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Repairing the Nasal Valve in Revision Surgery.
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA; Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Penn State College of Medicine, Facial Nerve Clinic, Esteem Penn State Health Cosmetic Associates, 500 University Drive H-091, Hershey, PA. Electronic address:
Nasal airway obstruction is a frequent complaint in an otolaryngology clinic and is often multifactorial. Anatomic contributors may include a nasal septal deviation, inferior turbinate hypertrophy, and nasal valve compromise. Septoplasty and inferior turbinate reduction are one of the most common procedures performed by an otolaryngologist.
View Article and Find Full Text PDFClosed Treatment of the Internal Nasal Valve.
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA; Our Lady of the Lake Regional Medical Center, Baton Rouge, LA, USA. Electronic address:
The internal nasal valve, the narrowest portion of the nasal airway, is prone to collapse and is often targeted for improvement in nasal reconstruction and rhinoplasty. Endonasal techniques can reduce surrounding trauma and reduce operative times compared to traditional open methods. Options include the use of spreader, butterfly and alar batten grafts, suspension and flaring sutures, and Z-plasty for scarring.
View Article and Find Full Text PDFEvaluation and Management of the External Nasal Valve.
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Henry Ford Hospital, 2799 West Grand Boulevard K-8, Detroit, MI 48202, USA; Department of Surgery, Michigan State University, 4660 South Hagadorn Road, Suite #620, East Lansing, MI 48823, USA; Wayne State University School of Medicine, 540 East Canfield Street, Detroit, MI 48201, USA.
The external nasal valve is the anatomic structure formed by the caudal septum, alar rim, medial crura of the lower lateral cartilage, and nasal sill at the level of the nasal vestibule. Evaluation of external nasal valve dysfunction is dependent upon a thorough history and physical examination. Symptoms and quality of life impact are the main drivers for patients to seek out clinical evaluation.
View Article and Find Full Text PDFEffect of two rhinoplasty techniques combined with vestibuloplasty on the cross-sectional area of the rostral nasal cavity in brachycephalic dogs with stenotic nares.
Aust Vet J
December 2024
Peninsula Vet Emergency and Referral Hospital, Mornington, Victoria, Australia.
Objective: To compare preoperative and postoperative cross-sectional areas (CSAs) of the external nares and nasal vestibule on computed tomography (CT) transverse sections in brachycephalic dogs that underwent a vestibuloplasty in combination with either a Trader's technique or vertical wedge resection rhinoplasty.
Methods: Medical records and corresponding preoperative and postoperative head computed tomographic images were reviewed to measure CSA at two defined points on transverse sections of the nasal cavities.
Results: Nine brachycephalic dogs were included for analysis.
Single-Stage Alar Nostril Ring Correction Using Auricular Composite Grafts in Reconstructive Rhinoplasty.
Aesthet Surg J
December 2024
School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Background: Alar nostril ring correction in patients with multiple prior surgeries is one of the most challenging procedures in reconstructive rhinoplasty. Assessing patient satisfaction and the technique's failure rate is essential in evaluating its effectiveness.
Objectives: This study aimed to assess the outcomes of alar nostril ring correction using auricular composite grafts (ACGs) in patients with severe post-rhinoplasty deformities from multiple previous surgeries.
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