Nasal Suspension Sutures
Mills, M. D., de Cos, V. A., Podury, A., & Watson, D. J. (2024) · Bioengineering · doi:10.3390/bioengineering11111138 · Cited by 1 · see citing works
Stavrakas, M., Atfeh, M. S., & Khalil, H. S. (2021) · Springer eBooks · doi:10.1007/978-3-030-66865-5_20 · Cited by 1 · see citing works
Tansatit, T., Apinuntrum, P., & Phetudom, T. (2017) · European Journal of Plastic Surgery · doi:10.1007/s00238-017-1326-7
Manejo quirúrgico de la válvula nasal en apnea obstructiva del sueño: reporte de casos.
Orrego-Ramírez, J. H., Rojas, A. M. M., & Ortíz, K. A. G. (2019) · ACTA DE OTORRINOLARINGOLOGÍA & CIRUGÍA DE CABEZA Y CUELLO · doi:10.37076/acorl.v46i3.424
Development of a Bioresorbable Implant for Nasal Valve Collapse
Kumar, M. D. P., Mahendralal, K. D., & Maheshbhai, R. N. (2022) · International Journal of Medical Science and Clinical Research Studies · doi:10.47191/ijmscrs/v2-i9-05
Role of Electrodiagnostic Modalities in Detection of Nasal Septal Deviation
Daneshi, A., Mohebbi, S., Mohebi, N., Mohebbi, A., Roomiani, M., Taheri, R., Arab, M., & Ghanbari, H. (2023) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-023-04172-8
Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation
Yoo, S. H., & Yu, M. S. (2023) · Journal of rhinology · doi:10.18787/jr.2023.00054
Marianetti, T. M., Luca, P. D., Iademarco, A., & Perna, L. (2024) · Aesthetic Plastic Surgery · doi:10.1007/s00266-024-04238-0
Choosing the Best Graft Source in Nasal Valve Repair
Xu, V., Nwagu, U., & Barbarite, E. (2024) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.09.002
Evaluation and Management of the External Nasal Valve
Donaldson, L. B., Mason, W., & Jones, L. R. (2025) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.07.015
Repairing the Nasal Valve in Revision Surgery
Parikh, A. C., & Lighthall, J. G. (2025) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.07.009
52 Surgery of the Nasal ValveNasal valve
(2025) · Thieme Medical Publishers eBooks · doi:10.1055/b-0045-212007
Minimally Invasive Techniques for Nasal Valve Dysfunction: A Systematic Review and Meta-Analysis
Jama, G. M., Cainelli, F., Trajano, L. F., Andrews, P. J., & Saleh, H. A. (2025) · Facial Plastic Surgery · doi:10.1055/a-2689-1750
Gillanders, S. L., Evora, R., & Ritz, M. (2025) · JPRAS Open · doi:10.1016/j.jpra.2025.09.020
Pshennikov, D. S., Popadyuk, V. I., Feshkina, N. V., & Савлевич, Е. Л. (2026) · Meditsinskiy sovet = Medical Council · doi:10.21518/ms2026-102
- Authors
- Barrett, D. M., Casanueva, F. J., & Cook, T. A.
- Affiliations
- Oregon Health & Science University (US)
- Corresponding author
- Barrett, Dane M.
- Cook, Ted A.
- Venue
- Facial Plastic Surgery Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 24
- Issue
- 3
- Pages
- 219-234
- ISSN
- 1064-7406 (ISSN-L)
- OpenAlex
- W2400036384
- Cited by
- 55
- References
- 68
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 7 · 2023: 5 · 2022: 5 · 2021: 9 · 2020: 3 · 2019: 9 · 2018: 5 · 2017: 2
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Facial Plastic Surgery Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Keywords
- nasal valve, nasal obstruction, nasal valve surgery, surgical outcomes, quality of evidence
- MeSH terms
- Humans, Nose, Rhinoplasty, Suture Techniques, Nasal Obstruction, Outcome Assessment, Health Care, Nasal Cartilages
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