Nasal valves--importance and surgical procedures.

@article{Fischer2006NasalVA,
  title={Nasal valves--importance and surgical procedures.},
  author={Helmut Fischer and Wolfgang Gubisch},
  journal={Facial plastic surgery : FPS},
  year={2006},
  volume={22 4},
  pages={
          266-80
        }
}
One of the most difficult aspects in rhinoplasty is resolving and preventing functional compromise of the nasal valve area reliably. The nasal valves are crucial for the individual breathing competence of the nose. Structural and functional elements contribute to this complex system: the nasolabial angle, the configuration and stability of the alae, the function of the internal nasal valve, the anterior septum symmetrically separating the bilateral airways and giving structural and functional… 
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73 Citations
Highly Influential Citations
1
Background Citations
16
Methods Citations
2

73 Citations

Spreader Graft for Severe Deviation of Nasal Septum with Obstruction of the Internal Nasal Valve: Clinical and Functional Results.

The use of spreader grafts, with endonasal approach, as nasal septum's tutors improved perpendicular septal deviations with compromise of the INV (area II), reaching an effective functional improvement in the nasal airway, with low rate of complications.

Septal Surgery in the Crooked Nose

A graduated surgical approach was adopted to allow correction of the dorsal and caudal deviations of the nasal septum without weakening its structural support to the nasal dorsum or nasal tip.

Balanced Cantilever Graft for Supporting the Cartilaginous Side Wall of Nose.

To assess the use of balanced cantilever graft (BCLG), a technique to support the lateral nasal wall, patients undergoing primary open septorhinoplasty over a 2-year period were studied.

Spreader Graft Placement: An Effective Procedure for Alleviation of Internal Nasal Valve Collapse.

The Anterior Spreader Flap: A Minimally Invasive Alternative to the Auto Spreader Flap in the Treatment of Patients with Nasal Valve Dysfunction

The Anterior Spreader Flap technique can be considered a safe, minimally invasive spreader flap technique in patients with nasal valve dysfunction caused by septum deviation and can easily be combined with other nasal surgical techniques.

Extracorporeal Septoplasty Combined With Valve Surgery in Rhinoplasty Patients

Application of extracorporeal septoplasty in combination with spreader grafts in patients with nasal valve dysfunction not only enables nasal respiration but also supports aesthetic appearance.

Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Both techniques were effective in the management of moderate to severe septaldeviation provided that the internal valve was constructed with spreader grafts, the authors concluded.

Are Grafts Necessary in Rhinoplasty? Cartilage Flaps with Cartilage-Saving Rhinoplasty Concept

The tongue-in-groove technique cannot be used in patients who do not need caudal excision, and cartilage flaps can be inadequate in some patients who may need additional grafts.

The Modified Sliding Alar Cartilage Flap: A Novel Way to Preserve the Internal Nasal Valve as Illustrated by Three-Dimensional Modeling.

The sliding alar cartilage surgical technique is a simple technique allowing tip definition while maintaining nasal airway function by preserving the crucial anatomical scroll area in patients undergoing tip-plasty with alar reduction.

Assessment of Nasal Function After Tip Surgery With a Cephalic Hinged Flap of the Lateral Crura: A Randomized Clinical Trial.

The improvement noted in breathing quality by VAS and AR suggests that a hinged flap may be effective in reconstructing the internal nasal valve.
...

References

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