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Erschienen in:

05.01.2021 | Review

Surgical Management of the Internal Nasal Valve: A Review of Surgical Approaches

verfasst von: Margaret A. Sinkler, Chase J. Wehrle, Joseph W. Elphingstone, Emma Magidson, Edmond F. Ritter, Jimmy J. Brown

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 3/2021

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Abstract

Background

Nasal valve collapse is relatively common with a lifetime prevalence of up to 13%. Etiologies include prior rhinoplasty, other surgical procedures, facial paralysis, congenital defects, trauma, and aging. Internal nasal valve collapse leads to impairment of nasal breathing, which significantly disturbs quality of life. Many approaches to increase the cross-sectional area of the internal nasal valve have been described.

Results

The main categories reviewed in this article are cartilage grafting, implants, and suture suspension techniques. Cartilage grafting techniques include alar batten graft, butterfly graft, spreader graft, autospreader graft, and alar composite graft. The implant technique includes the titanium butterfly implant. The suspension techniques included are the transconjunctival approach, Mitek bone anchor, flaring suture, lateral pull-up, and piriform rim suspension. Surgeons must carefully consider functionality, cosmesis, and technical difficulty when selecting an approach.

Discussion

We review indications, general approach, benefits, and considerations for a number of available techniques to help surgeons decide what approach might be best suited to the individual patient.

Level of evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Titel: Surgical Management of the Internal Nasal Valve: A Review of Surgical Approaches
verfasst von: Margaret A. Sinkler
Chase J. Wehrle
Joseph W. Elphingstone
Emma Magidson
Edmond F. Ritter
Jimmy J. Brown
Publikationsdatum: 05.01.2021
Verlag: Springer US
Erschienen in: Aesthetic Plastic Surgery / Ausgabe 3/2021
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-020-02075-5

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Surgical Management of the Internal Nasal Valve: A Review of Surgical Approaches