Nasal Valve Reconstruction

Khosh, Maurice M.; Jen, Albert; Honrado, Carlo P.; Pearlman, Steven J.

doi:10.1001/archfaci.6.3.167

Cited by 81 publications

(15 citation statements)

References 13 publications

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“…Several different types of grafts have been used such as lateral crural strut grafts and spreader grafts [1], sometimes in combination with alar batten grafts [8]. It is difficult to assess the effectiveness of alar batten graft placement alone.…”

Section: Discussionmentioning

confidence: 99%

Internal Nasal Valve Incompetence Is Effectively Treated Using Batten Graft Functional Rhinoplasty

Bewick

Buchanan

Frosh

2013

International Journal of Otolaryngology

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Introduction. Internal nasal valve incompetence (INVI) has been treated with various surgical methods. Large, single surgeon case series are lacking, meaning that the evidence supporting a particular technique has been deficient. We present a case series using alar batten grafts to reconstruct the internal nasal valve, all performed by the senior author. Methods. Over a 7-year period, 107 patients with nasal obstruction caused by INVI underwent alar batten grafting. Preoperative assessment included the use of nasal strips to evaluate symptom improvement. Visual analogue scale (VAS) assessment of nasal blockage (NB) and quality of life (QOL) both pre- and postoperatively were performed and analysed with the Wilcoxon signed rank test. Results. Sixty-seven patients responded to both pre- and postoperative questionnaires. Ninety-one percent reported an improvement in NB and 88% an improvement in QOL. The greatest improvement was seen at 6 months (median VAS 15 mm and 88 mm resp., with a P value of <0.05 for both). Nasal strips were used preoperatively and are a useful tool in predicting patient operative success in both NB and QOL (odds ratio 2.15 and 2.58, resp.). Conclusions. Alar batten graft insertion as a single technique is a valid technique in treating INVI and produces good outcomes.

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Section: Discussionmentioning

confidence: 99%

Internal Nasal Valve Incompetence Is Effectively Treated Using Batten Graft Functional Rhinoplasty

Bewick

Buchanan

Frosh

2013

International Journal of Otolaryngology

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“…In these, procedures were surgically widened the nasal valve by expanding ala nasi themselves. These surgeries are invasive to the nose [21][22][23][24][25]. They have several disadvantages including the following: 1) The operation field is narrow and deep.…”

Section: Discussionmentioning

confidence: 99%

Dilatation of the nasal valve by expansion of the vestibular oris (EVO)

Mukai¹

2013

Health

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Introduction: The main signs and symptoms of ankyloglossia with deviation of the epiglottis and larynx (ADEL) are sleep disorders caused by respiratory restraint. The author contrived the surgical procedure of correction of the glosso-larynx (CGL) and expansion of the vestibular oris (EVO) for the cure of ADEL. CGL increases vital capacity (VC) and forced expiratory volume in 1 second (1% FEV). EVO reduces nasal airflow resistance. The most important component of nasal airflow resistance is the nasal valve. Purpose: Our purpose was to measure how wide the nares were dilated after EVO. Method: The width of the nares, height of the nose, length of the philtrum and width of the lip were measured in patients who had signs and symptoms of ADEL, before and after EVO. Result: Significant increases were observed in the width of the nares, height of the nose and length of the lip after EVO. Conclusion: This study confirmed that the nares dilate after EVO. Not only the amelioration of nasal respiration by EVO increases immunity, but also aesthetic effects are obtained after EVO.

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“…Spreader grafts are used to correct the middle vault of the nose and are placed between the upper lateral cartilage and the dorsal septum [4] [5] (Figure 9 and Figure 10).…”

Section: Spreader Graftmentioning

confidence: 99%

Augmentation Grafts in Septorhinoplasty: Our Experience

Nataraj.¹,

Mohan²,

Reshma³

et al. 2015

IJOHNS

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Augmentation of nasal tip and/or dorsum forms the keystone of any Septorhinoplasty surgery. The grafts available for augmentation are numerous and varied. Choice of the graft depends upon the type of augmentation required, patient characteristics and, most importantly, the surgeon. In this article, we would like to present our experience with various augmentation grafts. In our experience, autografts are best grafts for augmentation. But in cases of revision surgeries or deficiency of autografts, allografts can be used. Our choice of allograft is Poly Diaxone Sheath or PDS.

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Nasal Valve Reconstruction

Cited by 81 publications

References 13 publications

Internal Nasal Valve Incompetence Is Effectively Treated Using Batten Graft Functional Rhinoplasty

Internal Nasal Valve Incompetence Is Effectively Treated Using Batten Graft Functional Rhinoplasty

Dilatation of the nasal valve by expansion of the vestibular oris (EVO)

Augmentation Grafts in Septorhinoplasty: Our Experience

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