Surgical and nonsurgical treatments of the nasal valves
Abstract
Nasal obstruction is known to be associated with a major decrease in disease-specific quality of life, and nasal valve dysfunction can play a considerable role in nasal airflow obstruction. Diagnosis and treatment of nasal valve dysfunction requires a thorough understanding of normal anatomy and function as well as pathophysiology of common abnormalities to properly treat the exact source of dysfunction. As the pathophysiology of the nasal valves has become better understood, surgery designed to treat its dysfunction has evolved. Here, we explore the progress we have made in treating the nasal valves, and the deficiencies we still face.
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Poiseuille's law states that nasal resistance varies inversely with the fourth power of the radius of the nasal passages.
“Poiseuille’s law, on the other hand, states that nasal resistance varies inversely with the fourth power of the radius of the nasal passages (resistance = (viscosity ∗ length)/radius^4) [12].”
From Functional Rhinoplasty. (2023) · cites this paper as [12]
The physiology of the nasal valve resembles that of a Starling resistor.
“The physiology of the nasal valve resembles that of a Starling resistor [12].”
From Functional Rhinoplasty. (2023) · cites this paper as [12]
The angle of the internal nasal valve should typically measure between 10 and 15 degrees in the nose of a Caucasian and is usually more obtuse in the African-American or Asian nose.
“The angle of the internal nasal valve should typically measure between 10 and 15 degrees in the nose of a Caucasian and is usually more obtuse in the African-American or Asian nose [12].”
From Functional Rhinoplasty. (2023) · cites this paper as [12]
The nasal valve serves as the central location for controlling airflow and resistance, imparting the sensation of a properly functioning airway.
“The nasal valve serves as the central location for controlling airflow and resistance, imparting the sensation of a properly functioning airway [12].”
From Functional Rhinoplasty. (2023) · cites this paper as [12]
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 [12]
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 [12]
Alar batten grafts are the mainstay of treatment of external valve collapse.
“The mainstay of treatment of external valve collapse has been alar batten grafts [12].”
From Functional Rhinoplasty. (2023) · cites this paper as [12]
Cites
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
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
Constantian, M. B., & Clardy, B. R. (1996) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199607000-00007 · Cited by 292 · 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
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
Grymer, L. F. (1995) · The Laryngoscope · doi:10.1288/00005537-199504000-00017 · Cited by 144 · 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
Guyuron, B., Michelow, B. J., & Englebardt, C. (1998) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199811000-00058 · Cited by 125 · 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
Nasal Valves-Importance and Surgical Procedures
Fischer, H., & Gubisch, W. (2006) · Facial Plastic Surgery · doi:10.1055/s-2006-954845 · Cited by 84 · see citing works
Schlosser, R. J., & Park, S. S. (1999) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(05)70114-6 · Cited by 82 · 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
Self-citationGoode, R. L. (1994) · The Laryngoscope · doi:10.1288/00005537-199404000-00021 · Cited by 72 · 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
Intranasal Z-plasty for Internal Nasal Valve Collapse
Dutton, J. M., & Neidich, M. J. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.3.164 · Cited by 40 · see citing works
Reconstruction of the Internal Nasal Valve: Modified Splay Graft Technique With Endonasal Approach
İslam, A., Arslan, N., Felek, S. A., et al. (2008) · The Laryngoscope · doi:10.1097/mlg.0b013e31817f1913 · Cited by 35 · see citing works
Nasal Valve Suspension Revisited
Nuara, M. J., & Mobley, S. R. (2007) · The Laryngoscope · doi:10.1097/mlg.0b013e31814842cd · Cited by 33 · see citing works
Menger, D. J. (2006) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.8.5.333 · Cited by 31 · 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
Self-citationAesthetic plastic surgery: Rhinoplasty
(1994) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(94)90147-3 · Cited by 28 · see citing works
Hyaluronic acid Spreader-Graft Injection for Internal Nasal Valve Collapse
Nyte, C. P. (2007) · Ear, Nose & Throat Journal · doi:10.1177/014556130708600510 · Cited by 22 · see citing works
Faris, C., Koury, E., Kothari, P., et al. (2006) · PubMed · Cited by 22 · see citing works
The Results of Concurrent Functional Endoscopic Sinus Surgery and Rhinoplasty
İnanlı, S., Sarı, M., & Yazıcı, Z. M. (2008) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3180690182 · Cited by 21 · see citing works
Immediate Nasal Valve Reconstruction After Facial Nerve Resection
Soler, Z. M., Rosenthal, E. L., & Wax, M. K. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.5.312 · Cited by 18 · see citing works
A Follow-up Study of the Monarch Adjustable Implant for Correction of Nasal Valve Dysfunction
Hurbis, C. G. (2008) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.10.2.142 · Cited by 11 · see citing works
Simultaneous Functional Endoscopic Sinus Surgery and Esthetic Rhinoplasty in Orthognathic Patients
Costa, F., Robiony, M., Salvo, I., et al. (2008) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2008.01.008 · Cited by 10 · see citing works
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Palesy, T., Pratt, E., Mrad, N., Marcells, G. N., & Harvey, R. J. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2014.1456 · Cited by 30 · 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 angle of the internal nasal valve should typically measure between 10 and 15 degrees in the nose of a Caucasian and is usually more obtuse in the African-American or Asian nose [12].”
BackgroundInfluential
- Authors
- Lee, J., White, W. M., & Constantinides, M.
- Affiliations
- NYU Langone Health (US)
- Corresponding author
- Constantinides, Minas
- ORCID
- Lee, Judy
- Venue
- Otolaryngologic Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 42
- Issue
- 3
- Pages
- 495-511
- ISSN
- 0030-6665 (ISSN-L)
- OpenAlex
- W2097558954
- Cited by
- 38
- References
- 29
- Citations by year
- 2024: 3 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 4 · 2015: 5 · 2013: 6 · 2012: 2
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Otolaryngologic 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 dysfunction, nasal obstruction, nasal valve surgery, conservative treatment, quality of life
- MeSH terms
- Humans, Nasal Cavity, Pulmonary Ventilation, Rhinoplasty, Nasal Obstruction, Treatment Outcome, Transplants, Nasal Cartilages
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