The external nasal valve
Abstract
The external nasal valve is a complex entity comprised of multiple structures and tissue types. As such, there is no single operation that can address all problems of the external valve. This article reviews the relevant anatomy, pathologic conditions, and treatments for external nasal valve dysfunction, including a detailed review of the nasal muscles and their contribution to external nasal valve patency. Surgical and nonsurgical options for treatment and the evidence supporting the importance of proper external nasal valve function on quality-of-life measures are discussed.
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Alar rim grafts are effective in reinforcing the nostril margin.
“Alar rim grafts are effective in reinforcing the nostril margin [6].”
From Functional Rhinoplasty. (2023) · cites this paper as [6]
Even minor adjustments in the radius of the nasal valves in either direction can have a significant impact on both airflow and resistance.
“Consequently, even minor adjustments in the radius of the nasal valves in either direction can have a significant impact on both airflow and resistance [6,12].”
From Functional Rhinoplasty. (2023) · cites this paper as [6]
The internal nasal valve is the most constricted segment within the nasal airway, resulting in the highest overall impedance to airflow.
“This segment represents the most constricted section within the nasal airway, resulting in the highest overall impedance to airflow [4-6].”
From Functional Rhinoplasty. (2023) · cites this paper as [6]
Alar strut grafts are a reliable way to flatten and straighten the lateral crus and provide support to the external nasal valve.
“This technique is a reliable way to flatten and straighten the lateral crus and provide support to the external nasal valve [6,12].”
From Functional Rhinoplasty. (2023) · cites this paper as [6]
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Anatomy and Physiology of the Nasal Valves.
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“This is much like Starling, which stimulates changes in peripheral vascular resistance as the result of the change in the external pressure [6].”
BackgroundMethodInfluential
- Authors
- Hamilton, G. S.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Hamilton, Grant S.
- ORCID
- Hamilton, Grant S.
- Venue
- Facial Plastic Surgery Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 25
- Issue
- 2
- Pages
- 179-194
- ISSN
- 1064-7406 (ISSN-L)
- OpenAlex
- W2590495325
- Cited by
- 63
- References
- 58
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 9 · 2023: 12 · 2022: 8 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 4
- FWCI
- 0.93
- 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
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Keywords
- external nasal valve, nasal valve dysfunction, nasal anatomy, nasal surgery, conservative treatment, quality of life, rhinoplasty
- MeSH terms
- Humans, Medical Illustration, Nasal Cavity, Nose, Physical Examination, Rhinoplasty, Nasal Obstruction
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