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Cited by 50Nasal Surgery and Airway StudiesCleft Lip and Palate ResearchSinusitis and nasal conditions

Treatment of Nasal Obstruction From Nasal Valve Collapse with Alar Batten Grafts

Becker, Daniel G., Becker, Samuel S.·2003·Journal of Long-Term Effects of Medical Implants
DOI 10.1615/jlongtermeffmedimplants.v13.i3.100
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Abstract

Nasal obstruction may require treatment with rhinoplasty techniques. One cause of nasal obstruction is known as nasal valve collapse. This refers to narrowness and weakness at the nasal valve, the narrowest part of the nasal airway. There are a number of surgical approaches available to treat nasal valve collapse. Selection of the appropriate surgical intervention depends on proper identification of the anatomic cause of the collapse. Alar batten grafts are especially useful for addressing nasal valve collapse caused by a weak nasal sidewall. In this report, we review the senior author's experience with the use of alar batten grafts for nasal valve collapse. Twenty-one patients had septoplasty with placement of alar batten grafts; all patients noted improvement in their nasal breathing. Seven patients underwent ear cartilage harvest with alar batten grafts, and five of them noted improvement, one noted partial improvement, one noted no improvement. Six patients underwent revision septorhinoplasty with alar batten grafting, and ten patients underwent revision septorhinoplasty with ear cartilage harvest and alar batten grafting. These patients all reported improvement in their nasal breathing postoperatively. Six patients underwent revision rhinoplasty (no septoplasty) with ear cartilage and battens. These patients hold special interest because no other intranasal procedures were performed that affected nasal breathing. All six of these patients reported significant improvement of their nasal breathing and all patients were satisfied with their postsurgical cosmetic appearance. The nasal valve area is considered to be the location of the least cross-sectional area in the nose. When narrowing of the nasal valve is a result of collapse of the nasal sidewall, alar batten grafts are a useful technique to address the patient's nasal obstruction.

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  • Alar batten grafts are especially useful for addressing nasal valve collapse caused by a weak lateral nasal wall.

    “Alar batten grafts are especially useful for addressing nasal valve collapse caused by a weak lateral nasal wall [8].”

    From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [8]

  • Cottle's maneuver is used for diagnosis of nasal valve collapse when nasal obstruction is relieved by lifting the soft tissues of the ipsilateral cheek or naso-labial fold.

    “Many rhinologists use Cottle’s maneuver for the diagnosis of nasal valve collapse, when nasal obstruction is relieved by just lifting the soft tissues of the ipsilateral cheek or naso-labial fold [8].”

    From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [8]

  • Insertion of alar batten grafts into a precise pocket via a limited endonasal or external rhinoplasty approach to the site of maximal lateral nasal wall collapse allows adequate lateralization of this part.

    “The insertion of alar batten grafts into a precise pocket via a limited endonasal or external rhinoplasty approach to the site of maximal lateral nasal wall collapse had been demonstrated to allow for the adequate lateralization of this part [8, 32].”

    From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [8]

  • 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 [8]

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Authors
Becker, D. G., & Becker, S. S.
Affiliations
  • Hospital of the University of Pennsylvania (US)
  • University of Virginia Health System (US)
Venue
Journal of Long-Term Effects of Medical Implants
Publisher
Begell House
Published
2003
Volume
13
Issue
3
Pages
259-269
ISSN
1064-2315 (ISSN-L)
DOI
10.1615/jlongtermeffmedimplants.v13.i3.100
OpenAlex
W1988053861
Cited by
49
References
0
Citations by year
2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 1
FWCI
0.96
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Automation and Information Sciences (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
nasal obstruction, nasal valve collapse, septoplasty, revision rhinoplasty, ear cartilage graft, nasal airway
MeSH terms
Female, Humans, Male, Nose, Postoperative Period, Rhinoplasty, Nasal Obstruction

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