The diagnosis and treatment of nasal valve collapse
Abstract
PURPOSE OF REVIEW: The nasal valve is a complex structure that can be weakened from effects of aging, surgery, and trauma. A variety of methods have been described to strengthen the nasal valve region and prevent or treat nasal obstruction, such as batten grafts, spreader grafts, butterfly grafts, flare sutures, and suspension sutures. They will be briefly discussed here, but the intent of this review is to highlight the new developments in the treatment nasal valve collapse that have appeared in the literature over the last few years. RECENT FINDINGS: Various surgical techniques and approaches for addressing nasal valve collapse have been described in the literature. Still, new techniques continue to be developed and old techniques continue to be improved upon. More specifically, minimally invasive and endoscopic approaches are being developed and improvements are made on the use of graft materials. Finally, alternatives to surgery are explored for the treatment of nasal valve collapse. SUMMARY: The aim of the new advances in the treatment of nasal valve collapse is to maximize the benefit from the surgical intervention while minimizing disruption of the normal anatomy and physiology of the nose. Another trend in the new advances explores the nonsurgical options for the treatment of nasal valve collapse.
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Factors like septal deviation, aging, facial nerve paralysis or paresis, allergic and non-allergic rhinitis may contribute and worsen nasal valve insufficiency.
“Factors like septal deviation, aging, facial nerve paralysis or paresis, allergic and non-allergic rhinitis may contribute and worsen nasal valve insufficiency [6, 7].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [7]
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 [7]
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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
“Spreader grafts play a useful role in the treatment of nasal valve collapse by widening the nasal valve angle with variable degrees of success [2, 5, 7, 11, 30, 31].”
BackgroundNasal Spreader Grafts: A Comparison of Medpor to Autologous Tissue Reconstruction
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- Authors
- Wittkopf, M., Wittkopf, J., & Ries, W. R.
- Affiliations
- Vanderbilt University Medical Center (US)
- Corresponding author
- Ries, W Russell
- ORCID
- Ries, W Russell
- Venue
- Current Opinion in Otolaryngology & Head & Neck Surgery
- Published
- 2008-02
- Volume
- 16
- Issue
- 1
- Pages
- 10-13
- ISSN
- 1068-9508 (ISSN-L)
- OpenAlex
- W2085751292
- Cited by
- 84
- References
- 13
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 8 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 7 · 2013: 5 · 2012: 7
- FWCI
- 4.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Otolaryngology & Head & Neck Surgery (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 › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- nasal valve collapse, nasal obstruction, nasal valve surgery, spreader grafts, suspension sutures, nasal endoscopic surgery, minimally invasive nasal surgery, graft materials, conservative treatment
- MeSH terms
- Biofeedback, Psychology, Cartilage, Diagnosis, Differential, Electric Stimulation Therapy, Endoscopy, Humans, Nose Deformities, Acquired, Rhinoplasty, Suture Techniques, Nasal Obstruction
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