Nasal valves--importance and surgical procedures.

  title={Nasal valves--importance and surgical procedures.},
  author={Helmut Fischer and Wolfgang Gubisch},
  journal={Facial plastic surgery : FPS},
  volume={22 4},
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… 

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.

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.

Treating Internal Nasal Valve Collapse: The Intranasal Valvuloplasty

A simple yet effective technique to resolve obstruction of the internal nasal valve, called the intranasal valvuloplasty/valvulopexy, which is an effective and straightforward approach to nasal valve collapse either alone or in conjunction with other rhinological procedures.

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.



Septoplasty: Correcting the Nasal Valve

This work addresses the bony and cartilaginous septum just above this region at the level of the cartILaginous and bony nasal vault, resulting in a completely free sePTum inferiorly and in the valve region.

The Incompetent External Nasal Valve: Pathophysiology and Treatment in Primary and Secondary Rhinoplasty

The external nasal valve may be a substantial cause of nasal airway obstruction in some patients; its pathophysiology and treatment are discussed in primary and secondary rhinoplasty.

The lateral crural J-flap repair of nasal valve collapse.

  • L. O'Halloran
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2003

Bending of the upper lateral cartilages for nasal valve collapse.

This method reconstitutes the normal anatomy of the INV, reestablishes stiffness or resistance of the nasal side walls so that they do not bend inwardly with inspiration, improves the airflow at this area, and avoids postoperative nasal valve stenosis in functional-cosmetic rhinoplasty cases that require considerable nasal hump reduction.

Mini Spreader Grafts: A New Technique Associated with Reshaping of the Nasal Tip

  • A. Boccieri
  • Medicine
    Plastic and reconstructive surgery
  • 2005
Although small in size, the mini spreader grafts are very important in functional terms in that they restore a physiologic angle in the area of the internal nasal valve between the septum and the upper lateral cartilages.

Nasal Valve Suspension: An Improved, Simplified Technique for Nasal Valve Collapse

The modified technique is simpler, safer, and equally effective and is based on the use of a soft-tissue bone-anchor system that provides a simplified support of the valve area to the orbital rim.

Endonasal spreader graft placement as treatment for internal nasal valve insufficiency: no need to divide the upper lateral cartilages from the septum.

The endonasal technique presented herein is less invasive and can be used in conjunction with other procedures aimed at improving nasal patency.

[The history of nasal valve surgery].

Among the wide range of techniques mentioned in the literature, the authors prefer the anatomical, surgical classification by Zijilker and Quaedvilieg as it incorporates the philosophy the rhinologist must keep in mind when aiming to restore both nasal functions and esthetics through different, specific techniques.

Surgery for the dysfunctional nasal valve. Cadaveric analysis and clinical outcomes.

The combination of flaring sutures and spreader grafts has the greatest impact on the cadaveric nasal airway and clinical review confirms significant improvement in nasal function using this combination technique.

All about nasal valve collapse

For correcting collapsed alae, blunt dissection of the septal mucoperichondrium through the transfixion incision is extended on both sides up to the vault of the upper lateral cartilages, which are